Factors associated with gross motor development from birth to independent walking: A systematic review of longitudinal research.

Factors associated with gross motor development from birth to independent walking: A systematic review of longitudinal research.
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DOI:
10.1111/cch.12830
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发表时间:
2021-07
期刊:
Child: care, health and development
影响因子:
--
通讯作者:
Jongmans M
Jongmans M
中科院分区:
其他
文献类型:
--
作者:
Boonzaaijer M;Suir I;Mollema J;Nuysink J;Volman M;Jongmans M

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本研究的目的是获得更多的洞察儿童和环境因素的影响大运动发育(GMD)的健康婴儿从出生到达到独立行走的里程碑,基于纵向研究。使用Scopus、PsycINFO、MEDLINE和CINAHL进行了系统检索,以识别从开始到2020年2月的研究。研究调查儿童或环境因素与婴儿GMD之间的关联,使用婴儿GMD的纵向测量是合格的。两位独立的评审员提取关键信息,并使用预后研究质量工具(QUIPS)评估所选研究的偏倚风险。根据先前确定的分类,描述了所识别因素的证据强度(强、中等、有限、矛盾和无证据)。在36项研究中,确定了6个儿童和11个环境因素。5项研究被归类为偏倚风险低。在健康足月和早产儿中发现了出生体重与GMD之间相关性的强有力证据。中等证据表明,胎龄和GMD,睡姿和GMD之间的关联。双胞胎和GMD,母乳喂养和GMD之间的关联有相互矛盾的证据。没有发现产妇产后抑郁症与GMD之间存在联系的证据。其他因素与GMD相关的证据被归类为“有限的”,因为这些因素中的每一个都只在一项纵向研究中进行了检查。婴儿GMD似乎与两个儿童因素(出生体重和胎龄)和一个环境因素(睡姿)相关。对于本综述中确定的其他因素,发现与GMD相关的证据不足。对于那些仅在一项纵向研究中检查的因素,因此被归类为证据有限,需要更多的研究才能得出结论。
The aim of this study is to gain more insight into child and environmental factors that influence gross motor development (GMD) of healthy infants from birth until reaching the milestone of independent walking, based on longitudinal research. A systematic search was conducted using Scopus, PsycINFO, MEDLINE and CINAHL to identify studies from inception to February 2020. Studies that investigated the association between child or environmental factors and infant GMD using longitudinal measurements of infant GMD were eligible. Two independent reviewers extracted key information and assessed risk of bias of the selected studies, using the Quality in Prognostic Studies tool (QUIPS). Strength of evidence (strong, moderate, limited, conflicting and no evidence) for the factors identified was described according to a previously established classification. In 36 studies, six children and 11 environmental factors were identified. Five studies were categorized as having low risk of bias. Strong evidence was found for the association between birthweight and GMD in healthy full‐term and preterm infants. Moderate evidence was found for associations between gestational age and GMD, and sleeping position and GMD. There was conflicting evidence for associations between twinning and GMD, and breastfeeding and GMD. No evidence was found for an association between maternal postpartum depression and GMD. Evidence for the association of other factors with GMD was classified as ‘limited’ because each of these factors was examined in only one longitudinal study. Infant GMD appears associated with two child factors (birthweight and gestational age) and one environmental factor (sleeping position). For the other factors identified in this review, insufficient evidence for an association with GMD was found. For those factors that were examined in only one longitudinal study, and are therefore classified as having limited evidence, more research would be needed to reach a conclusion.
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