Longitudinal study of sleep behavior and motor development in low-birth-weight preterm children from infancy to preschool years

Manacero, Sonia Aparecida; Nunes, Magda Lahorgue

doi:10.1016/j.jped.2019.10.010

Cited by 15 publications

(19 citation statements)

References 26 publications

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“…Our findings were consistent with previous work which also found that preterm children were more likely to have adverse sleep outcomes compared with full-term children even beyond infancy. The association between preterm birth and sleep problems in children beyond infancy have been reported by studies in both preschool ages [46][47][48] and school ages [10], and our results further suggest that preterm-born preschoolers, especially very-preterm (<31 weeks), were more likely to have sleep disorder consistently across our age range from 3 to 5 years old. Moreover, when we compared individual sleep subscales in the CSHQ, including Bedtime Resistance, Sleep Onset Delay, Sleep Duration, Sleep Anxiety, Night Wakings, Parasomnias, Sleep Disordered Breathing and Daytime Sleepiness, a significant difference between the very-preterm/ moderate-preterm and full-term groups was found in all subscales.…”

Section: Discussionsupporting

confidence: 86%

Associations between gestational age and childhood sleep: a national retrospective cohort study

Lyu

Groeger

Barnett

et al. 2022

BMC Med

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Background Both sleep quality and quantity are essential for normal brain development throughout childhood; however, the association between preterm birth and sleep problems in preschoolers is not yet clear, and the effects of gestational age across the full range from preterm to post-term have not been examined. Our study investigated the sleep outcomes of children born at very-preterm (<31 weeks), moderate-preterm (32–33 weeks), late-preterm (34–36 weeks), early-term (37–38 weeks), full-term (39–40 weeks), late-term (41 weeks) and post-term (>41 weeks). Methods A national retrospective cohort study was conducted with 114,311 children aged 3–5 years old in China. Children’s daily sleep hours and pediatric sleep disorders defined by the Children’s Sleep Habits Questionnaire (CSHQ) were reported by parents. Linear regressions and logistic regression models were applied to examine gestational age at birth with the sleep outcomes of children. Results Compared with full-term children, a significantly higher CSHQ score, and hence worse sleep, was observed in very-preterm (β = 1.827), moderate-preterm (β = 1.409), late-preterm (β = 0.832), early-term (β = 0.233) and post-term (β = 0.831) children, all p<0.001. The association of pediatric sleep disorder (i.e. CSHQ scores>41) was also seen in very-preterm (adjusted odds ratio [AOR] = 1.287 95% confidence interval [CI] (1.157, 1.433)), moderate-preterm (AOR = 1.249 95% CI (1.110, 1.405)), late-preterm (AOR = 1.111 95% CI (1.052, 1.174)) and post-term (AOR = 1.139 95% CI (1.061, 1.222)), all p<0.001. Shorter sleep duration was also found in very-preterm (β = −0.303), moderate-preterm (β = −0.282), late-preterm (β = −0.201), early-term (β = −0.068) and post-term (β = −0.110) compared with full-term children, all p<0.01. Preterm and post-term-born children had different sleep profiles as suggested by subscales of the CSHQ. Conclusions Every degree of premature, early-term and post-term birth, compared to full-term, has an association with sleep disorders and shortened daily sleep duration. Preterm, early-term, and post-term should therefore all be monitored with an increased threat of sleep disorder that requires long-term monitoring for adverse sleep outcomes in preschoolers.

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Section: Discussionsupporting

confidence: 86%

Associations between gestational age and childhood sleep: a national retrospective cohort study

Lyu

Groeger

Barnett

et al. 2022

BMC Med

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“…Em um estudo longitudinal realizado por Manacero & Nunes (2021) sobre o comportamento do sono e do desenvolvimento motor em crianças prematuras com baixo peso a nascer, desde a infância até a pré-escola, os autores afirmam que o aumento das taxas de sobrevida de crianças prematuras relaciona-se com a melhoria do cuidado prestado ao recémnascido nas unidades de terapia intensiva, porém este fator não se apresenta ligado a redução das morbidades. Corroborando com o este estudo, Lawlor, et al, (2018) aponta a necessidade de programas de acompanhamentos e das equipes multiprofissionais, já que existe a necessidade de se intervir precocemente na identificação dos fatores de riscos, das alterações sensório motoras no qual os lactentes estão expostos pós alta da unidade de terapia intensiva neonatal, bem como no melhor tratamento ofertado visando os cuidados do recém-nascido.…”

Section: O Tempo Prolongado De Internamento Na Utin E O Desempenho Motorunclassified

Performance motora de lactentes prematuros segundo a Alberta Infant Motor Scale: Uma revisão de literatura

Silva

Freire

Dutra

2021

RSD

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Introdução: Nos últimos anos um número expressivo de crianças prematuras vem nascendo no Brasil, associado a este dado estão as condições de risco; morbimortalidade neonatal ocorrendo antes do primeiro ano de vida. A importância em se pensar na assistência à saúde da criança prematura, durante os primeiros anos de vida é essencial, afim de minimizar riscos sociais, biológicos e consequente riscos para desenvolvimento infantil no qual o lactente prematuro está exposto, por isso a importância de mensurar o desenvolvimento motor de prematuros respeitando a idade gestacional corrigida. Analisar os estudos que utilizaram o instrumento de avaliação de triagem do desenvolvimento motor Alberta Infant Motor Scale (AIMS) em lactentes prematuros. Metodologia: Trata-se de um artigo do tipo revisão de literatura, no qual foram utilizadas as seguintes bases de dados: PubMed, SciELO, LILACS e Google Acadêmico, selecionando artigos publicados entre 2010-2021. Foram selecionados para construção do atual estudo 16 artigos, destes 10 foram escolhidos para construção do atual estudo, no qual emergiram dois eixos de discussão: As baixas condições socioeconômicas e atraso no desenvolvimento motor; e o tempo prolongado de internamento na UTIN e o desempenho motor. Conclusão: Os resultados evidenciaram que a Alberta Infant Motor Scale (AIMS)é considerado um instrumento de triagem do desenvolvimento motor grosso confiável para ser aplicados em bebês prematuros, sendo evidenciado também que as condições socioeconômicas bem como o tempo de internamento na UTIN são fatores de risco para o desenvolvimento motor infantil.

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“…Although no association between sleep behavior and motor development was identified, further research will be needed to understand the effects of poor sleeping in motor development and compare them with Manacero and Nunes. 2 study. A wide range of factors has to be kept in mind to obtain reliable and comparable results in further studies.…”

mentioning

confidence: 95%

“…In light of the seriousness of the situation, research plays a key role in improving and reducing prematurity complications. Manacero and Nunes 2 assessed the relation between sleep disturbances and motor development in preterm infants and its repercussion at 4–5 years, furthering our knowledge in the field. The authors observed a possible relation at 6 months, which was not apparent at 12 months; yet they did present delayed or atypical motor development, which disappeared at 4–5 years.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Association between sleep behavior and motor development in preterm infants

Bota

Alcaide

García

2021

Jornal de Pediatria

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Longitudinal study of sleep behavior and motor development in low-birth-weight preterm children from infancy to preschool years

Cited by 15 publications

References 26 publications

Associations between gestational age and childhood sleep: a national retrospective cohort study

Associations between gestational age and childhood sleep: a national retrospective cohort study

Performance motora de lactentes prematuros segundo a Alberta Infant Motor Scale: Uma revisão de literatura

Association between sleep behavior and motor development in preterm infants

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