Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal

Detalhes bibliográficos
Autor(a) principal: Silva, Carolina Fioroni Ribeiro
Data de Publicação: 2023
Tipo de documento: Tese
Idioma: por
Título da fonte: Repositório Institucional da UFSCAR
Texto Completo: https://repositorio.ufscar.br/handle/ufscar/17538
Resumo: Introduction: In the world, 1 billion children live in poverty. Among developing countries, Brazil has the highest rate of social inequality. The poorest population (50%) earns 29 times less than the richest population (10%). Infants exposed to poverty present delays in child development. Deficits in motor development domains (variation, adaptability, fluency, symmetry, performance, and total Infant Motor Profile [IMP] score) and/or in General Movements (GMs) are indicative of neuromotor disorders. Considering the complexity of the subject, this thesis was divided into three studies. Study 1: “Contextual risk factors for infants exposed to poverty present atypical motor development” had as main objectives (a) to longitudinally identify in which domains and ages infants exposed to poverty may have lower scores in motor development; and (b) identify contextual risk or protective factors for atypical motor development domains. Infants exposed to poverty had lower scores in the domains of variation, influence, and total IMP score at six months of age. Male sex is a risk factor, while married civil status and a greater number of fine motor toys are protective factors against infants presenting atypical variation, which indicates a risk for disorders such as cerebral palsy and low IQ in children at school and preschool age. Study 2: “Contextual risk factors for infants exposed to poverty have atypical GMs,” aimed to (a) follow the GMs of infants exposed and infants not exposed to poverty from three to five months of age; and (b) identify contextual risk factors for poverty-exposed infants with atypical GMs. Poverty-exposed infants had significantly worse GMs classifications at three and four months of age and are considered at risk for disorders assigned to the moderately abnormal category, such as minor neurological disorders, attention deficit hyperactivity disorder, and behavioral problems in children at school age. The protective factors against infants with atypical GMs are living at home and having more gross motor toys in the home environment. Study 3: “Association between contextual factors and affordances for child development present in the home environment of infants exposed to poverty” aimed to verify the risk factors and/or protective factors for the home environment to present quantity and quality affordances less than adequate for motor development. Each year at maternal age, the chance of the home environment having less adequate affordances for motor development decreases by 17.01%. Conclusion: The synthesis of evidence from the three studies showed infants exposed to poverty are at risk for atypical motor development. The main contextual factors are married civil status, the greater number of gross and fine motor toys in the home environment, and living at home. Moreover, regarding the quantity and quality of resources in the home environment, greater maternal age decreases the chances of the ome environment classify as less than adequate about the affordances presents in the home environment.
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spelling Silva, Carolina Fioroni RibeiroTudella, Eloisahttp://lattes.cnpq.br/3207258034860219http://lattes.cnpq.br/1808565500952057b4fe74cd-8f9f-497b-86ca-e406ececc5e42023-03-27T13:12:21Z2023-03-27T13:12:21Z2023-02-28SILVA, Carolina Fioroni Ribeiro. Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal. 2023. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2023. Disponível em: https://repositorio.ufscar.br/handle/ufscar/17538.https://repositorio.ufscar.br/handle/ufscar/17538Introduction: In the world, 1 billion children live in poverty. Among developing countries, Brazil has the highest rate of social inequality. The poorest population (50%) earns 29 times less than the richest population (10%). Infants exposed to poverty present delays in child development. Deficits in motor development domains (variation, adaptability, fluency, symmetry, performance, and total Infant Motor Profile [IMP] score) and/or in General Movements (GMs) are indicative of neuromotor disorders. Considering the complexity of the subject, this thesis was divided into three studies. Study 1: “Contextual risk factors for infants exposed to poverty present atypical motor development” had as main objectives (a) to longitudinally identify in which domains and ages infants exposed to poverty may have lower scores in motor development; and (b) identify contextual risk or protective factors for atypical motor development domains. Infants exposed to poverty had lower scores in the domains of variation, influence, and total IMP score at six months of age. Male sex is a risk factor, while married civil status and a greater number of fine motor toys are protective factors against infants presenting atypical variation, which indicates a risk for disorders such as cerebral palsy and low IQ in children at school and preschool age. Study 2: “Contextual risk factors for infants exposed to poverty have atypical GMs,” aimed to (a) follow the GMs of infants exposed and infants not exposed to poverty from three to five months of age; and (b) identify contextual risk factors for poverty-exposed infants with atypical GMs. Poverty-exposed infants had significantly worse GMs classifications at three and four months of age and are considered at risk for disorders assigned to the moderately abnormal category, such as minor neurological disorders, attention deficit hyperactivity disorder, and behavioral problems in children at school age. The protective factors against infants with atypical GMs are living at home and having more gross motor toys in the home environment. Study 3: “Association between contextual factors and affordances for child development present in the home environment of infants exposed to poverty” aimed to verify the risk factors and/or protective factors for the home environment to present quantity and quality affordances less than adequate for motor development. Each year at maternal age, the chance of the home environment having less adequate affordances for motor development decreases by 17.01%. Conclusion: The synthesis of evidence from the three studies showed infants exposed to poverty are at risk for atypical motor development. The main contextual factors are married civil status, the greater number of gross and fine motor toys in the home environment, and living at home. Moreover, regarding the quantity and quality of resources in the home environment, greater maternal age decreases the chances of the ome environment classify as less than adequate about the affordances presents in the home environment.Introdução: No mundo, 1 bilhão de crianças vivem em condições de pobreza. Entre os países em desenvolvimento, o Brasil é o que apresenta a maior taxa de desigualdade social. A população mais pobre (50%) ganha 29 vezes menos que a população mais rica (10%). Lactentes expostos a pobreza apresentam atraso no desenvolvimento infantil. Déficits nos domínios do desenvolvimento motor (variação, adaptabilidade, fluência, simetria, performance e escore total do Infant Motor Profile [IMP]), e/ou no General Movements (GMs) são indicativos para desordens neuromotoras. Considerando a complexidade do tema, esta tese foi dividida em três estudos. Estudo 1:“ Fatores de risco contextuais para lactentes expostos a pobreza apresentar desenvolvimento motor atípico”, teve como objetivos principais (a) identificar longitudinalmente em quais domínios e idades os lactentes expostos a pobreza poderão apresentar menores escores no desenvolvimento motor; e (b) identificar fatores de risco ou de proteção contextuais para atipicidades nos domínios do desenvolvimento motor. Lactentes expostos a pobreza apresentaram menores escores nos domínios variação, fluência e escore total do IMP, aos seis meses de idade. O sexo masculino é um fator de risco, enquanto o estado civíl casado e maior quantidade de brinquedos de motricidade fina são fatores protetores contra o lactente apresentar variação atípica, a qual indica risco para desordens, como a paralisia cerebral e o baixo coeficiente de inteligência na idade escolar e pré-escolar. Estudo 2: “Fatores de risco contextuais para lactentes expostos a pobreza apresentarem GMs atípicos”, teve como objetivos (a) acompanhar os GMs de lactentes expostos e lactentes não expostos a pobreza dos três aos cinco meses de idade; e (b) identificar os fatores de risco contextuais para lactentes expostos a pobreza apresentar GMs atípicos. Lactentes expostos à pobreza apresentaram, significativamente, piores classificações dos GMs aos três e quatro meses de idade, e são considerados de risco para desordens associadas à categoria moderadamente anormal, como menores disfunções neurológicas, transtorno do déficit de atenção com hiperatividade, e problemas comportamentais em idade escolar. Os fatores de proteção contra o lactente apresentar GMs atípicos