Risk factors for psychomotor development among infants born under optimal biological conditions

Detalhes bibliográficos
Autor(a) principal: Andraca, Isidora de
Data de Publicação: 1998
Outros Autores: Pino, Paulina, La Parra, Alicia de, Rivera, Francisca, Castillo, Marcela
Tipo de documento: Artigo
Idioma: spa
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/24358
Resumo: OBJECTIVE: The objective of this study is to evaluate the effect of risk factors on infant development, among low socioeconomic children born under optimal biological conditions, and who are exposed to adverse social circumstances. METHOD: Infants of both sexes, in the amount of 788, were studied and controlled prospectively at between 6 and 12 months. Their mental (MDI) and psychomotor (PDI) development was evaluated using the Bayley Scale of Infant Development. Eighteen risk factors were identified and dichotomized (high or low risk). RESULTS: Breast feeding, child temperament, maternal intelligence and home stimulation are consistently associated with lower MDI and PDI. After adjustment for co-variables, home stimulation persisted as a significant factor for explaining the variation of both developmental indexes and child sex also appears as a risk factor for motor skills development. The accumulated effect of 7 or more risk factors is associated with a significant decrease of development scores. The combination of risk categories of child temperament, maternal IQ, paternal rolle and home stimulation shows higher prediction power for infant development than other combinations analyzed in this study. CONCLUSION: The findings suggest than even for children born under optimal biological conditions their psychomotor development is negatively affected by the presence of simultaneous adverse environmental conditions.
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spelling Risk factors for psychomotor development among infants born under optimal biological conditions Factores de riesgo para el desarrollo psicomotor en lactantes nacidos en óptimas condiciones biológicas Desempenho psicomotorDesenvolvimento infantilFatores de riscoDessarrollo infantilDesempeño psicomotorFactores de riesgoChild developmentPsychomotor performanceRisk factors OBJECTIVE: The objective of this study is to evaluate the effect of risk factors on infant development, among low socioeconomic children born under optimal biological conditions, and who are exposed to adverse social circumstances. METHOD: Infants of both sexes, in the amount of 788, were studied and controlled prospectively at between 6 and 12 months. Their mental (MDI) and psychomotor (PDI) development was evaluated using the Bayley Scale of Infant Development. Eighteen risk factors were identified and dichotomized (high or low risk). RESULTS: Breast feeding, child temperament, maternal intelligence and home stimulation are consistently associated with lower MDI and PDI. After adjustment for co-variables, home stimulation persisted as a significant factor for explaining the variation of both developmental indexes and child sex also appears as a risk factor for motor skills development. The accumulated effect of 7 or more risk factors is associated with a significant decrease of development scores. The combination of risk categories of child temperament, maternal IQ, paternal rolle and home stimulation shows higher prediction power for infant development than other combinations analyzed in this study. CONCLUSION: The findings suggest than even for children born under optimal biological conditions their psychomotor development is negatively affected by the presence of simultaneous adverse environmental conditions. OBJETIVO: Avaliar o efeito dos fatores de risco para o desenvolvimento infantil em crianças de nível socioeconômico baixo, nascidos em ótimas condições biológicas, mas expostos a condições sociais adversas. METODOLOGIA: Lactentes dos dois sexos, no total de 788, foram exaustivamente estudados quanto a alimentação, crescimento, ambiente físico e psicossocial controladas. Controlaram-se prospectivamente até os 12 meses de idade, momento em que se avaliou o desenvolvimento mental (MDI) e o motor (PDI) através da escala de Bayley. A partir das variáveis medidas, identificaram-se 18 fatores de risco, que foram dicotomizados (baixo e alto risco). RESULTADOS: Amamentação materna, temperamento da criança, inteligência materna e estímulo no lar associam-se consistentemente com MDI e PDI. Após ajuste por co-variáveis, o estímulo no lar persiste como fator significativo na explicação da variabilidade do MDI e do PDI, e o sexo da criança aparece-se como fator condicionante do desenvolvimento motor. O efeito acumulado de sete ou mais fatores de risco associa-se a uma diminuição significativa das pontuações de desenvolvimento. A combinação de categorias de risco de temperamento infantil, inteligência materna, papel do pai e estímulo no lar, atinge melhor predição do desenvolvimento