Functional performance according to gestational age and birth weight of preschool children born premature or with low weight

Authors

  • Rayla Amaral Lemos Universidade Federal Juiz de Fora
  • Jaqueline da Silva Frônio Universidade Federal Juiz de Fora
  • Luíz Cláudio Ribeiro Universidade Federal de Juiz de Fora
  • Renata Santiago Demarchi Universidade Federal de Juiz de Fora
  • Joselici da Silva Universidade Federal de Juiz de Fora
  • Luíz Antônio Tavares Neves Universidade Federal de Juiz de Fora

DOI:

https://doi.org/10.7322/jhgd.20045

Keywords:

premature, low birth weight infant, child development, activities of daily living

Abstract

OBJECTIVE: Evaluate the functional performance of preschool children born with different degrees of prematurity and low birth weight who are follow in a care specialized service. METHODS: A cross-sectional study, which used the Pediatric Evaluation Disability Inventory- PEDI, an interview structured for caregivers that assesses children's functional abilities and independence level, in the areas of self-care, mobility and social function. The test was achieved with 98 participants divided into three groups according to the degree of prematurity and according to birth weight. It was used the chi-square test and the variance analys is to verify the association and the difference between groups according the degrees of prematurity (three) or birth weight (three) and the PEDI. In all analysis it was considered the significant level of α = 0,05. RESULTS: There was found a delay of 10,2%, 12,2% and 14,3% in the functional abilities in the areas of self-care, mobility and social function, respectively, and of 11,2%, 19,4% and 15,3% in the assistance level received from the caregivers (independence), in the same areas. It was not found statistically significant differences or associations between groups of different degrees of prematurity or birth weight and the PEDI performance. CONCLUSION: Premature and low birth weight children demonstrated high rates of delay in functional performance at preschool age that did not vary in magnitude among different degrees of prematurity and low birth weight, suggesting that exist others factors contributing to the development outcome at this age.

References

Rugolo LMSS. Crescimento e desenvolvimento a longo prazo do prematuro extremo. J Pediatr. 2005; 81(1):101-109.

Silva ES, Nunes ML. The influence of gestacional age and birth weight in the clinical assesment of the muscle tone of healthy term and preterm newborns. Arq Neuropsiquiatr. 2005; 63(4): 956-62.

Silveira RC, Procianoy RS. Lesões isquêmicas cerebrais no recém-nascido pré-termo de muito baixo peso. J Pediatr. 2005; 81(1):23-32.

Mancini MC. et al. Efeito moderador do risco social na relação entre risco biológico e desempenho funcional infantil. Rev Brás Saude Matern Infant. 2004;4(1):25-34.

Santos DCC, Campos D, Gonçalves VMG, Mello BBA, Campos TM, Gagliardo HGRG. Influência do Baixo Peso ao nascer sobre o desempenho motor de lactentes a termo no primeiro semestre de vida. Rev Bras Fisioterapia. 2004; 8 (3):261-66.

Lenke MC. Motor outcoumes in premature infants. Newborn and infant nursing Reviews. 2003; 3(3): 104-9.

Drotar D, Hack M, et al. The Impact of Extremely Low Birth Weight on the Families of School-Aged Children. Pediatrics. 2006;117(6): 2006-13.

Roberts G, Howard K, Spittle AJ, Brown NC, Anderson PJ, Doyle LW. Rates of early intervention services in very preterm children with developmental disabilities at age 2years. J Paediatr Child Health. 2008; 44:276-80.

Khan NZ, Muslima H. et al. Neurodevelopmental outcomes of preterm infants in Bangla-desh. Pediatrics. 2006;118( 1): 280-9.

Nair M KC, Chacko MK. et al . Low birth weight babies- outcome at 13 years. Indian Pediatrics. 2009; 46: 71-4.

Verrips E, Vogels T, et al. Health-Related Quality of Life for Extremely Low Birth Weight Adolescents in Canada, Germany, and the Netherlands. Pediatrics. 2008; 122(3): 556-61.

Zwicker JG, Harris SR. Quality of Life of Formerly Preterm and Very Low Birth Weight Infants From Preschool Age to Adulthood: A Systematic Review. Pediatrics. 2008; 121(2):366-76.

Allin M, Rooney M, Griffiths T, Cuddy M, Wyatt J, Rifkin L, Murray R. Neurological abnormalities in young adults born preterm. J Neurol Neurosurg Psychiatry. 2006; 77:495-99.

American Academy of Pediatrics. Follow-up careof high-risk infants. Pediatrics. 2004; 114( 5):1377-97.