são residir em casa, e maior quantidade de brinquedos de motricidade grossa no ambiente domiciliar. Estudo 3: “Associação entre fatores contextuais e affordances para desenvolvimento infantil presentes no ambiente domiciliar de lactentes expostos a pobreza”, teve como objetivo principal verificar quais são os fatores de risco e/ou fatores de proteção para o ambiente domiciliar apresentar quantidade e qualidade de affordances menos que adequado para o desenvolvimento motor. A cada um ano na idade materna, diminui-se em 17.01% a chance do ambiente domiciliar ter affordances menos que adequado para o desenvolvimento motor. Conclusão: A síntese das evidências dos três estudos mostrou que lactentes expostos a pobreza são considerados de risco para desenvolvimento motor atípico. Os principais fatores contextuais que podem otimizar o desenvolvimento motor são estado civíl casado, maior quantidade de brinquedos de motricidade grossa e fina no ambiente domiciliar, e residir em casa. E, quanto a quantidade e qualidade dos affordances presentes no ambiente domiciliar, maior idade materna diminui as chances deste ser classificado como menos que adequado quanto aos affordances presentes no ambiente domiciliar.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)2018/24930-02020/11267-1porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Fisioterapia - PPGFtUFSCarAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessInfant Motor ProfileUpper middle-income countryNeuromotor disordensGeneral movementsGMsHome environmentAffordances in the home environment for motor development - infant scalePovertyPaíses em desenvolvimentoDesordens neuromotorasAmbiente domiciliarPobrezaCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALDesenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinalMotor development of infants at 3, 4, 5, 6, 7 and 8 months old, exposed to poverty – longitudinal studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis600600073bc4cc-c212-4c0c-93ca-17746572cbe7reponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8810https://repositorio.ufscar.br/bitstream/ufscar/17538/2/license_rdff337d95da1fce0a22c77480e5e9a7aecMD52ORIGINALTESE CAROLINA - FINAL.pdfTESE CAROLINA - FINAL.pdfapplication/pdf2043920https://repositorio.ufscar.br/bitstream/ufscar/17538/1/TESE%20CAROLINA%20-%20FINAL.pdf5a4376f35c139106b3ef294b55850e3dMD51TEXTTESE CAROLINA - FINAL.pdf.txtTESE CAROLINA - FINAL.pdf.txtExtracted texttext/plain320744https://repositorio.ufscar.br/bitstream/ufscar/17538/3/TESE%20CAROLINA%20-%20FINAL.pdf.txt3556e0a8d8ecc1d98d1545944b830f43MD53THUMBNAILTESE CAROLINA - FINAL.pdf.jpgTESE CAROLINA - FINAL.pdf.jpgIM Thumbnailimage/jpeg7231https://repositorio.ufscar.br/bitstream/ufscar/17538/4/TESE%20CAROLINA%20-%20FINAL.pdf.jpg430e5f733ca824aa0c3cb59cedf4133bMD54ufscar/175382023-09-18 18:32:34.756oai:repositorio.ufscar.br:ufscar/17538Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:32:34Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false
dc.title.por.fl_str_mv Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal
dc.title.alternative.eng.fl_str_mv Motor development of infants at 3, 4, 5, 6, 7 and 8 months old, exposed to poverty – longitudinal study
title Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal
spellingShingle Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal
Silva, Carolina Fioroni Ribeiro
Infant Motor Profile
Upper middle-income country
Neuromotor disordens
General movements
GMs
Home environment
Affordances in the home environment for motor development - infant scale
Poverty
Países em desenvolvimento
Desordens neuromotoras
Ambiente domiciliar
Pobreza
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
title_short Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal
title_full Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal
title_fullStr Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal
title_full_unstemmed Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal
title_sort Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal
author Silva, Carolina Fioroni Ribeiro
author_facet Silva, Carolina Fioroni Ribeiro
author_role author
dc.contributor.authorlattes.por.fl_str_mv http://lattes.cnpq.br/1808565500952057
dc.contributor.author.fl_str_mv Silva, Carolina Fioroni Ribeiro
dc.contributor.advisor1.fl_str_mv Tudella, Eloisa
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/3207258034860219
dc.contributor.authorID.fl_str_mv b4fe74cd-8f9f-497b-86ca-e406ececc5e4
contributor_str_mv Tudella, Eloisa
dc.subject.eng.fl_str_mv Infant Motor Profile
Upper middle-income country
Neuromotor disordens
General movements
