Motor delay in cystic fibrosis infants: An observational study

Thomazinho, Paula de Almeida; Chaves, Célia Regina Moutinho de Miranda; Pássaro, Caroline P.; Méio, Maria Dalva Barbosa Barker

doi:10.1016/j.earlhumdev.2011.05.012

Cited by 8 publications

(3 citation statements)

References 24 publications

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“…comprising elements such as balance, coordination and strength which are equally important in activity participation as cardiorespiratory capacity 108 . Our review identified some limited evidence supporting the sensitivity of cardiorespiratory subdomains of gross motor assessments for children with CF.…”

Section: Author Manuscriptmentioning

confidence: 99%

Exercise testing for children with cystic fibrosis: A systematic review

Lang

Stockton

Wilson

et al. 2020

Pediatric Pulmonology

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Background: Exercise testing is routinely used to measure exercise capacity in children with cystic fibrosis (CF). Various tests are available, however the psychometric properties of these measures have not been systematically reviewed for this population. Method: A systematic search of electronic databases (PubMed, Web of Science, Medline, CINHAL, Cochrane, and PEDro) was performed to identify papers that: i) reported original psychometric data, ii) examined a measure of exercise capacity, iii) examined children with CF aged eight to 18 years; and iv) were published in English after 1950. Level of psychometric evidence was evaluated using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist. Results: Searches identified 1025 papers, with 46 papers included, covering 15 tests: incremental cardiopulmonary exercise test using a cycle ergometer (CPET(cycle)) or treadmill (CPET(treadmill)), six minute walk test

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Section: Author Manuscriptmentioning

confidence: 99%

Exercise testing for children with cystic fibrosis: A systematic review

Lang

Stockton

Wilson

et al. 2020

Pediatric Pulmonology

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“…A study in infants with CF younger than four years of age, reported that 26.7% of participants presented with motor delay. (de Almeida Thomazinho, de Miranda Chaves, Pássaro, & Barbosa Meio, 2011) Another study found that the Munich Fitness Test scores, including items of coordination, were poorer for patients with CF compared to healthy controls. (Arikan et al, 2015) Furthermore, a study by Zengin Akkus et al (2019) reported delay in fine motor skills, based on the Ages and Stages Questionnaire, when comparing pre-school children with CF to healthy controls.…”

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confidence: 99%

Motor Performance in South African Children with Cystic Fibrosis

Corten

Morrow

2019

Physical & Occupational Therapy In Pediatrics

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Aims: This study aimed to investigate motor performance in children with cystic fibrosis (CF) and the relationship with respiratory and anthropometric outcome measures. Methods: A cross-sectional exploratory study investigated 12 children with CF, mean (SD) age 6.17 (0.67) years, using the Movement Assessment Battery for Children 2 nd edition (MABC-2), spirometry, body weight, height, body mass index and age related anthropomorphic z-scores. Results: MABC-2 total scores indicated 9/12 (75%) children performed below average (<50 th percentile), of which 4/12 children (33.3%) had motor delay and 2/12 (16.7%) were at risk for motor delay. The balance subscale showed the lowest scores, with 5/12 (41.7%) participants performing at or below the 5 th percentile and a median (IQR) percentile score of 9.00 (5.00-62.50). A significant negative correlation was found between the manual dexterity subscale and both height and height for age z-scores (p=0.017 and p=0.019 respectively), as well as peak expiratory flow in liter (p=0.027). The balance subscale scores were positively correlated with forced expiratory volume in %predicted (p=0.048). No other significant correlations were found. Conclusion: Children with CF may be at risk for delayed motor development, particularly their balance skills. Poor lung function might affect motor development but further research is recommended.

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“…Other studies have found cognitive and motor delays in young children with CF. While many of these are small studies (under 20 patients each), they cite developmental delays in 20%–50% of infants and young children (26). We did not anticipate that 20% of our patients with CF would screen positive for developmental concerns and hence, did not probe for the probable association between developmental disorders and feeding concerns.…”

Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Study of Pediatric Feeding Disorder in Children with Cystic Fibrosis

Bashir,

Antos,

Miller

et al. 2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Background: The exact prevalence of feeding problems in children with cystic fibrosis (CF) is unknown. Pediatric Feeding Disorder (PFD) encompasses poor oral intake with associated medical, nutrition, psychosocial, or feeding skill dysfunction. We hypothesized that PFD is common in CF and aimed to categorize feeding dysfunction across various domains in children with CF. Methods: An observational cross-sectional study was conducted in children with CF. Data collected included anthropometrics, nutrition data (including need for tube feeding/enteral nutrition [EN] or high-energy beverages, dietary diversity), feeding skills (Pediatric version of the Eating Assessment tool [pEAT]), and psychosocial function (About Your Child Eating questionnaire [AYCE] in children 2-17 years of age/Behavioral Pediatric Feeding Assessment Scale [BPFAS] in children 12-23 months of age). PFD was defined as poor oral intake with: (a) pEAT score > 5; and/or (b) AYCE or BPFAS score > 2 SD of normative controls; and/or (c) nutrition dysfunction (BMI/weight-for-length z score < -1 and/or preference of oral high energy beverageszor dependence on EN and/or decreased dietary diversity) Results: Of 103 children in the study, 62 (60.1%) had PFD, 7 children (6.8%) were malnourished, 10 needed EN (9.7%) and 30 (29.1%) needed oral high-energy beverages. Dietary diversity was decreased in 42 children (41.5%), 1 child had feeding skill dysfunction, and 11 (10.8%) met criteria for psychosocial dysfunction. Conclusion: Almost 2/3 rd of children with CF have PFD and many have poor dietary diversity. A significant percentage of children rely on enteral nutrition and oral supplements, but psychosocial dysfunction is less prevalent.

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Motor delay in cystic fibrosis infants: An observational study

Cited by 8 publications

References 24 publications

Exercise testing for children with cystic fibrosis: A systematic review

Exercise testing for children with cystic fibrosis: A systematic review

Motor Performance in South African Children with Cystic Fibrosis

A Cross-Sectional Study of Pediatric Feeding Disorder in Children with Cystic Fibrosis

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