Early motor development: risk factors for delay in a population study in Southern Brazil

Authors

DOI:

https://doi.org/10.11606/s1518-8787.2023057004991

Keywords:

Child Development, Infant, Low Birth Weight, Cesarean Section

Abstract

OBJECTIVE: To assess risk factors associated with motor development delay at three months of age. METHODS: Cross-sectional study with mothers and their three-month-old babies in Southern Brazil. The Bayley-III Scale of Infant and Toddler Development (BSID-III) and the Alberta Infant Motor Scale (AIMS) were used to assess motor development. RESULTS: We evaluated 756 mothers and their three-month-old babies. The overall mean motor development assessed by the BSID-III and the AIMS was 104.7 (SD 13.5) and 55.4 (SD 25.4), respectively. When assessed by the BSID-III, the lowest motor development scores were among babies born by cesarean delivery (p = 0.002), prematurely (p < 0.001), and with low birth weight (p < 0.001). When assessed by the AIMS, babies born prematurely (p = 0.002) and with low birth weight (p=0.004) had the lowest motor development means. After a cluster analysis, we found that babies born by cesarean delivery, with low birth weight, and prematurely had more impaired motor development compared with children born without any risk factors. CONCLUSION: Identifying risk factors allows the implementation of early interventions to prevent motor development delay and, therefore, reduce the probability of other future problems.

References

Miranda LP, Resegue R, Figueiras ACM. A criança e o adolescente com problemas do desenvolvimento no ambulatório de pediatria. J Pediatr (Rio J). 2003;79(Supl. 1):S33-42. https://doi.org/10.1590/S0021-75572003000700005

Carvalho MF. Desenvolvimento normal. In: Burns DA, Campos Júnior D, Silva LR, Borges WG, editors. Tratado de pediatria. 4th ed. Barueri: Manole; 2017. p. 59-62.

Steetskamp J, Puhl AG, Zelazny J, Skala C, Kölbl H, Bahlmann F. [Clinical and economic challenges of moderate preterm babies born between 32+0 and 36+6 weeks of gestation]. Z Geburtshilfe Neonatol. 2011 Aug;215(4):158-62. German.

https://doi.org/10.1055/s-0031-1275740

Gaiva MA, Fujimori E, Sato AP. [Neonatal mortality in infants with low birth weight] [Internet]. Rev Esc Enferm USP. 2014 Oct;48(5):778-86. Portuguese. https://doi.org/10.1590/S0080-6234201400005000002

Oliveira GE, Magalhaes LC, Salmela LF. Relationship between very low birth weight, environmental factors, and motor and cognitive development of children of 5 and 6 years old. Rev Bras Fisioter. 2011/07/27. 2011;15(2):138-45.

https://doi.org/10.1590/S1413-35552011000200009

Hayashida K, Nakatsuka M. Promoting factors of physical and mental development in early infancy: a comparison of preterm delivery/low birth weight infants and term infants. Environ Health Prev Med. 2014 Mar;19(2):160-71. https://doi.org/10.1007/s12199-013-0370-6

Donald KA, Wedderburn CJ, Barnett W, Nhapi RT, Rehman AM, Stadler JA, et al. Risk and protective factors for child development: an observational South African birth cohort. Batura N, editor. PLOS Med. 2019 Sep 27;16(9):e1002920.

Veldman SL, Jones RA, Chandler P, Robinson LE, Okely AD. Prevalence and risk factors of gross motor delay in pre-schoolers. J Paediatr Child Health. 2020 Apr;56(4):571-6. https://doi.org/10.1111/jpc.14684

Hendricks G, Malcolm-Smith S, Stein DJ, Zar HJ, Wedderburn CJ, Nhapi RT, et al. Prenatal alcohol exposure is associated with early motor, but not language development in a South African cohort. Acta Neuropsychiatr. 2020 Jan;32(3):1-8.

https://doi.org/10.1017/neu.2019.51

Defilipo ÉC, Frônio JS, Teixeira MT, Leite IC, Bastos RR, Vieira MT, et al. [Opportunities in the home environment for motor development]. Rev Saude Publica. 2012 Aug;46(4):633-41. Portuguese. https://doi.org/10.1590/S0034-89102012000400007

Miller-Loncar C, Lester BM, Seifer R, Lagasse LL, Bauer CR, Shankaran S, et al. Predictors of motor development in children prenatally exposed to cocaine. Neurotoxicol Teratol. 2005;27(2):213-20. https://doi.org/10.1016/j.ntt.2004.10.007

Daltro MC SL. Bezerra RO, Castro BA, Bezerra ALD, Sousa MNA, Suárez LAB, et al. Associação entre amamentação, fatores obstétricos e perinatais com o desenvolvimento neuropsicomotor infantil. Res Soc Dev. 2021 Jun 13;10(7):e5210716152.