Johnson S, Fawke J, Hennessy E, Rowell V, Thomas S, Wolke D, Marlow N. Neuro-developmental Disability Through 11 Years of Age in Children Born Before 26 Weeks of Gestation. Pediatrics. 2009; 124(2): e249-e257.

Halpern, R.; Barros, A. J. D.; Matijasevich A, Santos IS, Victora CG, Barros FC. Developmental status at age 12 months according to birth weight and family income: a comparison of two brazilian birth cohorts. Cad Saúde Pública. 2008; 24(3): 444-50.

Mikkola K, Ritari N, et al. Neurodevelopmental outcome 5 years of age of national cohort of extremely low birth weight infants who were born in 1996-1997. Pediatrics. 2005;116(6):1391-1400.

Guimarães EL, Tudella E. Reflexos primitivos e reações posturais como sinais indicativos de alterações neurosensoriomotoras em bebês de risco. Rev Paul Pediatria. 2003;25(1/2): 26-35.

Mancini MC. et al. Estudo do desenvolvimento da função motora aos 8 e 12 meses de ida-de em criança nascidas pré-termo e a termo. Arq Neuropsiquiatria. 2002;60(4): 974-80.

Méio MDBB, Lopes CS, Morsch DS. Fatores prognósticos para o desenvolvimento cognitivo de prematuros de muito baixo peso. Rev Saúde Pública. 2003; 37( 3): 311-8.

Santo JLE, Portuguez MW, Nunes ML. Status cognitivo-comportamental de prematuros de baixo peso ao nascimento em idade pré-escolar que vivem em país em desenvolvimento. J Pediatria. 2009; 85(1):35-41.

Bulher KECB. Desenvolvimento cognitivo e de linguagem expressiva em bebês pré-termo muito baixo peso em seus estágios iniciais. (Tese de doutorado)- Faculdade de Medicina da Universidade de São Paulo, São Paulo, 2008.

Wood NS, Marlow N, et al. Neurologic and developmental disability after extremely preterm birth. The New England J Med.2000;343(6): 378-84.

Fily A, Pierrat V, Delportec V, Breart G, Truffert P. Behalf of the EPIPAGE Nord-Pas-de-Calais Study Group. Factors Associated With Neurodevelopmental Outcome at 2 Years After Very Preterm Birth: The Population-Based Nord-Pas-de-Calais EPIPAGE Cohort. Pediatrics. v.117, n.2, p.357-66, 2006.

Lemos RA, Frônio JS, Neves LAT, Ribeiro LC. Estudo da Prevalência de morbidades e complicações neonatais segundo o peso ao nascimento e a idade gestacional em lactentes de um serviço de follow-up. Rev APS.2010;13(3): 277-290.

Formiga CKML, Linhares MBM. Avaliação do desenvolvimento inicial de crianças nascidas pré ́- termo. Rev Escola Enfermagem da USP. 2009; 43(2): 472-80.

Frônio JS, Neves LAT, Ferraz ST, DemarchI RS, Vargas ALA. Análise da evasão em serviço de follow-up de recém-nascidos de alto risco. HU Revista. 2009; 35(3):219-26.

Kumar P, Sankar MJ, Sapra S, Agarwal R, Deorari A, Paul V. Follow-up of High Risk Neonates. WHO Collaborating Centre for Training and Research in Newborn Care 2008[ Aces-so em 22 dez 2008]. Disponível em: http://www.newbornwhocc.org/pdf/Followup_of_High_Risk_Neonates_050508.pdf

Hogan DP, Rogers ML, Msall ME. Funcional limitations and key indicators of well-beingin children with disability. Arch Pediatric Adolesc Med. 2000; 154:1042-48.

Mancini MC. Inventário de Avaliação Pediátrica de Disfunção: Versão brasileira. Belo Horizonte: UFMG, 2005.

Associação Brasileira de Empresas de Pesquisa (ABEP): Critério de classificação econômica Brasil 2008 [ acesso em 20 Junho 2008]. Disponível em: http://www.abep.org

Msall ME, Avery RC, Tremont MR, Lima JC, Rogers ML, Hogan DP. Functional Disability and School Activity Limitations in 41300 School-Age Children: Relationship to Medical Impairments. Pediatrics. 2003; 111(3):548-53.

Eickmann SH, Lira PIC, Lima MC. Desenvolvimento mental e motor aos 24 meses de crianças nascidas a termo com baixo peso. Arq Neuropsiquiatria. 2002; 60(3B): 748-54.

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Published

2012-04-01

Issue

Vol. 22 No. 1 (2012)

Section

Original Research

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