1
|
Syrengelas D, Dettoraki A, Michalopoulou A, Kleisiouni P, Siahanidou T, Moschou CT, Kyprianou MA, Peristeris P, Pergantou H. Haemophilia Infants Gross Motor Development: Comparisons With Full-Term and Preterm Infants of the Same Nationality. Haemophilia 2025; 31:269-274. [PMID: 39868596 DOI: 10.1111/hae.15149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2024] [Revised: 12/14/2024] [Accepted: 12/16/2024] [Indexed: 01/28/2025]
Abstract
INTRODUCTION Infants with haemophilia, due to parental overprotection, have difficulty developing their full motor repertoire of typical gross motor development. It is of great clinical importance to evaluate the motor development of these infants with a standardized assessment tool. AIM To study the gross motor development in infants with haemophilia, using the Alberta Infant Motor Scale (AIMS) and compare it with full-term (FT) and preterm infants (PT). METHODS Fifteen FT infants with severe or moderate haemophilia A and B were assessed with the AIMS (Group D). The scale is already standardized in FT Greek infants (Group A). Two groups of PT infants were also included, with gestational age >32 weeks and ≤32 weeks, Groups B and C, respectively. The mean Z-scores were tested with the ANOVA procedure, followed by post hoc pairwise comparisons with Bonferroni correction. RESULTS The four groups had significantly different mean Z-scores. Infants in Group A had a mean Z-score of 0 ± 1. Infants in Group B lagged significantly behind by one standard deviation. Preterm infants in Group C had a mean Z-score significantly lower than Group B. Infants in Group D had a mean Z-score significantly lower than Group C. CONCLUSIONS Motor development in infants with haemophilia significantly lags behind both FT and PT infants. Differences in AIMS scores could be attributed to the reduction of movement activity, since infants with haemophilia are often deprived of certain positions, being held and carried in the parents' arms, as well as from free play time on the floor.
Collapse
Affiliation(s)
- Dimitrios Syrengelas
- Department of Pediatric Physical Therapy, "Aghia Sophia" Children's Hospital, Athens, Greece
| | - Athina Dettoraki
- Haemophilia Centre/Haemostasis and Thrombosis Unit, "Aghia Sophia" Children's Hospital, Athens, Greece
| | - Aikaterini Michalopoulou
- Haemophilia Centre/Haemostasis and Thrombosis Unit, "Aghia Sophia" Children's Hospital, Athens, Greece
| | - Paraskevi Kleisiouni
- Department of Pediatric Physical Therapy, "Aghia Sophia" Children's Hospital, Athens, Greece
| | - Tania Siahanidou
- Neonatal Unit of the First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Christina T Moschou
- Department of Pediatric Physical Therapy, "Aghia Sophia" Children's Hospital, Athens, Greece
| | - Miltiades A Kyprianou
- Haemophilia Centre/Haemostasis and Thrombosis Unit, "Aghia Sophia" Children's Hospital, Athens, Greece
| | - Platon Peristeris
- Haemophilia Centre/Haemostasis and Thrombosis Unit, "Aghia Sophia" Children's Hospital, Athens, Greece
| | - Helen Pergantou
- Haemophilia Centre/Haemostasis and Thrombosis Unit, "Aghia Sophia" Children's Hospital, Athens, Greece
| |
Collapse
|
2
|
Karasik LB, Kuchirko YA, Dodojonova R, Elison JT. Comparison of U.S. and Tajik infants' time in containment devices. INFANT AND CHILD DEVELOPMENT 2022; 31:e2340. [PMID: 36329695 PMCID: PMC9624500 DOI: 10.1002/icd.2340] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 05/07/2022] [Indexed: 09/20/2023]
Abstract
How infants are held or contained throughout the day shape infants' experiences, particularly around movement and exploration. In Tajikistan, caregivers use "gahvora" cradles, which severely restrict the body and limbs. The present study explored the variability and use of containment devices in U.S. and Tajik infants. Using time diaries, we compared 12-month-olds in the U.S. and Tajikistan on the types of containments used and time spent in them throughout the day. During the day, Tajik infants accumulated more time in gahvoras than infants in the U.S. spent in cribs, primarily used for sleep, suggesting gahvoras served other functions. Given the availability of other devices, U.S. infants' time was distributed in short yet frequent bouts across devices. Accumulated time in these containments matched accumulated time Tajik infants spent in gahvoras. Tajik infants accumulated more unrestricted time on the ground, which was distributed in prolonged bouts, than U.S. infants. Findings highlight differences in infants' everyday experiences during the developmental period when motor skills emerge. By embracing commonalities and exploring differences between cultures, this study offers insights into differences in infants' everyday experiences and opportunities for movement.