infantil que outras combinações analisadas. CONCLUSÃO: Conclui-se que, mesmo para as crianças em ótimas condições biológicas, o desenvolvimento psicomotor é afetado na presença de condições ambientais adversas que agem simultaneamente. Universidade de São Paulo. Faculdade de Saúde Pública1998-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2435810.1590/S0034-89101998000200006Revista de Saúde Pública; Vol. 32 No. 2 (1998); 138-147 Revista de Saúde Pública; Vol. 32 Núm. 2 (1998); 138-147 Revista de Saúde Pública; v. 32 n. 2 (1998); 138-147 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPspahttps://www.revistas.usp.br/rsp/article/view/24358/26282Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessAndraca, Isidora dePino, PaulinaLa Parra, Alicia deRivera, FranciscaCastillo, Marcela2012-05-29T16:56:37Zoai:revistas.usp.br:article/24358Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-29T16:56:37Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Risk factors for psychomotor development among infants born under optimal biological conditions
Factores de riesgo para el desarrollo psicomotor en lactantes nacidos en óptimas condiciones biológicas
title Risk factors for psychomotor development among infants born under optimal biological conditions
spellingShingle Risk factors for psychomotor development among infants born under optimal biological conditions
Andraca, Isidora de
Desempenho psicomotor
Desenvolvimento infantil
Fatores de risco
Dessarrollo infantil
Desempeño psicomotor
Factores de riesgo
Child development
Psychomotor performance
Risk factors
title_short Risk factors for psychomotor development among infants born under optimal biological conditions
title_full Risk factors for psychomotor development among infants born under optimal biological conditions
title_fullStr Risk factors for psychomotor development among infants born under optimal biological conditions
title_full_unstemmed Risk factors for psychomotor development among infants born under optimal biological conditions
title_sort Risk factors for psychomotor development among infants born under optimal biological conditions
author Andraca, Isidora de
author_facet Andraca, Isidora de
Pino, Paulina
La Parra, Alicia de
Rivera, Francisca
Castillo, Marcela
author_role author
author2 Pino, Paulina
La Parra, Alicia de
Rivera, Francisca
Castillo, Marcela
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Andraca, Isidora de
Pino, Paulina
La Parra, Alicia de
Rivera, Francisca
Castillo, Marcela
dc.subject.por.fl_str_mv Desempenho psicomotor
Desenvolvimento infantil
Fatores de risco
Dessarrollo infantil
Desempeño psicomotor
Factores de riesgo
Child development
Psychomotor performance
Risk factors
topic Desempenho psicomotor
Desenvolvimento infantil
Fatores de risco
Dessarrollo infantil
Desempeño psicomotor
Factores de riesgo
Child development
Psychomotor performance
Risk factors
description OBJECTIVE: The objective of this study is to evaluate the effect of risk factors on infant development, among low socioeconomic children born under optimal biological conditions, and who are exposed to adverse social circumstances. METHOD: Infants of both sexes, in the amount of 788, were studied and controlled prospectively at between 6 and 12 months. Their mental (MDI) and psychomotor (PDI) development was evaluated using the Bayley Scale of Infant Development. Eighteen risk factors were identified and dichotomized (high or low risk). RESULTS: Breast feeding, child temperament, maternal intelligence and home stimulation are consistently associated with lower MDI and PDI. After adjustment for co-variables, home stimulation persisted as a significant factor for explaining the variation of both developmental indexes and child sex also appears as a risk factor for motor skills development. The accumulated effect of 7 or more risk factors is associated with a significant decrease of development scores. The combination of risk categories of child temperament, maternal IQ, paternal rolle and home stimulation shows higher prediction power for infant development than other combinations analyzed in this study. CONCLUSION: The findings suggest than even for children born under optimal biological conditions their psychomotor development is negatively affected by the presence of simultaneous adverse environmental conditions.
publishDate 1998
dc.date.none.fl_str_mv 1998-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/24358
10.1590/S0034-89101998000200006
url https://www.revistas.usp.br/rsp/article/view/24358
identifier_str_mv 10.1590/S0034-89101998000200006
dc.language.iso.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/24358/26282
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 32 No. 2 (1998); 138-147
Revista de Saúde Pública; Vol. 32 Núm. 2 (1998); 138-147
Revista de Saúde Pública; v. 32 n. 2 (1998); 138-147
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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