Age of sitting unsupported and independent walking in very low birth weight preterm infants with normal motor development at 2 years

Gabriel, MA Marín; Alonso, Carmen Rosa Pallás; Bértolo, J. de la Cruz; Carbonero, Sonia Caserío; Maestro, María López; Pumarega, M Moral; Díaz, C Alonso; Pablos, David Lora

doi:10.1111/j.1651-2227.2009.01475.x

Cited by 28 publications

(24 citation statements)

References 32 publications

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“…Through this process concerns were raised (13)(14)(15)(16) and strengths were noted (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) . The detailed evaluation made it possible to quantify the impact of the new standards on estimates of prevalence of malnutrition (28)(29)(30)(31)(32)(33)(34) and their implications for child health programmes .…”

Section: Discussionmentioning

confidence: 99%

Worldwide implementation of the WHO Child Growth Standards

Onís

Onyango

Borghi

et al. 2012

Public Health Nutr.

373

358

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Objective: To describe the worldwide implementation of the WHO Child Growth Standards ('WHO standards'). Design: A questionnaire on the adoption of the WHO standards was sent to health authorities. The questions concerned anthropometric indicators adopted, newly introduced indicators, age range, use of sex-specific charts, previously used references, classification system, activities undertaken to roll out the standards and reasons for non-adoption. Setting: Worldwide. Subjects: Two hundred and nineteen countries and territories. Results: By April 2011, 125 countries had adopted the WHO standards, another twenty-five were considering their adoption and thirty had not adopted them. Preference for local references was the main reason for non-adoption. Weight-forage was adopted almost universally, followed by length/height-for-age (104 countries) and weight-for-length/height (eighty-eight countries). Several countries (thirty-six) reported newly introducing BMI-for-age. Most countries opted for sex-specific charts and the Z-score classification. Many redesigned their child health records and updated recommendations on infant feeding, immunization and other health messages. About two-thirds reported incorporating the standards into pre-service training. Other activities ranged from incorporating the standards into computerized information systems, to providing supplies of anthropometric equipment and mobilizing resources for the standards' roll-out. Conclusions: Five years after their release, the WHO standards have been widely scrutinized and implemented. Countries have adopted and harmonized best practices in child growth assessment and established the breast-fed infant as the norm against which to assess compliance with children's right to achieve their full genetic growth potential.

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Section: Discussionmentioning

confidence: 99%

Worldwide implementation of the WHO Child Growth Standards

Onís

Onyango

Borghi

et al. 2012

Public Health Nutr.

373

358

View full text Add to dashboard Cite

show abstract

“…25,26 From this perspective, our results are most satisfactory, showing that very low birth weight preterms free from neurosensory sequelae learn to walk within the expected age range, i.e. at 12.8 months' corrected age, whereas studies published by Gabriel et al 6 and de Jeng et al 26 describe very low birth weight preterms walking at 13.6 and 14 months, respectively. Nevertheless, premature infants were enrolled on those studies with greater neonatal morbidity and neurosensory sequelae.…”

Section: Resultsmentioning

confidence: 49%

“…Nevertheless, premature infants were enrolled on those studies with greater neonatal morbidity and neurosensory sequelae. 6,26 This study suffers from the limitations inherent in a descriptive study that did not investigate the perinatal and It can be concluded that very low birth weight preterms free from neurosensory sequelae acquire their motor abilities within the normal ranges for their corrected ages.…”

Section: Resultsmentioning

confidence: 99%

“…5 One feature that has received little attention in development studies is the age at which motor abilities are acquired, especially sitting and walking, which can exhibit great variation among healthy children and may be delayed among premature children. 6 The objective of this study was therefore to determine the chronological and corrected ages at which preterm infants born weighing less than 1500 g and free from neurosensory sequelae acquire their motor abilities and to evaluate up to what point it is necessary to use age correction.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Aquisição de habilidades motoras até a marcha independente em prematuros de muito baixo peso

