| Titre : | Fetal growth, early postnatal growth and motor development in Pakistani infants. Commentary : Fetal origins of health and disease. (2001) |
| Auteurs : | Y.B. CHEUNG ; J.P.E. KARLBERG ; Jan-Hp VAN DER MEULEN ; P.S.F. YIP ; Clinical Trials Centre. Faculty of Medicine. University of Hong Kong. HKG ; Department of Paediatrics. Centre. Faculty of Medicine. University of Hong Kong. HKG |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 30, n° 1, 2001) |
| Pagination : | 66-74 |
| Langues: | Anglais |
| Mots-clés : | Poids corporel ; Taille corporelle ; Développement psychomoteur ; Epidémiologie ; Facteur risque ; Nouveau né ; Homme ; Etude comparée ; Pakistan ; Asie ; Foetus |
| Résumé : | [BDSP. Notice produite par INIST V8KR0xGl. Diffusion soumise à autorisation]. Background Studies have often compared the postnatal motor development of'small'versus'normal'newborns. Not much is known about the associations between a broad spectrum of size at birth and motor development. The effect of early postnatal growth on motor development is little researched. Growth failure in terms of shortness and thinness should be differentiated, but not many studies have the data for this analysis. Methods This is a longitudinal study of infants born in Lahore, Pakistan, between 1984 and 1987. Age at commencement of independent walking and age at'building a 3-cube tower'were taken as indicators of gross and fine motor development, respectively. Size at birth was captured by length and thinness as continuous variables ; postnatal growth from birth to 6 months of age was measured by changes in length and thinness. Adjustment for covariates and handling of censored cases were performed by generalized log gamma regression. Results Thinness at birth and postnatal stunting and wasting had a linear, inverse association with gross motor development (each P<0.05). Birth length had a non-linear, inverse association with this outcome (P<0.05). Birth length, thinness at birth and postnatal wasting had a linear, inverse association with fine motor development (each P<0.05). Conclusion Both fetal and early postnatal growth over a broad spectrum may affect infants'motor development. It is not just the babies who were very small at birth that suffered. (...) |
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