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The relationship between child development and small for gestational age among preschool children

Sheng-Hsun Chou1, Shu-Hui Wen2, Hsin-Chi Wu1,3

  • 1Department of Rehabilitation Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.

Tzu Chi Medical Journal
|March 3, 2023
PubMed

Insights

Small for gestational age (SGA) children in Taiwan showed similar developmental scores on the Chinese Child Developmental Inventory (CCDI) compared to their non-SGA peers. This indicates no significant developmental differences in preschool-aged children.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Small for gestational age (SGA) is a condition where infants are born smaller than expected for their gestational age.
  • Early childhood development is crucial for long-term health and well-being.
  • Understanding developmental trajectories in diverse populations is essential for targeted interventions.

Purpose of the Study:

  • To evaluate the impact of being small for gestational age (SGA) on the developmental outcomes of preschool children in Taiwan.
  • To compare developmental scores between SGA and non-SGA children using the Chinese Child Developmental Inventory (CCDI).
  • To identify any significant differences in developmental performance and delay frequency.

Main Methods:

  • A cohort of 982 Taiwanese children (June 2011-December 2015) was studied.
  • Children were categorized into SGA (n=116) and non-SGA (n=866) groups.
  • Linear regression analysis was used to assess the relationship between SGA status and CCDI developmental scores across eight dimensions.

Main Results:

  • Children in the SGA group, on average, scored lower across all eight CCDI developmental subitems compared to the non-SGA group.
  • Despite average score differences, regression analysis found no statistically significant disparities in overall performance or frequency of developmental delays between the SGA and non-SGA groups.

Conclusions:

  • Preschool-aged children identified as small for gestational age (SGA) in Taiwan exhibit comparable developmental scores to their non-SGA counterparts.
  • The findings suggest that SGA status alone does not predict significant developmental differences in this population by preschool age.
  • This research contributes to understanding the long-term developmental impact of SGA in a specific ethnic and geographical context.
Abstract

Keywords:
Chinese Child Developmental InventoryPreschoolSmall for gestational age

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