Bidirectional association of neurodevelopment with growth: a prospective cohort study.

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Tytuł:: Bidirectional association of neurodevelopment with growth: a prospective cohort study.
Autorzy:: Wei X; Institute of Health Sciences, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, P.R. China.
Hu J; Institute of Health Sciences, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, P.R. China.
Yang L; Department of Obstetrics and Gynecology, Shenyang Women and Children Health Care Centre, Shenyang, Liaoning, China.
Gao M; Institute of Health Sciences, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, P.R. China.
Li L; Department of Developmental Pediatrics, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Ding N; Curriculum and Teaching Research Office, Research Center of Medical Education, China Medical University, Shenyang, Liaoning, China.
Ma Y; Department of Epidemiology and Health Statistics, School of Public Health, China Medical University, Shenyang, 110122, Liaoning, China.
Wen D; Institute of Health Sciences, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, P.R. China. .
Źródło:: BMC pediatrics [BMC Pediatr] 2021 Apr 28; Vol. 21 (1), pp. 203. Date of Electronic Publication: 2021 Apr 28.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Child Development*
Body Weight ; Child ; Cohort Studies ; Humans ; Infant ; Longitudinal Studies ; Prospective Studies
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Grant Information:: 2019M661179 Postdoctoral Research Foundation of China
Contributed Indexing:: Keywords: Anthropometric measurements; Neurodevelopment; Pediatrics; Physical growth
Entry Date(s):: Date Created: 20210429 Date Completed: 20210527 Latest Revision: 20231111
Update Code:: 20240104
PubMed Central ID:: PMC8080371
DOI:: 10.1186/s12887-021-02655-7
PMID:: 33910531
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Background: The study aims to use the cross-lagged model and utilize data from the Born in Shenyang Cohort Study to characterize the bidirectional associations of the term-born infants' neurodevelopment in five domains and physical growth in early life.
Method: This study consists of 688 mother-child dyads from the Born in Shenyang Cohort Study. Infants' anthropometric (weight and length) and development in neurological outcomes (Gesell Development Scale) were measured at the age of 6 and 12 months. Cross-lagged analyses and multiple linear regression analyses were used to explore the longitudinal relationships in both directions.
Results: In terms of longitudinal studies, the inverse associations between infants' two skills (gross motor and social behavior) at the age of 6 months with BMI Z -scores at the age of 12 months (gross motor: aβ = - 0.20, 95% CI: - 0.31 to- 0.09; social behavior: aβ = - 0.23, 95% CI: - 0.33 to- 0.13) were found. Conversely, a higher infant Z -scored BMI at the age of 6 months predicted a lower gross motor at the age of 12 months (aβ = - 0.08, 95% CI: - 0.12 to- 0.04). In cross-lagged analyses, an adverse association in both directions between gross motor and Z -scored BMI was observed.
Conclusion: We found bidirectional relationships between infants' neurodevelopment of gross motor with physical growth and suggested the term-born infants, who are on the edge of the developmental danger, should not be overlooked.

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