Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study
ObjectiveTo evaluate the rate of developmental coordination disorder (DCD) and its correlation to cognition and self-experienced health-related quality of life (HRQoL) in children born very preterm.DesignProspective follow-up study.SettingRegional population of children born very preterm in Turku Un...
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doaj-fc7fbe6cee0142a6a6719568ddb8a4512021-05-24T11:00:22ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722020-04-014110.1136/bmjpo-2019-000633Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort studyPaivi Rautava0Liisi Ripatti1Mari Koivisto2Leena Haataja3Liisa Lehtonen4Karoliina Uusitalo5Anna Nyman6Mira Huhtala7Riitta Parkkola8Katri Lahti9Sirkku Setänen10Public Health, University of Turku, Turku, FinlandPediatric Surgery, Turku University Hospital, Turku, FinlandClinical Science, University of Turku, Turku, FinlandPediatric Neurology, University of Helsinki, Helsinki, Finland10 Department of Pediatrics, University of Turku, Turku, Finland Pediatric Neurology, University of Turku, Turku, FinlandPsychology, University of Turku, Turku, FinlandOncology and Radiotherapy, Turku University Hospital, Turku, FinlandRadiology, University of Turku, Turku, FinlandPediatric Neurology, University of Turku, Turku, FinlandPediatric Neurology, University of Turku, Turku, FinlandObjectiveTo evaluate the rate of developmental coordination disorder (DCD) and its correlation to cognition and self-experienced health-related quality of life (HRQoL) in children born very preterm.DesignProspective follow-up study.SettingRegional population of children born very preterm in Turku University Hospital, Finland, in 2001–2006.PatientsA total of 170 children born very preterm were followed up until 11 years of age.Main outcome measuresMotor and cognitive outcomes were evaluated using the Movement Assessment Battery for Children - Second Edition (Movement ABC-2) and the Wechsler Intelligence Scale for Children - Fourth Edition, respectively, and HRQoL using the 17-Dimensional Illustrated Questionnaire (17D). The Touwen neurological examination was performed to exclude other neurological conditions affecting the motor outcome.ResultsEighteen children born very preterm (17 boys) (11.3%) had DCD, defined as Movement ABC-2 total test score ≤5th percentile. A positive correlation between motor and cognitive outcome (r=0.22, p=0.006) was found. Children born very preterm with DCD had lower cognitive scores than those without DCD (Full-Scale IQ mean 76.8 vs 91.6, p=0.001). Moreover, children born very preterm with DCD reported lower HRQoL than children born very preterm without motor impairment (17D mean 0.93 vs 0.96, p=0.03). However, HRQoL was higher in this group of children born very preterm compared with population-based normative test results (p<0.001).ConclusionsDCD was still common at 11 years of age in children born very preterm in 2000s. DCD associated with adverse cognitive development and lower self-experienced HRQoL. However, this group of children born very preterm reported better HRQoL in comparison with Finnish norms.https://bmjpaedsopen.bmj.com/content/4/1/e000633.full |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Paivi Rautava Liisi Ripatti Mari Koivisto Leena Haataja Liisa Lehtonen Karoliina Uusitalo Anna Nyman Mira Huhtala Riitta Parkkola Katri Lahti Sirkku Setänen |
spellingShingle |
Paivi Rautava Liisi Ripatti Mari Koivisto Leena Haataja Liisa Lehtonen Karoliina Uusitalo Anna Nyman Mira Huhtala Riitta Parkkola Katri Lahti Sirkku Setänen Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study BMJ Paediatrics Open |
author_facet |
Paivi Rautava Liisi Ripatti Mari Koivisto Leena Haataja Liisa Lehtonen Karoliina Uusitalo Anna Nyman Mira Huhtala Riitta Parkkola Katri Lahti Sirkku Setänen |
author_sort |
Paivi Rautava |
title |
Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study |
title_short |
Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study |
title_full |
Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study |
title_fullStr |
Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study |
title_full_unstemmed |
Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study |
title_sort |
preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study |
publisher |
BMJ Publishing Group |
series |
BMJ Paediatrics Open |
issn |
2399-9772 |
publishDate |
2020-04-01 |
description |
ObjectiveTo evaluate the rate of developmental coordination disorder (DCD) and its correlation to cognition and self-experienced health-related quality of life (HRQoL) in children born very preterm.DesignProspective follow-up study.SettingRegional population of children born very preterm in Turku University Hospital, Finland, in 2001–2006.PatientsA total of 170 children born very preterm were followed up until 11 years of age.Main outcome measuresMotor and cognitive outcomes were evaluated using the Movement Assessment Battery for Children - Second Edition (Movement ABC-2) and the Wechsler Intelligence Scale for Children - Fourth Edition, respectively, and HRQoL using the 17-Dimensional Illustrated Questionnaire (17D). The Touwen neurological examination was performed to exclude other neurological conditions affecting the motor outcome.ResultsEighteen children born very preterm (17 boys) (11.3%) had DCD, defined as Movement ABC-2 total test score ≤5th percentile. A positive correlation between motor and cognitive outcome (r=0.22, p=0.006) was found. Children born very preterm with DCD had lower cognitive scores than those without DCD (Full-Scale IQ mean 76.8 vs 91.6, p=0.001). Moreover, children born very preterm with DCD reported lower HRQoL than children born very preterm without motor impairment (17D mean 0.93 vs 0.96, p=0.03). However, HRQoL was higher in this group of children born very preterm compared with population-based normative test results (p<0.001).ConclusionsDCD was still common at 11 years of age in children born very preterm in 2000s. DCD associated with adverse cognitive development and lower self-experienced HRQoL. However, this group of children born very preterm reported better HRQoL in comparison with Finnish norms. |
url |
https://bmjpaedsopen.bmj.com/content/4/1/e000633.full |
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