Risk factors for psychomotor development among infants born under optimal biological conditions
Autor(a) principal: | |
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Data de Publicação: | 1998 |
Outros Autores: | , , , |
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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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 |
_version_ |
1800221778443763712 |