Environment as a risk factor in delayed development in premature, low-birthweight and mild asphyxia children

Background Premature infants with low birthweight (LBW) and asphyxia are at high risk of delay of language and visual–motor development. Environmental risk factors contributing to the delay include parents' education, family income, number of children in the family, exclusive breast‐feeding, an...

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Veröffentlicht in:Pediatrics international 2014-10, Vol.56 (5), p.720-725
Hauptverfasser: Yanuarti, Hestu Putri, Rusmil, Kusnandi, Effendi, Sjarif Hidajat
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creator Yanuarti, Hestu Putri
Rusmil, Kusnandi
Effendi, Sjarif Hidajat
description Background Premature infants with low birthweight (LBW) and asphyxia are at high risk of delay of language and visual–motor development. Environmental risk factors contributing to the delay include parents' education, family income, number of children in the family, exclusive breast‐feeding, and the mother's parenting time. Lack of research in Indonesia on premature, LBW and mild asphyxia children minimizes information to parents on the importance of an optimal environment. The aim of this study was to observe the role of the environment as a risk factor for delay in language and visual–motor development. Methods A cross‐sectional study was carried out from June to December 2011 of 12–24‐month‐old children born premature, with LBW and mild asphyxia at the Hasan Sadikin, Bandung City, and Muhammadiyah Hospitals. Language and visual–motor development were measured by Capute scales. Risk factors were analyzed using chi‐squared test and multivariate logistic regression analysis. Results Of the 70 subjects, 49% had language and visual–motor delay. Environmental factors related to the delay were low parental education, low family income, non‐exclusive breast‐feeding (P < 0.001) and full‐time maternal parenting (P < 0.05). On multivariate analysis non‐exclusive breast‐feeding was associated with a 175‐fold risk (prevalence rate [PR], 174.756; 95% confidence interval [CI]: 10.407–2934.516, P < 0.001), and low family income, a 0.042‐fold risk (PR 0.042; 95%CI: 0.005–0.321, P < 0.05). Conclusion Low family income and non‐exclusive breast‐feeding are risk factors for delay in language and visual–motor development in 12–24‐month‐old children born premature, with LBW and mild asphyxia.
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Environmental risk factors contributing to the delay include parents' education, family income, number of children in the family, exclusive breast‐feeding, and the mother's parenting time. Lack of research in Indonesia on premature, LBW and mild asphyxia children minimizes information to parents on the importance of an optimal environment. The aim of this study was to observe the role of the environment as a risk factor for delay in language and visual–motor development. Methods A cross‐sectional study was carried out from June to December 2011 of 12–24‐month‐old children born premature, with LBW and mild asphyxia at the Hasan Sadikin, Bandung City, and Muhammadiyah Hospitals. Language and visual–motor development were measured by Capute scales. Risk factors were analyzed using chi‐squared test and multivariate logistic regression analysis. Results Of the 70 subjects, 49% had language and visual–motor delay. Environmental factors related to the delay were low parental education, low family income, non‐exclusive breast‐feeding (P &lt; 0.001) and full‐time maternal parenting (P &lt; 0.05). On multivariate analysis non‐exclusive breast‐feeding was associated with a 175‐fold risk (prevalence rate [PR], 174.756; 95% confidence interval [CI]: 10.407–2934.516, P &lt; 0.001), and low family income, a 0.042‐fold risk (PR 0.042; 95%CI: 0.005–0.321, P &lt; 0.05). Conclusion Low family income and non‐exclusive breast‐feeding are risk factors for delay in language and visual–motor development in 12–24‐month‐old children born premature, with LBW and mild asphyxia.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/ped.12333</identifier><identifier>PMID: 24617923</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Asphyxia Neonatorum - complications ; Child development ; Cross-Sectional Studies ; developmental delay ; Developmental Disabilities - epidemiology ; Developmental Disabilities - etiology ; environmental risk factors ; Families &amp; family life ; Female ; Humans ; Infant ; Infant, Low Birth Weight ; Infant, Premature ; Language ; low birthweight ; Male ; mild asphyxia ; Motor Skills Disorders - epidemiology ; Motor Skills Disorders - etiology ; Parents &amp; parenting ; Pediatrics ; premature ; Premature birth ; Risk Factors ; Social Environment ; Socioeconomic factors ; Visual Perception</subject><ispartof>Pediatrics international, 2014-10, Vol.56 (5), p.720-725</ispartof><rights>2014 Japan Pediatric Society</rights><rights>2014 Japan Pediatric Society.