早产儿发育协调障碍:系统性审查和元分析
Carolina Panceri1,2, Graciele Sbruzzi1,2, Larissa W Zanella3
1Department of Human Movement Science, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
The European journal of neuroscience
|April 1, 2024
概括
早产婴儿有21%的发育协调障碍 (DCD) 患病率. 这些孩子患DDC的可能性是与满期同龄人相比的两倍,随着妊娠年龄的下降,风险会增加.
科学领域:
- 发育儿科 发育儿科
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 发育协调障碍 (DCD) 影响运动技能的获得.
- 过早分娩是各种神经发育挑战的已知危险因素.
- 了解早产人口中DCD流行率对于早期干预至关重要.
研究的目的:
- 系统地审查在早产的个体中DDC的流行情况.
- 根据妊娠年龄和评估标准分析DCD的流行情况.
- 为了比较早产期和满期儿童的DCD率.
主要方法:
- 对观察性和实验性研究进行系统的文献搜索 (开始至2022年3月).
- 包括报告DCD在早产者中流行率的研究.
- 使用Excel和Review Manager软件5.4进行数据合成,通过Joanna Briggs Institute (JBI) 检查清单进行质量评估.
主要成果:
- 32项研究符合1774项已识别的研究中符合资格标准.
- 在早产个体中,DCD的综合流行率为21% (95% CI 17.8-24.3).
- 与满期同龄人相比,早产儿患DCD的风险高出2.2倍 (95% CI为1.77-2.79),风险增加与较低的妊娠年龄相关.
结论:
- 过早生育的儿童患DDC的风险明显更高.
- 在早产婴儿中,DDC的风险随着妊娠年龄的下降而升级.
- 有证据支持有针对性的查和对早产人口的支持,以解决DCD.
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