Background This study analyzed the motor development and suspected developmental coordination disorder of very and moderately preterm(<34^(+0) gestational age),late preterm(34^(+0)-36^(+6)gestational week),and earl...Background This study analyzed the motor development and suspected developmental coordination disorder of very and moderately preterm(<34^(+0) gestational age),late preterm(34^(+0)-36^(+6)gestational week),and early-term(37^(+0)-38^(+6) gestational week)children compared to their full-term peers with a national population-based sample in China.Methods A total of 1673 children(799 girls,874 boys)aged 3-10 years old were individually assessed with the Movement Assessment Battery for Children-second edition(MABC-2).The association between gestational age and motor performance of children was analyzed using a multilevel regression model.Results The global motor performance[β=-5.111,95%confidence interval(CI)=-9.200 to-1.022;P=0.015]and bal-ance(β=-5.182,95%CI=-5.055 to-1.158;P=0.003)for very and moderately preterm children aged 3-6 years old were significantly lower than their full-term peers when adjusting for confounders.Late preterm and early-term children showed no difference.Moreover,very and moderately preterm children aged 3-6 years had a higher risk of suspected devel-opmental coordination disorder(DCD)(≤5 percentile of MABC-2 score)when adjusting for potential confounders[odds ratio(OR)=2.931,95%CI=1.067-8.054;P=0.038].Late preterm and early-term children showed no difference in motor performance from their full-term peers(each P>0.05).Conclusions Our findings have important implications for understanding motor impairment in children born at different gestational ages.Very and moderately preterm preschoolers have an increased risk of DCD,and long-term follow-up should be provided for early detection and intervention.展开更多
基金supported by the National Natural Science Foundation of China(81673179)Multicenter Study on Accurate Evaluation and Prediction of Neurodevelopmental Retardation in Preterm Infants(Clinical Research Plan of SHDC,SHDC2020CR1047B)+3 种基金the Science and Technology Commission of Shanghai Municipality(21DZ2202000,19140903100)Shanghai Municipal Health Commission(2020YJZX0213)Pudong Municipal Health Commission(PW2020D-11)Technological Research Program of Zhejiang(LBY21H170002).
文摘Background This study analyzed the motor development and suspected developmental coordination disorder of very and moderately preterm(<34^(+0) gestational age),late preterm(34^(+0)-36^(+6)gestational week),and early-term(37^(+0)-38^(+6) gestational week)children compared to their full-term peers with a national population-based sample in China.Methods A total of 1673 children(799 girls,874 boys)aged 3-10 years old were individually assessed with the Movement Assessment Battery for Children-second edition(MABC-2).The association between gestational age and motor performance of children was analyzed using a multilevel regression model.Results The global motor performance[β=-5.111,95%confidence interval(CI)=-9.200 to-1.022;P=0.015]and bal-ance(β=-5.182,95%CI=-5.055 to-1.158;P=0.003)for very and moderately preterm children aged 3-6 years old were significantly lower than their full-term peers when adjusting for confounders.Late preterm and early-term children showed no difference.Moreover,very and moderately preterm children aged 3-6 years had a higher risk of suspected devel-opmental coordination disorder(DCD)(≤5 percentile of MABC-2 score)when adjusting for potential confounders[odds ratio(OR)=2.931,95%CI=1.067-8.054;P=0.038].Late preterm and early-term children showed no difference in motor performance from their full-term peers(each P>0.05).Conclusions Our findings have important implications for understanding motor impairment in children born at different gestational ages.Very and moderately preterm preschoolers have an increased risk of DCD,and long-term follow-up should be provided for early detection and intervention.