</rights><rights>Copyright © 2014 Japan Pediatric Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4153-56b28598e9da817b2981853f919d6c7a6a7d094884705b2c05f5ce2713a9a1413</citedby><cites>FETCH-LOGICAL-c4153-56b28598e9da817b2981853f919d6c7a6a7d094884705b2c05f5ce2713a9a1413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fped.12333$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fped.12333$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24617923$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yanuarti, Hestu Putri</creatorcontrib><creatorcontrib>Rusmil, Kusnandi</creatorcontrib><creatorcontrib>Effendi, Sjarif Hidajat</creatorcontrib><title>Environment as a risk factor in delayed development in premature, low-birthweight and mild asphyxia children</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>Background Premature infants with low birthweight (LBW) and asphyxia are at high risk of delay of language and visual–motor development. Environmental risk factors contributing to the delay include parents' education, family income, number of children in the family, exclusive breast‐feeding, and the mother's parenting time. Lack of research in Indonesia on premature, LBW and mild asphyxia children minimizes information to parents on the importance of an optimal environment. The aim of this study was to observe the role of the environment as a risk factor for delay in language and visual–motor development. Methods A cross‐sectional study was carried out from June to December 2011 of 12–24‐month‐old children born premature, with LBW and mild asphyxia at the Hasan Sadikin, Bandung City, and Muhammadiyah Hospitals. Language and visual–motor development were measured by Capute scales. Risk factors were analyzed using chi‐squared test and multivariate logistic regression analysis. Results Of the 70 subjects, 49% had language and visual–motor delay. Environmental factors related to the delay were low parental education, low family income, non‐exclusive breast‐feeding (P &lt; 0.001) and full‐time maternal parenting (P &lt; 0.05). On multivariate analysis non‐exclusive breast‐feeding was associated with a 175‐fold risk (prevalence rate [PR], 174.756; 95% confidence interval [CI]: 10.407–2934.516, P &lt; 0.001), and low family income, a 0.042‐fold risk (PR 0.042; 95%CI: 0.005–0.321, P &lt; 0.05). Conclusion Low family income and non‐exclusive breast‐feeding are risk factors for delay in language and visual–motor development in 12–24‐month‐old children born premature, with LBW and mild asphyxia.</description><subject>Asphyxia Neonatorum - complications</subject><subject>Child development</subject><subject>Cross-Sectional Studies</subject><subject>developmental delay</subject><subject>Developmental Disabilities - epidemiology</subject><subject>Developmental Disabilities - etiology</subject><subject>environmental risk factors</subject><subject>Families &amp; family life</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Premature</subject><subject>Language</subject><subject>low birthweight</subject><subject>Male</subject><subject>mild asphyxia</subject><subject>Motor Skills Disorders - epidemiology</subject><subject>Motor Skills Disorders - etiology</subject><subject>Parents &amp; parenting</subject><subject>Pediatrics</subject><subject>premature</subject><subject>Premature birth</subject><subject>Risk Factors</subject><subject>Social Environment</subject><subject>Socioeconomic factors</subject><subject>Visual Perception</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1PFDEUhhujEUQv_AOmiTeaONDvdi4JrqyGAIkQvWs6M2fcQufDdoZl_72FZb0wsTenPXnOk-a8CL2l5JDmczRCc0gZ5_wZ2qdCsIIR8vN5vnNmCkOU3kOvUrohhBhtxEu0x4SiumR8H4VFf-fj0HfQT9gl7HD06Ra3rp6GiH2PGwhuA02udxCG8ZHL7TFC56Y5wicchnVR-Tit1uB_rbKlb3DnQ5N142pz7x2uV_kZoX-NXrQuJHjzVA_Q9ZfF1cmyOLs4_XpyfFbUgkpeSFUxI0sDZeMM1RUrDTWStyUtG1Vrp5xuSCmMEZrIitVEtrIGpil3paOC8gP0Yesd4_B7hjTZzqcaQnA9DHOyVFGphcyryuj7f9CbYY59_t0DJaRmXKtMfdxSdRxSitDaMfrOxY2lxD5EYHME9jGCzL57Ms5Vl7s7crfzDBxtgbUPsPm_yV4uPu-UxXbCpwnu_064eGuV5lraH-enlsrlt8vvy6VV_A85EJ4r</recordid><startdate>201410</startdate><enddate>201410</enddate><creator>Yanuarti, Hestu Putri</creator><creator>Rusmil, Kusnandi</creator><creator>Effendi, Sjarif