Association between gestational age and birth weight on the language development of Brazilian children: a systematic review

Association between gestational age and birth weight on the language development of Brazilian children: a systematic review
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DOI:
10.1016/j.jped.2014.11.003
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发表时间:
2015-08-01
影响因子:
3.3
通讯作者:
C. Filho, Élio B.
C. Filho, Élio B.
中科院分区:
医学3区
文献类型:
--
作者:
Zerbeto, Amanda B.;Cortelo, Fernando M.;C. Filho, Élio B.

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目的:回顾有关早产、出生体重和巴西儿童语言发育之间关系的文献。资料来源:对2003-2012年间发表的英语和葡萄牙语研究进行系统综述,并在PubMed、Lilacs和SciELO上进行检索。计算机检索的关键词为:Prematuro,Prematuridade,Languagem,Prematuro,Language,Language-Language,语言,言语-语言病理学。共检索到57篇文章,其中13篇纳入系统综述。研究结果总结:研究结果显示早产、低出生体重和语言发展之间存在关联。在对早产儿和足月儿进行比较的研究中,有证据表明,早产儿在语言指标上的表现较差。还观察到,出生体重较低的儿童与出生体重较高、胎龄接近37周的儿童相比,在语言方面的表现较差。关于评估的语言类型,事实证明,表达能力比接受能力受到的损害更大。较高的父母教育程度和家庭收入是语言发展的保护因素。结论:早产和低出生体重对儿童的语言发育有一定的风险,尤其是在出生后的第一年。因此,儿科医生必须了解这些儿童的语言发育,以确保适当的治疗。(C)2015年巴西儿科学会。书名/作者Elsevier Editora Ltd.版权所有。
Objective: To review the literature that addresses the relationship between prematurity, birth weight, and development of language in Brazilian children.Sources: A systematic review of studies published between 2003 and 2012 in English and Portuguese and indexed in PubMed, LILACS, and SciELO. The following key words were used in the searches: Prematuro, Prematuridade, Linguagem, Prematurity, Language, Speech-Language Pathology. Fifty-seven articles were retrieved, 13 of which were included in the systematic review.Summary of the findings: The results showed an association between prematurity, low birth weight, and language development. In studies that made comparisons between preterm and term infants, there was evidence that preterm infants had poorer performance on indicators of language. It was also observed that children born with lower birth weight had a poorer performance on measures of language when compared to children with higher weight and closer to 37 weeks of gestational age. Regarding the type of language assessed, expression proved to be more impaired than reception. Higher parental education and family income were indicated as protective factors for the development of language. Conversely, lower birth weight and higher degree of prematurity emerged as risk factors.Conclusions: Preterm birth and low birth weight poses risks for the language development of children, especially in the first years of life. Therefore, it is essential that pediatricians are aware of the language development of these children to ensure proper treatment. (C) 2015 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.