Associations of preterm and early-term birth with suspected developmental coordination disorder: a national retrospective cohort study in children aged 3–10 years

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Liu, M-X, Li, H-F, Wu, M-Q, Geng, S-S, Ke, L, Lou, B-W, Du, W ORCID: https://orcid.org/0000-0002-5115-7214 and Hua, J, 2022. Associations of preterm and early-term birth with suspected developmental coordination disorder: a national retrospective cohort study in children aged 3–10 years. World Journal of Pediatrics. ISSN 1708-8569

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Official URL: https://doi.org/10.1007/s12519-022-00648-9

Abstract

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 balance (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 developmental 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.

Item Type:	Journal article
Publication Title:	World Journal of Pediatrics
Creators:	Liu, M.-X., Li, H.-F., Wu, M.-Q., Geng, S.-S., Ke, L., Lou, B.-W., Du, W. and Hua, J.
Publisher:	Springer
Date:	5 December 2022
ISSN:	1708-8569
Identifiers:	Number Type 10.1007/s12519-022-00648-9 DOI 1625203 Other
Rights:	This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Divisions:	Schools > School of Social Sciences
Record created by:	Jonathan Gallacher
Date Added:	05 Dec 2022 14:19
Last Modified:	05 Dec 2022 14:19
URI:	https://irep.ntu.ac.uk/id/eprint/47573