关键词: DCD Maternal health Prenatal health Prenatal risk factors

Mesh : Male Child Pregnancy Female Humans Child, Preschool Motor Skills Disorders / epidemiology etiology Cohort Studies Multivariate Analysis Risk Factors

来  源:   DOI:10.1007/s10995-023-03804-3

Abstract:
OBJECTIVE: To examine the effect of cumulative prenatal risk factors (RFs) on the presence of Developmental Coordination Disorder (DCD) in young children.
METHODS: Participants (N = 589, 338 boys, Mage = 4.5 ± 0.5 years) were from a larger cohort study, the Coordination and Activity Tracking in Children (CATCH). Motor coordination was assessed using the Movement Assessment Battery for Children- 2nd Edition. Children were classified as at risk for DCD (DCDr) based on European Academy of Childhood Disability guidelines. RFs were obtained through a parent-completed survey. A multiple logistic regression was conducted to examine the effect of the RFs on DCD.
RESULTS: Results showed that the odds of a child having DCDr are significantly higher with a greater total number of prenatal RFs, after adjustment for mother\'s age at child\'s birth, child\'s sex, child\'s age, marital status and total annual household income (OR = 1.48, p < 0.01).
CONCLUSIONS: These findings warrant further investigation into the cumulative impact of multiple prenatal RFs and whether specific combinations of RFs might be more strongly linked to DCD than others. These results provide additional insight into possible causes and prevention of DCD.
摘要:
目的:研究累积产前危险因素(RFs)对幼儿发育协调障碍(DCD)的影响。
方法:参与者(N=589,338名男孩,Mage=4.5±0.5年)来自更大的队列研究,儿童协调和活动跟踪(CATCH)。使用儿童运动评估电池-第2版评估运动协调性。根据欧洲儿童残疾学会指南,儿童被归类为DCD(DCDr)的风险。RF是通过父母完成的调查获得的。进行多元逻辑回归以检查RFs对DCD的影响。
结果:结果表明,随着产前RFs总数的增加,儿童患DCDr的几率明显更高,在孩子出生时调整母亲的年龄后,孩子的性,孩子的年龄,婚姻状况与家庭年总收入(OR=1.48,p<0.01)。
结论:这些发现需要进一步研究多个产前RFs的累积影响,以及RFs的特定组合是否可能比其他组合更强烈地与DCD相关。这些结果为DCD的可能原因和预防提供了额外的见解。
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