Collapse
Affiliation(s)
| | | | - Rano Dodojonova
- Republican Scientific Clinical Center of Pediatrics and Infant Surgery
| | - Jed T. Elison
- Institute of Child Development, University of Minnesota
- Department of Pediatrics, University of Minnesota
- Masonic Institute for the Developing Brain, University of Minnesota
| |
Collapse
|
3
|
Brouwer SI, Stolk RP, Bartels M, van Beijsterveld TC, Boomsma DI, Corpeleijn E. Infant Motor Milestones and Childhood Overweight: Trends over Two Decades in A Large Twin Cohort. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2366. [PMID: 32244434 PMCID: PMC7178093 DOI: 10.3390/ijerph17072366] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 03/26/2020] [Accepted: 03/27/2020] [Indexed: 12/31/2022]
Abstract
BACKGROUND Poor motor skill competence may influence energy balance with childhood overweight as a result. Our aim was to investigate whether the age of motor milestone achievement has changed over the past decades and whether this change may contribute to the increasing trend observed in childhood overweight. METHODS Motor skill competence was assessed in children from the Young Netherlands Twin Register born between 1987 and 2007. Follow-up ranged from 4 up to 10 years. Weight and height were assessed at birth, 6 months, 14 months, and 2, 4, 7, and 10 years. RESULTS Babies born in later cohorts achieved their motor milestones 'crawling', 'standing', and 'walking unassisted' later compared to babies born in earlier cohorts (N = 18,514, p < 0.001). The prevalence of overweight at age 10 was higher in later cohorts (p = 0.033). The increase in overweight at age 10 was not explained by achieving motor milestones at a later age and this persisted after adjusting for gestational age, sex, and socioeconomic status. CONCLUSION Comparing children born in 1987 to those born in 2007, we conclude that children nowadays achieve their motor milestones at a later age. This does not however, explain the increasing trend in childhood overweight.
Collapse
Affiliation(s)
- Silvia I. Brouwer
- Institute of Sportstudies, Hanze University of Applied Sciences, Zernikeplein 17, 9747 AS Groningen, The Netherlands
- Department of Epidemilogy, University Medical Center Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands; (R.P.S.); (E.C.)
| | - Ronald P. Stolk
- Department of Epidemilogy, University Medical Center Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands; (R.P.S.); (E.C.)
| | - Meike Bartels
- Department of Biological Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands; (M.B.); (T.C.E.M.v.B.); (D.I.B.)
| | - Toos C.E.M. van Beijsterveld
- Department of Biological Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands; (M.B.); (T.C.E.M.v.B.); (D.I.B.)
| | - Dorret I. Boomsma
- Department of Biological Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands; (M.B.); (T.C.E.M.v.B.); (D.I.B.)
| | - Eva Corpeleijn
- Department of Epidemilogy, University Medical Center Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands; (R.P.S.); (E.C.)