Severiano AA, Dantas DD, de Oliveira VL, Lopes JM, de Souza DE, Magalhães AG. Association between breastfeeding, obstetric factors and child development in Northeast Brazil. J Hum Growth Dev. 2017

Petry I, Trettim JP, de Matos MB, Rubin BB, Scholl CC, Firpo P O, et al. Breastfeeding and its relationship with motor development of infants at 3-4 months of age. Early Child Dev Care. 2022 May;193(2):1-12. https://doi.org/10.1080/03004430.2022.2075355

Moura DR, Costa JC, Santos IS, Barros AJ, Matijasevich A, Halpern R, et al. Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort. Paediatr Perinat Epidemiol. 2010/04/27. 2010;24(3):211-21.

https://doi.org/10.1111/j.1365-3016.2010.01115.x.

Maia PC, Silva LP, Oliveira MM, Cardoso MV. Desenvolvimento motor de crianças prematuras e a termo: uso da Alberta Infant Motor Scale. Acta Paul Enferm. 2011;24(5):670-5. https://doi.org/10.1590/S0103-21002011000500012.

Stephens BE, Vohr BR. Neurodevelopmental outcome of the premature infant. Pediatr Clin North Am. 2009/06/09. 2009;56(3):631-46. https://doi.org/10.1016/j.pcl.2009.03.005

Arpino C, Compagnone E, Montanaro ML, Cacciatore D, De Luca A, Cerulli A, et al. Preterm birth and neurodevelopmental outcome: a review. Childs Nerv Syst. 2010;26(9):1139-49.

https://doi.org/10.1007/s00381-010-1125-y

Motta ME, Silva GA, Araújo OC, Lira PI, Lima MC. Does birth weight affect nutritional status at the end of first year of life?J Pediatr (Rio J). 2005;81(5):377-82. https://doi.org/10.2223/JPED.1388

Hamułka J, Zielińska MA, Chądzyńska K. The combined effects of alcohol and tobacco use during pregnancy on birth outcomes. Rocz Panstw Zakl Hig. 2018;69(1):45-54.

Sbrana M, Grandi C, Brazan M, Junquera N, Nascimento MS, Barbieri MA, et al. Alcohol consumption during pregnancy and perinatal results: a cohort study. Sao Paulo Med J. 2016 Apr;134(2):146-52. https://doi.org/10.1590/1516-3180.2015.02040211

Eickmann SH, Lira PI, Lima MC. [Mental and motor development at 24 months of fullterm low birthweight infants]. Arq Neuropsiquiatr. 2002 Sep;60 3-B:748-54. Portuguese. https://doi.org/10.1590/S0004-282X2002000500013

Halpern R, Giugliani ER, Victora CG, Barros FC, Horta BL. [Risk factors for suspicion of developmental delays at 12 months of age]. J Pediatr (Rio J). 2000;76(6):421-8. Portuguese. https://doi.org/10.2223/JPED.88

Pinheiro RT, Trettim JP, Matos MB, Pinheiro KA, Silva RA, Martins CR, et al. Brief cognitive behavioral therapy in pregnant women at risk of postpartum depression: prepost therapy study in a city in southern Brazil. J Affect Disord. 2021 Jul;290:15-22. https://doi.org/10.1016/j.jad.2021.04.031

Bayley N. Bayley scales of infant and toddler development. 3rd ed. San Antonio: Pearson; 2006.

Madaschi V, Mecca TP, Macedo EC, Paula CS. Bayley-III scales of infant and toddler development: transcultural adaptation and psychometric properties. Paid (Ribeirão Preto). 2016 Aug;26(64):189-97. https://doi.org/10.1590/1982-43272664201606

Valentini NC, Saccani R. Infant Motor Scale of Alberta: validation for a population of Southern Brazil. Rev Paul Pediatr. 2011;29(2):231-8. Portuguese. https://doi.org/10.1590/S0103-05822011000200015.

Valentini NC, Saccani R. Brazilian validation of the alberta infant motor scale. Phys Ther. 2012 Mar;92(3):440-7. https://doi.org/10.2522/ptj.20110036

Associação Brasileira de Empresas de Pesquisa. Critério de classificação econômica Brasil. São Paulo: Associação Brasileira de Empresas de Pesquisa; 2015.

