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Developmental outcomes and physical activity behaviour in children post major surgery: an observational study
BACKGROUND: Infants may be at neurodevelopmental risk from adverse events arising in the neonatal period. This study aimed to investigate the developmental outcomes and physical activity behaviours of term infants after neonatal major surgery, at age three years. METHODS: This prospective study enro...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4973046/ https://www.ncbi.nlm.nih.gov/pubmed/27488057 http://dx.doi.org/10.1186/s12887-016-0660-4 |
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author | Dwyer, Genevieve Mary Walker, Karen Baur, Louise Badawi, Nadia |
author_facet | Dwyer, Genevieve Mary Walker, Karen Baur, Louise Badawi, Nadia |
author_sort | Dwyer, Genevieve Mary |
collection | PubMed |
description | BACKGROUND: Infants may be at neurodevelopmental risk from adverse events arising in the neonatal period. This study aimed to investigate the developmental outcomes and physical activity behaviours of term infants after neonatal major surgery, at age three years. METHODS: This prospective study enrolled infants who underwent major surgery in their first 90 days, between August 2006 and December 2008. Developmental status was assessed using the Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III). Physical activity and sedentary behaviour (i.e. small screen recreation) (SSR) were assessed using the Preschool-Age Physical Activity Questionnaire (Pre-PAQ). Activity (moving between slow to fast pace) and SSR were reported for a 3-day period. RESULTS: One hundred and thirty five children (68 major surgery, 67 control) were assessed, using both measures, at age three years. Both groups were within the average range across all domains of the BSID-III although the surgical group was significantly below the controls for cognition (t = −3.162, p = 0.002) receptive language (t = −3.790, p < 0.001) and fine motor skills (t = −2.153, p = 0.03). Mean activity time for the surgical group was 191 mins.day(−1), and 185 mins.day-1 for controls. Mean SSR time was 77 mins.day(−1), and 83 mins.day(−1) for the respective groups. There was no significant difference between groups for either physical activity (p = 0.71) or SSR time (p = 0.49). CONCLUSIONS: By age three, children who had major surgery in infancy are developmentally normal but have not quite caught up with their peer group in cognitive, receptive language and fine motor skill domains. Both groups met recommended 3 h of daily physical activity but exceeded 60-min SSR time recommended for preschool-age children. |
format | Online Article Text |
id | pubmed-4973046 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-49730462016-08-05 Developmental outcomes and physical activity behaviour in children post major surgery: an observational study Dwyer, Genevieve Mary Walker, Karen Baur, Louise Badawi, Nadia BMC Pediatr Research Article BACKGROUND: Infants may be at neurodevelopmental risk from adverse events arising in the neonatal period. This study aimed to investigate the developmental outcomes and physical activity behaviours of term infants after neonatal major surgery, at age three years. METHODS: This prospective study enrolled infants who underwent major surgery in their first 90 days, between August 2006 and December 2008. Developmental status was assessed using the Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III). Physical activity and sedentary behaviour (i.e. small screen recreation) (SSR) were assessed using the Preschool-Age Physical Activity Questionnaire (Pre-PAQ). Activity (moving between slow to fast pace) and SSR were reported for a 3-day period. RESULTS: One hundred and thirty five children (68 major surgery, 67 control) were assessed, using both measures, at age three years. Both groups were within the average range across all domains of the BSID-III although the surgical group was significantly below the controls for cognition (t = −3.162, p = 0.002) receptive language (t = −3.790, p < 0.001) and fine motor skills (t = −2.153, p = 0.03). Mean activity time for the surgical group was 191 mins.day(−1), and 185 mins.day-1 for controls. Mean SSR time was 77 mins.day(−1), and 83 mins.day(−1) for the respective groups. There was no significant difference between groups for either physical activity (p = 0.71) or SSR time (p = 0.49). CONCLUSIONS: By age three, children who had major surgery in infancy are developmentally normal but have not quite caught up with their peer group in cognitive, receptive language and fine motor skill domains. Both groups met recommended 3 h of daily physical activity but exceeded 60-min SSR time recommended for preschool-age children. BioMed Central 2016-08-03 /pmc/articles/PMC4973046/ /pubmed/27488057 http://dx.doi.org/10.1186/s12887-016-0660-4 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Dwyer, Genevieve Mary Walker, Karen Baur, Louise Badawi, Nadia Developmental outcomes and physical activity behaviour in children post major surgery: an observational study |
title | Developmental outcomes and physical activity behaviour in children post major surgery: an observational study |
title_full | Developmental outcomes and physical activity behaviour in children post major surgery: an observational study |
title_fullStr | Developmental outcomes and physical activity behaviour in children post major surgery: an observational study |
title_full_unstemmed | Developmental outcomes and physical activity behaviour in children post major surgery: an observational study |
title_short | Developmental outcomes and physical activity behaviour in children post major surgery: an observational study |
title_sort | developmental outcomes and physical activity behaviour in children post major surgery: an observational study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4973046/ https://www.ncbi.nlm.nih.gov/pubmed/27488057 http://dx.doi.org/10.1186/s12887-016-0660-4 |
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