儿童发育协调障碍的流行:系统性审查和元分析
Huaqiang Li1,2, Xiaohua Ke2, Dunbing Huang2
1School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Frontiers in pediatrics
|October 11, 2024
概括
发育协调障碍 (DCD) 影响5%的儿童. 过早出生和出生时体重非常低的婴儿显示出更高的DCD患病率,需要早期查和持续监测以获得更好的结果.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 流行病学 流行病学
背景情况:
- 发育协调障碍 (DCD) 是一种影响运动技能的神经发育状况.
- 准确的流行数据对于了解DCD的影响和规划干预措施至关重要.
- 之前对儿童DDC患病率的估计有所不同,因此需要进行综合分析.
研究的目的:
- 通过元分析,综合现有关于儿童DDC患病率的证据.
- 为了提供一个更清晰的,基于证据的估计,在儿科人口中DCD的流行.
主要方法:
- 进行了全面的元分析,综合了18项研究的数据.
- 进行广泛的数据库搜索 (PubMed,Embase,科学网等) 对2023年12月18日之前发表的相关文章进行了调查.
- 使用Stata 18.0进行了统计分析,以确定聚合的流行率估计.
主要成果:
- 在31,203名参与者中,儿童中DDC的总体患病率为5%.
- 亚组分析显示,男孩 (7%) 的患病率高于女孩 (4%).
- 早产婴儿 (18%) 和出生时体重非常低的婴儿 (31%) 的DCD患病率明显高于晚产婴儿 (6%).
结论:
- 在儿童中,DCD的普遍流行率估计为5%.
- 过早出生或出生时体重非常低的婴儿代表了DDC的高风险群体.
- 建议对高风险婴儿进行早期查和一致的随访,以有效管理DCD.
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