Prenatal nutrition, stimulation, and exposure to punishment are associated with early child motor, cognitive, language, and socioemotional development in Dar es Salaam, Tanzania.
Prenatal nutrition, stimulation, and exposure to punishment are associated with early child motor, cognitive, language, and socioemotional development in Dar es Salaam, Tanzania.
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DOI：
10.1111/cch.12605
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发表时间：
2018-11
期刊：
影响因子：
--
通讯作者：
Sudfeld CR
中科院分区：
文献类型：
--
作者：
Pitchik HO;Fawzi WW;McCoy DC;Darling AM;Abioye AI;Tesha F;Smith ER;Mugusi F;Sudfeld CR
Despite growing evidence that early life experiences and exposures can impact child development, there is limited research on how prenatal and early life nutrition and early life parenting practices predict specific domains of child development in resource-limited settings. This study examines the association between prenatal factors, birth outcomes, and early life characteristics with motor, cognitive/language, and socioemotional development in Tanzania. We assessed motor, cognitive/language, and socioemotional development among a cohort of 198 children aged 20–39 months in Dar es Salaam, Tanzania, whose mothers were previously enrolled in a randomized, placebo-controlled trial of prenatal vitamin A and zinc supplementation. Linear regression models were used to assess standardized mean differences in child development scores for randomized prenatal regimen and pregnancy, delivery, and early childhood factors. Children born to mothers randomized to prenatal vitamin A had significantly lower reported motor scores in minimally adjusted and multivariate analyses, −0.29 SD, 95% CI [−0.54, −0.04], p = 0.03, as compared with children whose mothers did not receive vitamin A. There was no significant effect of randomized prenatal zinc on any development domain. Greater caregiver–child stimulation was associated with 0.38 SD, 95% CI [0.14, 0.63], p < 0.01, better cognitive/language scores, whereas children who experienced both verbal and physical punishment had 0.29 SD, 95% CI [−0.52, −0.05], p = 0.02, lower scores in socioemotional development. Maternal completion of primary school was associated with higher reported motor and cognitive/language development. Further, children of mothers who were <155 cm tall had lower cognitive and language scores. Prenatal vitamin A supplements in a setting with low levels of vitamin A deficiency may not provide child development benefits. However, integrated environmental, educational, parenting, and stimulation interventions may have large positive effects across child development domains in resource-limited settings.
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影响因子：
7.1
作者：
Ali, Hasmot;Hamadani, Jena;Christian, Parul
通讯作者：
Christian, Parul
影响因子：
168.9
作者：
Masanja, Honorati;Smith, Emily R.;Fawzi, Wafaie W.
通讯作者：
Fawzi, Wafaie W.
影响因子：
4.2
作者：
Sudfeld, Christopher R.;McCoy, Dana Charles;Fawzi, Wafaie W.
通讯作者：
Fawzi, Wafaie W.
影响因子：
2.1
作者：
van der Sluis CM;van Steensel FJ;Bögels SM
通讯作者：
Bögels SM
DOI：
10.1111/nyas.12284
发表时间：
2014-01-01
期刊：
EVERY CHILD'S POTENTIAL: INTEGRATING NUTRITION AND EARLY CHILDHOOD DEVELOPMENT INTERVENTIONS
影响因子：
--
作者：
Grantham-McGregor, Sally M.;Fernald, Lia C. H.;Walker, Susan
通讯作者：
Walker, Susan