| |
Collapse
|
4
|
Pereira KR, Valentini NC, Saccani R. Brazilian infant motor and cognitive development: Longitudinal influence of risk factors. Pediatr Int 2016; 58:1297-1306. [PMID: 27084989 DOI: 10.1111/ped.13021] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2015] [Revised: 04/08/2016] [Accepted: 04/13/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Infant developmental delays have been associated with several risk factors, such as familial environmental, individual and demographic characteristics. The goal of this study was to longitudinally investigate the effects of maternal knowledge and practices, home environment and biological factors on infant motor and cognitive outcomes. METHODS This was a prospective cohort study with a sample of 49 infants from Southern Brazil. The infants were assessed three times over 4 months using the Alberta Infant Motor Scale and the Bayley Scale of Infant Development (Mental Development Scale). Parents completed the Daily Activities Scale of Infants, the Affordances in The Home Environment for Motor Development - Infant Scale, the Knowledge of Infant Development Inventory and a demographic questionnaire. Generalized estimating equation with Bonferroni method as the follow-up test and Spearman correlation and multivariate linear backward regression were used. RESULTS Cognitive and motor scores were strongly associated longitudinally and increased over time. Associations between the home affordances, parental practices and knowledge, and motor and cognitive development over time were observed. This relationship explained more variability in motor and cognitive scores compared with biological factors. CONCLUSIONS Variability in motor and cognitive development is better explained by environment and parental knowledge and practice. The investigation of factors associated with infant development allows the identification of infants at risk and the implementation of educational programs and parental training to minimize the effects of developmental delay.
Collapse
Affiliation(s)
- Keila Rg Pereira
- School of Physical Education, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Nadia C Valentini
- School of Physical Education, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Raquel Saccani
- School of Physical Education, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| |
Collapse
|
5
|
McDonald FB, Chandrasekharan K, Wilson RJA, Hasan SU. Cardiorespiratory control and cytokine profile in response to heat stress, hypoxia, and lipopolysaccharide (LPS) exposure during early neonatal period. Physiol Rep 2016; 4:4/2/e12688. [PMID: 26811056 PMCID: PMC4760388 DOI: 10.14814/phy2.12688] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Sudden infant death syndrome (SIDS) is one of the most common causes of postneonatal infant mortality in the developed world. An insufficient cardiorespiratory response to multiple environmental stressors (such as prone sleeping positioning, overwrapping, and infection), during a critical period of development in a vulnerable infant, may result in SIDS. However, the effect of multiple risk factors on cardiorespiratory responses has rarely been tested experimentally. Therefore, this study aimed to quantify the independent and possible interactive effects of infection, hyperthermia, and hypoxia on cardiorespiratory control in rats during the neonatal period. We hypothesized that lipopolysaccharide (LPS) administration will negatively impact cardiorespiratory responses to increased ambient temperature and hypoxia in neonatal rats. Sprague-Dawley neonatal rat pups were studied at postnatal day 6-8. Rats were examined at an ambient temperature of 33°C or 38°C. Within each group, rats were allocated to control, saline, or LPS (200 μg/kg) treatments. Cardiorespiratory and thermal responses were recorded and analyzed before, during, and after a hypoxic exposure (10% O2). Serum samples were taken at the end of each experiment to measure cytokine concentrations. LPS significantly increased cytokine concentrations (such as TNFα, IL-1β, MCP-1, and IL-10) compared to control. Our results do not support a three-way interaction between experimental factors on cardiorespiratory control. However, independently, heat stress decreased minute ventilation during normoxia and increased the hypoxic ventilatory response. Furthermore, LPS decreased hypoxia-induced tachycardia. Herein, we provide an extensive serum cytokine profile under various experimental conditions and new evidence that neonatal cardiorespiratory responses are adversely affected by dual interactions of environmental stress factors.