Volpi¹,

Rugolo²,

Peraçoli³

et al. 2010

J. Pediatr. (Rio J.)

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Objective: To determine chronological and corrected ages at acquisition of motor abilities up to independent walking in very low birth weight preterms and to determine up to what point it is necessary to use corrected age. Methods:This was a longitudinal study of preterms with birth weight < 1,500 g and gestational age ≤ 34 weeks, free from neurosensory sequelae, selected at the high-risk infants follow-up clinic at the Hospital das Clínicas, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP) in Botucatu, Brazil, between 1998 to 2003, and assessed every 2 months until acquisition of independent walking.Results: Nine percent of the 155 preterms recruited were excluded from the study, leaving a total of 143 patients. The mean gestational age was 30±2 weeks, birth weight was 1,130±222 g, 59% were female and 44% were small for gestational age. Preterms achieved head control in their second month, could sit independent at 7 months and walked at 12.8 months' corrected age, corresponding to the 4th, 9th and 15th months of chronological age. There were significant differences between chronological age and corrected age for all motor abilities. Preterms who were small for their gestational age acquired motor abilities later, but still within expected limits. Conclusions:Very low birth weight preterms, free from neurosensory disorders, acquired their motor abilities within the ranges expected for their corrected ages. Corrected age should be used until independent walking is achieved. J Pediatr (Rio J). 2010;86(2):143-148:Very low birth weight newborn, motor activity, development, gestational age.

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“…For example, some movement components for the acquisition of motor abilities showed a different trend in the development of preterm infants when compared to full-term infants, e.g., the onset for the acquisition of the extensor and flexor patterns was slower and the distribution of the load bearing was less mature at 2 and 3 months of age, but not before (Gaetan and Moura-Ribeiro2002). VLBW infants typically sit unsupported and walk later than full-term infants (Marin Gabriel et al 2009). Moreover, higher weight and partly higher height have been identified as possible confounding factors increasing the risks of postural control problems (Evensen et al 2004).…”

Section: Elbw and Visionmentioning

confidence: 99%

Decreased postural control in adolescents born with extremely low birth weight

et al. 2015

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The survival rates of infants born preterm with extremely low birth weight (ELBW ≤ 1000 g) have gradually improved over the last decades. However, these infants risk to sustain long-term disorders related to poor neurodevelopment. The objective was to determine whether adolescents born with ELBW have decreased postural control and stability adaptation. Twenty-nine ELBW subjects performed posturography with eyes open and closed under unperturbed and perturbed standing by repeated calf vibration. Their results were compared with twenty-one age-and gender-matched controls born after full-term pregnancy. The ELBW group had significantly decreased stability compared with controls in anteroposterior direction, both during the easier quiet stance posturography (p = 0.007) and during balance perturbations (p = 0.007). The ELBW group had similar stability decrease in lateral direction during balance perturbations (p = 0.013). Statistically, the stability decreases were similar with eyes closed and open, but proportionally larger with eyes open in both directions. Both groups manifested significant adaptation (p ≤ 0.023) to the balance perturbations in anteroposterior direction, though this adaptation process could not compensate for the general stability deficits caused by ELBW on postural control. Hence, adolescent survivors of ELBW commonly suffer long-term deficits in postural control, manifested as use of substantially more recorded energy on performing stability regulating high-frequency movements and declined stability with closed and open eyes both in anteroposterior and lateral direction. The determined relationship between premature birth and long-term functional deficits advocates that interventions should be developed to provide preventive care in neonatal care units and later on in life.

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Age of sitting unsupported and independent walking in very low birth weight preterm infants with normal motor development at 2 years

Cited by 28 publications

References 32 publications

Worldwide implementation of the WHO Child Growth Standards

Worldwide implementation of the WHO Child Growth Standards

Aquisição de habilidades motoras até a marcha independente em prematuros de muito baixo peso

Decreased postural control in adolescents born with extremely low birth weight

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