Early motor development: risk factors for delay in a population study in Southern Brazil

Rev Saude Publica. 2023 Oct 20:57:59. doi: 10.11606/s1518-8787.2023057004991. eCollection 2023.

Abstract

Objective: To assess risk factors associated with motor development delay at three months of age.

Methods: Cross-sectional study with mothers and their three-month-old babies in Southern Brazil. The Bayley-III Scale of Infant and Toddler Development (BSID-III) and the Alberta Infant Motor Scale (AIMS) were used to assess motor development.

Results: We evaluated 756 mothers and their three-month-old babies. The overall mean motor development assessed by the BSID-III and the AIMS was 104.7 (SD 13.5) and 55.4 (SD 25.4), respectively. When assessed by the BSID-III, the lowest motor development scores were among babies born by cesarean delivery (p = 0.002), prematurely (p < 0.001), and with low birth weight (p < 0.001). When assessed by the AIMS, babies born prematurely (p = 0.002) and with low birth weight (p=0.004) had the lowest motor development means. After a cluster analysis, we found that babies born by cesarean delivery, with low birth weight, and prematurely had more impaired motor development compared with children born without any risk factors.

Conclusion: Identifying risk factors allows the implementation of early interventions to prevent motor development delay and, therefore, reduce the probability of other future problems.

MeSH terms

  • Brazil / epidemiology
  • Child Development*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Infant
  • Infant, Low Birth Weight*
  • Infant, Newborn
  • Pregnancy
  • Risk Factors

Grants and funding

Funding: Bill & Melinda Gates Foundation. Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). Instituto Nacional de Ciência e Tecnologia (INCT) under the grant 401726/2015-0 APP/report 47/2014.