Reading, Mathematics and Fine Motor Skills at 5 Years of Age in US Children who were Extremely Premature at Birth.

Objectives The prevalence of extreme prematurity at birth has increased, but little research has examined its impact on developmental outcomes in large representative samples within the United States. This study examined the association of extreme prematurity with kindergarteners' reading skills, ma...

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Publicado en:Maternal & Child Health Journal Vol. 21; no. 1; pp. 199 - 208
Autores principales: Lee, Miryoung, Pascoe, John, McNicholas, Caroline
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jan2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2017
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10995-016-2109-7
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        atl: Reading, Mathematics and Fine Motor Skills at 5 Years of Age in US Children who were Extremely Premature at Birth.
      aug:
        au:
          Lee, Miryoung
          Pascoe, John
          McNicholas, Caroline
        affil: Department of Pediatrics, Boonshoft School of Medicine , Wright State University , Dayton USA
      sug:
        subj:
          Reading
          Mathematics
          Motor Skills
          Outcomes of Prematurity
          Child Development
          Human
          United States
          Child, Preschool
          Linear Regression
          Confidence Intervals
          Random Sample
          Gestational Age
          Interviews
          Socioeconomic Factors
          Data Analysis Software
          Child, Preschool: 2-5 years
      ab: Objectives The prevalence of extreme prematurity at birth has increased, but little research has examined its impact on developmental outcomes in large representative samples within the United States. This study examined the association of extreme prematurity with kindergarteners' reading skills, mathematics skills and fine motor skills. Methods The early childhood longitudinal study-birth cohort, a representative sample of the US children born in 2001 was analyzed for this study. Early reading and mathematics skills and fine motor skills were compared among 200 extremely premature children (EPC) (gestational age <28 wks or birthweight <1000 g), 500 premature children (PC), and 4300 term children (TC) (≥37wks or ≥2500 g). Generalized linear regression analyses included sampling weights, children's age, race, sex, and general health status, and parental marital status and education among singleton children. Results At age 5 years, EPC were 2.6(95 % CI 1.7-3.8) times more likely to fail build a gate and were 3.1(95 % CI 1.6-5.8) times more likely to fail all four drawing tasks compared to TC ( p values <0.001). Fine motor performance of PC (failed to build a gate, 1.3[95 % CI 1.0-1.7]; failed to draw all four shapes, 1.1[95 % CI 0.8-1.6]) was not significantly different from TC. Mean early reading scale score (36.8[SE:1.3]) of EPC was 4.0 points lower than TC ( p value < 0.0001) while mean reading score (39.9[SE:1.4]) of PC was not significantly different from TC (40.8[SE:1.1]). Mean mathematics scale score were significantly lower for both EPC (35.5[SE:1.0], p value < 0.001) and PC (39.8[SE:0.8], p value = 0.023) compared to TC (41.0[SE:0.6]). Conclusions for Practice Extreme prematurity at birth was associated with cognitive and fine motor delays at age 5 years. This suggests that based on a nationally representative sample of infants, the biological risk of extreme prematurity persists after adjusting for other factors related to development.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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