Hidajat</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201410</creationdate><title>Environment as a risk factor in delayed development in premature, low-birthweight and mild asphyxia children</title><author>Yanuarti, Hestu Putri ; Rusmil, Kusnandi ; Effendi, Sjarif Hidajat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4153-56b28598e9da817b2981853f919d6c7a6a7d094884705b2c05f5ce2713a9a1413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Asphyxia Neonatorum - complications</topic><topic>Child development</topic><topic>Cross-Sectional Studies</topic><topic>developmental delay</topic><topic>Developmental Disabilities - epidemiology</topic><topic>Developmental Disabilities - etiology</topic><topic>environmental risk factors</topic><topic>Families &amp; family life</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Premature</topic><topic>Language</topic><topic>low birthweight</topic><topic>Male</topic><topic>mild asphyxia</topic><topic>Motor Skills Disorders - epidemiology</topic><topic>Motor Skills Disorders - etiology</topic><topic>Parents &amp; parenting</topic><topic>Pediatrics</topic><topic>premature</topic><topic>Premature birth</topic><topic>Risk Factors</topic><topic>Social Environment</topic><topic>Socioeconomic factors</topic><topic>Visual Perception</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yanuarti, Hestu Putri</creatorcontrib><creatorcontrib>Rusmil, Kusnandi</creatorcontrib><creatorcontrib>Effendi, Sjarif Hidajat</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yanuarti, Hestu Putri</au><au>Rusmil, Kusnandi</au><au>Effendi, Sjarif Hidajat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Environment as a risk factor in delayed development in premature, low-birthweight and mild asphyxia children</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2014-10</date><risdate>2014</risdate><volume>56</volume><issue>5</issue><spage>720</spage><epage>725</epage><pages>720-725</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>Background Premature infants with low birthweight (LBW) and asphyxia are at high risk of delay of language and visual–motor development. Environmental risk factors contributing to the delay include parents' education, family income, number of children in the family, exclusive breast‐feeding, and the mother's parenting time. Lack of research in Indonesia on premature, LBW and mild asphyxia children minimizes information to parents on the importance of an optimal environment. The aim of this study was to observe the role of the environment as a risk factor for delay in language and visual–motor development. Methods A cross‐sectional study was carried out from June to December 2011 of 12–24‐month‐old children born premature, with LBW and mild asphyxia at the Hasan Sadikin, Bandung City, and Muhammadiyah Hospitals. Language and visual–motor development were measured by Capute scales. Risk factors were analyzed using chi‐squared test and multivariate logistic regression analysis. Results Of the 70 subjects, 49% had language and visual–motor delay. Environmental factors related to the delay were low parental education, low family income, non‐exclusive breast‐feeding (P &lt; 0.001) and full‐time maternal parenting (P &lt; 0.05). On multivariate analysis non‐exclusive breast‐feeding was associated with a 175‐fold risk (prevalence rate [PR], 174.756; 95% confidence interval [CI]: 10.407–2934.516, P &lt; 0.001), and low family income, a 0.042‐fold risk (PR 0.042; 95%CI: 0.005–0.321, P &lt; 0.05). Conclusion Low family income and non‐exclusive breast‐feeding are risk factors for delay in language and visual–motor development in 12–24‐month‐old children born premature, with LBW and mild asphyxia.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>24617923</pmid><doi>10.1111/ped.12333</doi><tpages>6</tpages></addata></record>
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subjects Asphyxia Neonatorum - complications
Child development
Cross-Sectional Studies
developmental delay
Developmental Disabilities - epidemiology
Developmental Disabilities - etiology
environmental risk factors
Families & family life
Female
Humans
Infant
Infant, Low Birth Weight
Infant, Premature
Language
low birthweight
Male
mild asphyxia
Motor Skills Disorders - epidemiology
Motor Skills Disorders - etiology
Parents & parenting
Pediatrics
premature
Premature birth
Risk Factors
Social Environment
Socioeconomic factors
Visual Perception
title Environment as a risk factor in delayed development in premature, low-birthweight and mild asphyxia children
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