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Published on: November 7, 2020
Impact of the COVID-19 pandemic on infant neurodevelopmental outcomes
Yuki Kyono1, Masahiro Nishiyama2, Hiroshi Yamaguchi1
1Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Insights
The COVID-19 pandemic was linked to poorer infant neurodevelopment, especially language delays. This study highlights the impact of societal changes on early childhood development.
Area of Science:
- Pediatric Health
- Developmental Pediatrics
- Epidemiology
Background:
- The COVID-19 pandemic introduced unprecedented societal changes.
- Understanding its impact on early childhood development is crucial.
Purpose of the Study:
- To investigate the effects of the COVID-19 pandemic on infant neurodevelopment.
- To compare neurodevelopmental outcomes in children born before and during the pandemic.
Main Methods:
- A retrospective population-based cohort study in Kobe, Japan.
- Included 63,703 children undergoing 18-month health check-ups.
- Compared children born pre-pandemic (April 2014-March 2018) and during the pandemic (April-October 2020).
Main Results:
- Higher prevalence of abnormal neurodevelopment during the pandemic (12.8% vs 10.2%).
- Increased rate of children without meaningful words, indicating language delay (7.1% vs 4.8%).
- Minimal differences observed in other developmental outcomes.
Conclusions:
- The COVID-19 pandemic may negatively impact infant neurodevelopment, particularly language acquisition.
- Infant language development appears sensitive to societal shifts like pandemics.
- Further research is needed on causes and long-term effects.
Objective:
This population-based cohort study in Kobe, Japan, investigated the impact of the COVID-19 pandemic on infant neurodevelopment by comparing children born before and during the pandemic.
Design:
Retrospective population-based cohort study of 63 703 children born between 1 April 2014 and 31 October 2020, who underwent an 18-month health check-up.
Setting:
Kobe, Japan.
Patient:
Children born between April 2014 and March 2018 (pre-COVID-19 group) or April-October 2020 (during-COVID-19 group).
Intervention:
None MAIN OUTCOME MEASURES: Neurodevelopmental outcomes assessed by trained paediatricians, including language, social and behavioural indicators.
Results:
The abnormal neurodevelopment prevalence was higher in the during-COVID-19 group (12.8%) than in the pre-COVID-19 group (10.2%) (OR, 1.30; 99% CI 1.16 to 1.46). Similarly, the rate of children without meaningful words was higher during the pandemic (7.1% vs 4.8%; OR, 1.52; 99% CI 1.31 to 1.78), indicating delayed language development. Intergroup differences in other outcomes were minimal.
Conclusions:
The COVID-19 pandemic may have negatively influenced early neurodevelopment, particularly language acquisition. These findings suggest that infant language development is affected by social changes, such as pandemics. Further research is required to explore the underlying causes and the long-term effects.
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