Birth and developmental correlates of birth weight in a sample of children with potential sensory processing disorder.

Birth and developmental correlates of birth weight in a sample of children with potential sensory processing disorder.
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DOI:
10.1186/1471-2431-13-29
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发表时间:
2013-02-25
期刊:
影响因子:
2.4
通讯作者:
Munsell EG
Munsell EG
中科院分区:
医学3区
文献类型:
--
作者:
Gill SV;May-Benson TA;Teasdale A;Munsell EG

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大多数检查出生史(即相关的出生并发症)和发展里程碑成就的研究都遵循具有非常具体的出生体重类别和胎龄分类的高危婴儿的结局。这项研究的目的是考察出生体重与婴儿的出生史和发育里程碑成就的关系,当他们属于各种出生体重和胎龄类别时。在目前的研究中,我们通过分析父母在儿科门诊作业治疗诊所进行初步评估时完成的663例发育史的匿名现有数据的便利样本,检验了发育里程碑的出生史和发病年龄。婴儿可分为低出生体重(LBW)、正常出生体重(NBW)和高出生体重(HBW)3种出生体重类型,以及考虑出生体重的3种胎龄类型:小于胎龄(SGA)、适合胎龄(AGA)和大于胎龄(LGA)。有相关出生并发症的NBW、AGA和SGA婴儿的出生体重低于没有出生并发症的婴儿。出生体重越大,HBW婴儿独立坐着的年龄越早,NBW婴儿吃固体食物的年龄越早,LBW和NBW婴儿走路的时间越早。较高的出生体重也与LGA婴儿较早打滚,AGA婴儿较早走路和说话,以及SGA和AGA婴儿较早独立坐着有关。我们的发现表明,出生体重和胎龄类别为了解婴儿的出生史和发育里程碑成就提供了独特的见解。
Most research examining birth history (i.e. related birth complications) and developmental milestone achievement follow outcomes for infants at-risk with very specific birth weight categories and gestational age classifications. The purpose of this study was to examine how birth weight relates to infants’ birth histories and developmental milestone achievement when they fall into a variety of birth weight and gestational age categories. In the current study, we examined birth histories and onset ages for developmental milestones by analyzing a convenience sample of anonymous existing data from 663 developmental histories completed by parents at the time of an initial evaluation at a pediatric outpatient occupational therapy clinic. Infants fell into 3 birth weight categories; low birth weight (LBW), normal birth weight (NBW), and high birth weight (HBW) and 3 gestational age classifications considered with birth weight; small for gestational age (SGA), appropriate for gestational age (AGA), and large for gestational age (LGA). NBW, AGA, and SGA infants with related birth complications had lower birth weights than infants without birth complications. Larger birth weights were associated with earlier ages for independent sitting for HBW infants, earlier ages for eating solids for NBW infants, and earlier walking onsets for LBW and NBW infants. Higher birth weights were also linked with rolling at a younger age for LGA infants, earlier walking and speaking words for AGA infants, and sooner independent sitting for SGA and AGA infants. Our findings suggest that birth weight and gestational age categories provide unique insights into infants’ birth history and developmental milestone achievement.
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