Influencing factors of the neurodevelopment of high-risk infants

Tian, Yuan; Zhang, Chuncao; Yu, Guangjun; Hu, Xiangying; Peng, Zheng; Ma, Lifeng

doi:10.1136/gpsych-2018-100034

Cited by 16 publications

(15 citation statements)

References 8 publications

(11 reference statements)

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“…Higher DQ reflects better neurodevelopmental performance. As with other child development studies using the Chinese version of GDS, we defined developmental delay in each domain as DQ < 86 (21)(22)(23). To use a composite indicator to reflect the severity of adverse developmental outcomes across all five domains in the present study, we defined "poor neurodevelopmental outcome" as developmental delay in more than two domains on the GDS.…”

Section: Gdsmentioning

confidence: 99%

Association Between the COVID-19 Pandemic and Infant Neurodevelopment: A Comparison Before and During COVID-19

et al. 2021

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Aim: To investigate the association between the experience of the coronavirus disease 2019 (COVID-19) pandemic and neurodevelopment of 6-month-old and 1-year-old children and explore the differences in the association by birth order.Methods: This comparison study was embedded in the Born in Guangzhou Cohort Study in China. The exposed group included 546 6-month-old and 285 1-year-old children who attended neurodevelopment assessments between March 1 and May 15, 2020, and the non-exposed group included 3,009 6-month-old and 2,214 1-year-old children during the same months from 2015 to 2019. Neurodevelopment at age 6 months and 1 year was assessed by trained clinical staff using the Ages and Stages Questionnaires, third edition (ASQ-3) and the Gesell Developmental Schedules (GDS).Results: The experience of the pandemic in 2020 was associated with a higher risk of delay in the fine motor (adjusted OR: 2.50, 95% CI: 1.25, 4.99; estimated by logistic regression) and communication (adjusted RR [aRR]: 1.13, 95% CI: 1.02, 1.25; estimated by log-binomial regression) domains at age 1 year. The association between the experience of the pandemic and communication delay at age 1 year only existed in first-born children (aRR: 1.15, 95% CI: 1.03, 1.30) but not in later-born children (aRR: 1.02, 95% CI: 0.84, 1.25). No associations were observed in any domain among 6-month-olds.Conclusion: Experiencing the COVID-19 pandemic and related public health strategies might be associated with a higher risk of delay in the development of fine motor and communication in 1-year-old children; the association observed in the communication domain only existed in first-born children.

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Section: Gdsmentioning

confidence: 99%

Association Between the COVID-19 Pandemic and Infant Neurodevelopment: A Comparison Before and During COVID-19

et al. 2021

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“…Based on previous research [ 22 – 25 ], other variables were used to describe maternal and infants’ demographic characteristics and control for confounding variables. These variables were collected from hospital records (maternal age, maternal pre-pregnancy BMI [ 26 ], gestational weight gain (GWG), delivery mode, parity, child sex, gestational weeks, and birth weight) and questionnaires (maternal education, annual family income, primary caregiver, mode of infant feeding, the introduction of solid foods at the age of 6 months and micronutrients supplementation (Iron, Vitamin B12 and Zinc) at the age of 6 months).…”

Section: Methodsmentioning

confidence: 99%

Bidirectional association of neurodevelopment with growth: a prospective cohort study

Wei

Yang³

et al. 2021

BMC Pediatr

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Background The study aims to use the cross-lagged model and utilize data from the Born in Shenyang Cohort Study to characterize the bidirectional associations of the term-born infants’ neurodevelopment in five domains and physical growth in early life. Method This study consists of 688 mother-child dyads from the Born in Shenyang Cohort Study. Infants’ anthropometric (weight and length) and development in neurological outcomes (Gesell Development Scale) were measured at the age of 6 and 12 months. Cross-lagged analyses and multiple linear regression analyses were used to explore the longitudinal relationships in both directions. Results In terms of longitudinal studies, the inverse associations between infants’ two skills (gross motor and social behavior) at the age of 6 months with BMI Z -scores at the age of 12 months (gross motor: aβ = − 0.20, 95% CI: − 0.31 to- 0.09; social behavior: aβ = − 0.23, 95% CI: − 0.33 to- 0.13) were found. Conversely, a higher infant Z -scored BMI at the age of 6 months predicted a lower gross motor at the age of 12 months (aβ = − 0.08, 95% CI: − 0.12 to- 0.04). In cross-lagged analyses, an adverse association in both directions between gross motor and Z -scored BMI was observed. Conclusion We found bidirectional relationships between infants’ neurodevelopment of gross motor with physical growth and suggested the term-born infants, who are on the edge of the developmental danger, should not be overlooked.

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“…Based on previous research [22][23][24][25], other variables were used to describe maternal and infants' demographic characteristics and control for confounding variables. These variables were collected from hospital records (maternal age, maternal pre-pregnancy BMI [26], gestational weight gain (GWG) , delivery mode, parity, child sex, gestational weeks, and birth weight) and questionnaires (maternal education, annual family income, the primary caregiver, mode of infant feeding, the introduction of solid foods at six months and micronutrients supplementation (Iron, Vitamin B12 and Zinc) at six months).…”

Section: Covariatesmentioning

confidence: 99%

Bidirectional association of neurodevelopment with growth: A Prospective Cohort Study

Wei¹,

Hu²,

Yang

et al. 2020

Preprint

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Background Evidence of the association between early life development in neurological and psychiatric with physical growth is controversial, and bidirectional effects have been poorly evaluated. The study aims to use the cross-lagged models and utilize data from the Born in Shenyang Cohort Study to characterize the bidirectional associations of the term-born infants' development in neurological and psychiatric in five domains and physical growth in the early life. Methods This study consists of 688 mother-child dyads from the Born in Shenyang Cohort Study. Infants' anthropometric and development in neurological and psychiatric outcomes were measured twice by the Gesell Development Scale and administered by staff at six and twelve months of age. Cross-lagged analyses and multiple linear regression analyses were used to explore the longitudinal relationships in both directions. Results In terms of longitudinal studies, the negative associations between gross motor and social behavior at six months with BMI Z -score at twelve months were found (gross motor: aβ=-0.20, 95% CI: -0.31 to- 0.09; social behavior: aβ=-0.23, 95% CI: − 0.33 to- 0.13). Instead, higher infant Z -scored BMI at six months predicted lower gross motor at twelve months (aβ=-0.08, 95% CI: -0.12 to- 0.04). The only bidirectional development in neurological and psychiatric, gross motor, had a more significant impact on infants’ BMI Z -score than the reverse (β=-0.21 vs. β=-0.09; P < 0.001). The similar associations had been found in weight gain velocity. Conclusion We found bidirectional relationships between infants’ gross motor with physical growth and suggested the term-born infants, who are on the edge of the developmental danger, should not be overlooked.

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Influencing factors of the neurodevelopment of high-risk infants

Cited by 16 publications

References 8 publications

Association Between the COVID-19 Pandemic and Infant Neurodevelopment: A Comparison Before and During COVID-19

Association Between the COVID-19 Pandemic and Infant Neurodevelopment: A Comparison Before and During COVID-19

Bidirectional association of neurodevelopment with growth: a prospective cohort study

Bidirectional association of neurodevelopment with growth: A Prospective Cohort Study

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