Collapse
Affiliation(s)
- Fiona B McDonald
- Department of Physiology and Pharmacology, Hotchkiss Brain Institute & Alberta Children's Hospital Research Institute, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Kumaran Chandrasekharan
- Fetal and Neonatal Physiology, Department of Pediatrics, Faculty of Medicine B271, Health Sciences Center, University of Calgary, Calgary, Alberta, Canada
| | - Richard J A Wilson
- Department of Physiology and Pharmacology, Hotchkiss Brain Institute & Alberta Children's Hospital Research Institute, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Shabih U Hasan
- Fetal and Neonatal Physiology, Department of Pediatrics, Faculty of Medicine B271, Health Sciences Center, University of Calgary, Calgary, Alberta, Canada
| |
Collapse
|
6
|
Darrah J, Bartlett D, Maguire TO, Avison WR, Lacaze-Masmonteil T. Have infant gross motor abilities changed in 20 years? A re-evaluation of the Alberta Infant Motor Scale normative values. Dev Med Child Neurol 2014; 56:877-81. [PMID: 24684556 PMCID: PMC4293464 DOI: 10.1111/dmcn.12452] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/09/2014] [Indexed: 11/28/2022]
Abstract
AIM To compare the original normative data of the Alberta Infant Motor Scale (AIMS) (n=2202) collected 20 years ago with a contemporary sample of Canadian infants. METHOD This was a cross-sectional cohort study of 650 Canadian infants (338 males, 312 females; mean age 30.9 wks [SD 15.5], range 2 wks-18 mo) assessed once on the AIMS. Assessments were stratified by age, and infants proportionally represented the ethnic diversity of Canada. Logistic regression was used to place AIMS items on an age scale representing the age at which 50% of the infants passed an item on the contemporary data set and the original data set. Forty-three items met the criterion for stable regression results in both data sets. RESULTS The correlation coefficient between the age locations of items on the original and contemporary data sets was 0.99. The mean age difference between item locations was 0.7 weeks. Age values from the original data set when converted to the contemporary scale differed by less than 1 week. INTERPRETATION The sequence and age at emergence of AIMS items has remained similar over 20 years and current normative values remain valid. Concern that the 'back to sleep' campaign has influenced the age at emergence of gross motor abilities is not supported.
Collapse
Affiliation(s)
- Johanna Darrah
- Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of AlbertaEdmonton, Alberta, Canada
| | - Doreen Bartlett
- School of Physical Therapy, Faculty of Health Sciences, Western UniversityLondon, Ontario, Canada
| | - Thomas O Maguire
- Department of Educational Psychology, Faculty of Education, University of AlbertaEdmonton, Alberta, Canada
| | - William R Avison
- Department of Sociology, Faculty of Social Sciences, Western UniversityLondon, Ontario, Canada
| | | |
Collapse
|
7
|
Syrengelas D, Kalampoki V, Kleisiouni P, Konstantinou D, Siahanidou T. Gross motor development in full-term Greek infants assessed by the Alberta Infant Motor Scale: reference values and socioeconomic impact. Early Hum Dev 2014; 90:353-7. [PMID: 24796209 DOI: 10.1016/j.earlhumdev.2014.04.011] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2014] [Revised: 04/08/2014] [Accepted: 04/12/2014] [Indexed: 12/26/2022]
Abstract
OBJECTIVE The aims of this study were to investigate gross motor development in Greek infants and establish AIMS percentile curves and to examine possible association of AIMS scores with socioeconomic parameters. METHODS Mean AIMS scores of 1068 healthy Greek full-term infants were compared at monthly age level with the respective mean scores of the Canadian normative sample. In a subgroup of 345 study participants, parents provided, via interview, information about family socioeconomic status. Multiple linear regression analysis was performed to evaluate the relationship of infant motor development with socioeconomic parameters. RESULTS Mean AIMS scores did not differ significantly between Greek and Canadian infants in any of the 19 monthly levels of age. In multiple linear regression analysis, the educational level of the mother and also whether the infant was being raised by grandparents/babysitter were significantly associated with gross motor development (p=0.02 and p<0.001, respectively), whereas there was no significant correlation of mean AIMS scores with gender, birth order, maternal age, paternal educational level and family monthly income. CONCLUSIONS Gross motor development of healthy Greek full-term infants, assessed by AIMS during the first 19months of age, follows a similar course to that of the original Canadian sample. Specific socioeconomic factors are associated with the infants' motor development.
Collapse
Affiliation(s)
- Dimitrios Syrengelas
- Department of Pediatric Physical Therapy, "Aghia Sophia" Children's Hospital, Athens, Greece.
| | - Vassiliki Kalampoki
- First Department of Pediatrics, Athens University Medical School, Athens, Greece
| | - Paraskevi Kleisiouni
- Department of Pediatric Physical Therapy, "Aghia Sophia" Children's Hospital, Athens, Greece
| | | | - Tania Siahanidou
- First Department of Pediatrics, Athens University Medical School, Athens, Greece
| |
Collapse
|