GMs
Home environment
Affordances in the home environment for motor development - infant scale
Poverty
topic Infant Motor Profile
Upper middle-income country
Neuromotor disordens
General movements
GMs
Home environment
Affordances in the home environment for motor development - infant scale
Poverty
Países em desenvolvimento
Desordens neuromotoras
Ambiente domiciliar
Pobreza
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
dc.subject.por.fl_str_mv Países em desenvolvimento
Desordens neuromotoras
Ambiente domiciliar
Pobreza
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
description Introduction: In the world, 1 billion children live in poverty. Among developing countries, Brazil has the highest rate of social inequality. The poorest population (50%) earns 29 times less than the richest population (10%). Infants exposed to poverty present delays in child development. Deficits in motor development domains (variation, adaptability, fluency, symmetry, performance, and total Infant Motor Profile [IMP] score) and/or in General Movements (GMs) are indicative of neuromotor disorders. Considering the complexity of the subject, this thesis was divided into three studies. Study 1: “Contextual risk factors for infants exposed to poverty present atypical motor development” had as main objectives (a) to longitudinally identify in which domains and ages infants exposed to poverty may have lower scores in motor development; and (b) identify contextual risk or protective factors for atypical motor development domains. Infants exposed to poverty had lower scores in the domains of variation, influence, and total IMP score at six months of age. Male sex is a risk factor, while married civil status and a greater number of fine motor toys are protective factors against infants presenting atypical variation, which indicates a risk for disorders such as cerebral palsy and low IQ in children at school and preschool age. Study 2: “Contextual risk factors for infants exposed to poverty have atypical GMs,” aimed to (a) follow the GMs of infants exposed and infants not exposed to poverty from three to five months of age; and (b) identify contextual risk factors for poverty-exposed infants with atypical GMs. Poverty-exposed infants had significantly worse GMs classifications at three and four months of age and are considered at risk for disorders assigned to the moderately abnormal category, such as minor neurological disorders, attention deficit hyperactivity disorder, and behavioral problems in children at school age. The protective factors against infants with atypical GMs are living at home and having more gross motor toys in the home environment. Study 3: “Association between contextual factors and affordances for child development present in the home environment of infants exposed to poverty” aimed to verify the risk factors and/or protective factors for the home environment to present quantity and quality affordances less than adequate for motor development. Each year at maternal age, the chance of the home environment having less adequate affordances for motor development decreases by 17.01%. Conclusion: The synthesis of evidence from the three studies showed infants exposed to poverty are at risk for atypical motor development. The main contextual factors are married civil status, the greater number of gross and fine motor toys in the home environment, and living at home. Moreover, regarding the quantity and quality of resources in the home environment, greater maternal age decreases the chances of the ome environment classify as less than adequate about the affordances presents in the home environment.
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-03-27T13:12:21Z
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dc.identifier.citation.fl_str_mv SILVA, Carolina Fioroni Ribeiro. Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal. 2023. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2023. Disponível em: https://repositorio.ufscar.br/handle/ufscar/17538.
dc.identifier.uri.fl_str_mv https://repositorio.ufscar.br/handle/ufscar/17538
identifier_str_mv SILVA, Carolina Fioroni Ribeiro. Desenvolvimento motor de lactentes de 3,4,5,6,7 e 8 meses expostos a pobreza – estudo longitudinal. 2023. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2023. Disponível em: https://repositorio.ufscar.br/handle/ufscar/17538.
url https://repositorio.ufscar.br/handle/ufscar/17538
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dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Fisioterapia - PPGFt
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