The development of low birth weight term infants and the effects of the environment in Northeast Brazil

Grantham‐McGregor, Sally; Lira, Pedro Israel Cabral de; Ashworth, Ann; Morris, Saul S.; Assuncao, A. M. S.

doi:10.1016/s0022-3476(98)70357-9

Cited by 108 publications

(109 citation statements)

References 28 publications

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“…The association between home stimulation and development has been demonstrated in other studies in Jamaica (GranthamMcGregor et al, 1991) and other developing countries (Grantham-McGregor et al, 1998).…”

Section: Discussionsupporting

confidence: 58%

Mothers of undernourished Jamaican children have poorer psychosocial functioning and this is associated with stimulation provided in the home

et al. 2003

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Objectives: To compare mothers of undernourished children with mothers of adequately nourished children on maternal depression, parenting self-esteem, social support and exposure to stressors and to determine if these variables are independently related to undernutrition and stimulation provided in the home after controlling for socio-economic status. Design: A case control study. Setting: Children and their mothers were recruited from 18 government health centres in the Kingston, St Andrew and St Catherine parishes of Jamaica. Subjects: One hundred and thirty-nine mothers of undernourished children (WAZrÀ1.5z scores) aged 9 -30 months and 71 mothers of adequately nourished children (WAZ 4 À1z scores) matched for sex and age group were enrolled into the study. Results: Mothers of undernourished children came from poorer homes but had similar social support to mothers of adequately nourished children. They were more depressed, had lower levels of parenting self-esteem (both Po0.01), reported higher levels of economic stress (Po0.001) and provided a less stimulating home environment (Po0.05). However, after controlling for social background variables there was no independent relationship between either psychosocial function or home stimulation and nutritional status. Undernutrition was found to be mainly explained by economic factors. The mothers' self-esteem was independently associated with the level of stimulation provided to the child. Conclusions: When caring for undernourished children attention should be paid to the psychosocial status of the mother as well as the physical condition of the child.

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Section: Discussionsupporting

confidence: 58%

Mothers of undernourished Jamaican children have poorer psychosocial functioning and this is associated with stimulation provided in the home

et al. 2003

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“…These results are in agreement with other recent studies that have shown that the motor development of LBW term infants is more affected by biological, environmental and/ or socioeconomic adverse conditions than is the motor development of infants born at term with appropriate weight 25,26 .…”

Section: Discussionsupporting

confidence: 93%

Postural control of small for gestational age infants born at term

Campos¹,

Santos²,

Gonçalves³

et al. 2007

Rev. bras. fisioter.

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Objective: This study compared the postural control of small (SGA) and appropriate (AGA) for gestational age infants born at term, at the ages of 3, 6, 9 and 12 months. Method: This was a cohort study of infants born at term, with birth weight less than the 10 th percentile for the SGA group and between the 10 th and 90 th percentiles for the AGA group. Infants with genetic syndromes, malformations, congenital infections and internment in neonatal intensive care unit were excluded. The evaluation instrument was the Alberta Infant Motor Scale. Results: Comparison of the SGA and AGA groups did not show any significant differences (p>0.05) at the assessment times. However, the postural control of the SGA group was influenced by the gestational age (r=-0.83; p= 0.006) and 5 th minute Apgar (r= 0.79; p= 0.01) in the 3 rd month, and by maternal occupation (r= 0.67; p= 0.01) in the 6 th month. Conclusion: It was concluded that the postural control was similar in the groups. However, the postural control of the SGA group was influenced by biological and environmental factors.Key words: infant, fetal growth retardation, child development. RESUMO Controle Postural de Lactentes Nascidos a Termo Pequenos para a Idade GestacionalObjetivo: Este estudo teve por objetivo comparar o controle postural de lactentes nascidos a termo, pequenos (PIG) e adequados para a idade gestacional (AIG) nos 3º, 6º, 9º e 12º meses. MÉTODO: Estudo longitudinal de lactentes nascidos a termo, com peso de nascimento menor que o percentil 10 para o grupo PIG e entre o percentil 10 e 90 para o grupo AIG. Síndromes genéticas, más--formações, infecções congênitas e internados em unidade de terapia intensiva neonatal foram excluídos. O instrumento de avaliação foi Alberta Infant Motor Scale. Resultados: A comparação do grupo PIG e AIG não mostrou diferença significativa (p> 0,05) nos meses avaliados. Entretanto, o controle postural do grupo PIG foi influenciado pela idade gestacional (r= -0,83/ p= 0,006) e Apgar de 5' (r= 0,79/p= 0,01) no 3º mês; e pela ocupação materna (r= 0,67/p= 0,01) no 6º mês. Conclusão: Concluiu--se que o controle postural foi similar nos grupos; porém o controle postural do grupo PIG foi influenciado por fatores biológicos e ambientais.Palavras-chave: lactente, retardo do crescimento fetal, desenvolvimento infantil. 8 Campos D, Santos DCC, Gonçalves VMG, Montebelo MIL, Goto MMF e Gabbard C Rev. bras. fisioter.

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“…Such knowledge could facilitate the differentiation between preterm newborns with actual motor deficits and those whose pace of acquisition is slower, but does not lead to future motor impairment. Investigations 8,22,23 on normal infants in order to determine the profile of motor skill acquisition, regarding both pattern and pace of development, reported differences in the pattern of motor development between children from different countries. These differences occurred in children belonging to different cultural groups and also within the same cultural group, confirming that the neuropsychomotor development (NPMD) depends on biological, cultural and environmental risk factors.…”

Section: Discussionmentioning

confidence: 99%

Characterization of the motor performance of newborns in a neonatal unit of tertiary level

Giachetta

Nicolau

Juliani³

et al. 2016

Rev. Assoc. Med. Bras.

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Results:The age groups of 34-35 and 36-37 weeks showed on average TIMP scores similar to the reference values (p>0.05), while in the age groups of 38-39 weeks and 40-41 weeks TIMP scores were statistically lower than the reference values (p<0.001 and p=0.018, respectively). The 34-35 and 36-37 week groups were rated as average, while the 38-39 and 40-41 week groups were defined as low average. Classifications below average and very below average were not observed. Conclusion:The newborns showed average scores compared to the TIMP reference values; however, there were two groups whose performances were within the low average. There was no significant difference in motor performance of newborns in the age groups of 38-39 and 40-41 weeks. This behavior suggests that the sample studied has special features that possibly negatively influenced their motor performance. The results showed that the TIMP is a very useful tool and can be used safely in tertiary neonatal units.

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The development of low birth weight term infants and the effects of the environment in Northeast Brazil

Cited by 108 publications

References 28 publications

Mothers of undernourished Jamaican children have poorer psychosocial functioning and this is associated with stimulation provided in the home

Mothers of undernourished Jamaican children have poorer psychosocial functioning and this is associated with stimulation provided in the home

Postural control of small for gestational age infants born at term

Characterization of the motor performance of newborns in a neonatal unit of tertiary level

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