Efeito moderador do risco social na relação entre risco biológico e desempenho funcional infantil

Abstract

Objectives: to assess the impact of preterm birth and family socioeconomic status (SES) as they relate to functional and routine tasks performance in three years old children.Methods: cross-sectional study including 40 children distributed into four groups according to biologic risk variables of high and low social risk. Children's abilities and independence were assessed by the standardized PEDI functional test in the areas of: selfcare, mobility and social function. Two-way ANOVA tested the interaction effect between biologic and social risks, and main effects of individual risk factors.Results: significant interaction factors in mobility functional ability and independence in social function were demonstrated between preterm and at term children with low SES. Preterm children scored lower in the two aspects of functional performance. There were no significant differences in the groups of children with high SES in the evaluated areas.Conclusions: social risk (moderating factor) changed the relationship between biologic and mobility abilities and social function independence. The interaction of biologic and social factors, and not only the presence of a sole risk factor impacts functional performance in three year old children. The results points towards increasing therapeutic actions favoring children exposed to biologic and social risk factors.

Functional capacity, independence and home affordances of premature children attending daycare centers

“…The results of this study suggest that such sociocultural context could minimize or even neutralize any losses in motor performance resulting from prematurity compensating the effects of biological risk (7).…”

“…The intrinsic factors are inherent to the person such as low birth weight and prematurity (1,2,3,5). The extrinsic factors are external elements that act on the child since the conception and include the stimuli and opportunities generated by the environment in which the child lives such as the level of education (5,6,7) and socioeconomic status of the parents (6 -8).…”

Pacing Opportunities at Home and Skill of Children With Potential Changes in Functional Development

“…Among them, the exposure to biological, genetic, psychological, social and environmental factors can be mentioned, which can be modified or boosted 1,2 . Thus, the cumulative effect of multiple risk factors increases the likelihood of impaired motor development and reinforces the multifactorial nature of child development 3,4,5,6 .…”

“…Biological factors, such as prematurity, low birth weight, neonatal complications, among others 1,7,8 directly affect the potential of motor development and consequently are determinants of delays or changes 9 . Studies show that premature infants, underweight, who suffered neonatal complications have important indices of neurodevelopment delay, which affects subsequently on the development of functional skills and independence 4,10 .…”

Functional development of preterm infants: an integrative literature review

“…Despite the functional ability being the same, the capacity to implement might have variations in different contexts and with different attitudes of care that will enhance or limit the functional development of the child. There are reports of different performance levels between preterm infants of different socioeconomic levels and from the overprotection of their parents (41).…”