Sun YF, Huang K, Hu YB, Gao H, Niu Y, Tao XY, et al. [Association between elective cesarean section and infants’ developmental behaviors: a cohort study]. Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Dec 6;51(12):1069-73. Chinese.

https://doi.org/10.3760/cma.j.issn.0253-9624.2017.12.004.

Zaigham M, Hellström-Westas L, Domellöf M, Andersson O. Prelabour caesarean section and neurodevelopmental outcome at 4 and 12 months of age: an observational study. BMC Pregnancy Childbirth. 2020 Sep;20(1):564. https://doi.org/10.1186/s12884-020-03253-8

Cavaggioni AP, Martins MC, Benincasa M. Martins MCF, Benincasa M. Influence of type of birth on child development: a comparison by Bayley- III Scale. J Hum Growth Dev. 2020 Jun;30(2):301-10. https://doi.org/10.7322/jhgd.v30.10382.

Rodrigues S, Silva P. Vaginal delivery versus elective cesarean section and the impact on children’s skill development. Rev Enferm Ref. 2018 Mar 31;IV(16):107-16. https://doi.org/10.12707/RIV17056.

Peyton C, Schreiber MD, Msall ME. The Test of Infant Motor Performance at 3 months predicts language, cognitive, and motor outcomes in infants born preterm at 2 years of age. Dev Med Child Neurol. 2018/03/14. 2018;60(12):1239-43. https://doi.org/10.1111/dmcn.13736.

Dueker G, Chen J, Cowling C, Haskin B. Early developmental outcomes predicted by gestational age from 35 to 41weeks. Early Hum Dev. 2016 Dec;103(103):85-90. https://doi.org/10.1016/j.earlhumdev.2016.07.006

Sansavini A, Pentimonti J, Justice L, Guarini A, Savini S, Alessandroni R, et al. Language, motor and cognitive development of extremely preterm children: modeling individual growth trajectories over the first three years of life. J Commun Disord. 2014;49(49):55-68. https://doi.org/10.1016/j.jcomdis.2014.02.005

Lefebvre F, Gagnon MM, Luu TM, Lupien G, Dorval V. In extremely preterm infants, do the Movement Assessment of Infants and the Alberta Infant Motor Scale predict 18-month outcomes using the Bayley-III? Early Hum Dev. 2016 Mar;94(94):13-7. https://doi.org/10.1016/j.earlhumdev.2016.01.012

Olsen JE, Allinson LG, Doyle LW, Brown NC, Lee KJ, Eeles AL, et al. Preterm and termequivalent age general movements and 1-year neurodevelopmental outcomes for infants born before 30 weeks’ gestation. Dev Med Child Neurol. 2018 Jan;60(1):47-53. https://doi.org/10.1111/dmcn.13558

Syrengelas D, Kalampoki V, Kleisiouni P, Manta V, Mellos S, Pons R, et al. Alberta Infant Motor Scale (AIMS) performance of greek preterm infants: comparisons with full-term infants of the same nationality and impact of prematurity-related morbidity factors. Phys Ther. 2015/12/08. 2016;96(7):1102-8. https://doi.org/10.2522/ptj.20140494

Zhang M, Gazimbi MM, Chen Z, Zhang B, Chen Y, Yu Y, et al. Association between birth weight and neurodevelopment at age 1-6 months: results from the Wuhan Healthy Baby Cohort. BMJ Open. 2020 Jan;10(1):e031916. https://doi.org/10.1136/bmjopen-2019-031916

Domingues RM, Dias MA, Nakamura-Pereira M, Torres JA, D’Orsi E, Pereira AP, et al. Processo de decisão pelo tipo de parto no Brasil: da preferência inicial das mulheres à via de parto final. Cad Saude Publica. 2014 Aug;30 suppl 1:S101-16.

https://doi.org/10.1590/0102-311X00105113

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2023-09-14

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How to Cite

Zago, A. C., Trettim, J. P., Rubin, B. B., Scholl, C. C., Coelho, F. T., Ulguim, F., Pinheiro, L. M. de S., Matos, M. B. de, Pinheiro, R. T., & Quevedo, L. de A. (2023). Early motor development: risk factors for delay in a population study in Southern Brazil. Revista De Saúde Pública, 57(1), 59. https://doi.org/10.11606/s1518-8787.2023057004991