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Preterm children's developmental coordination disorder, cognition and quality of life: a prospective cohort study

Anna Nyman; Karoliina Uusitalo; Katri Lahti; Liisa Lehtonen; Mira Huhtala; Liisi Ripatti; Leena Haataja; Mari Koivisto; Riitta Parkkola; Päivi Rautava; Sirkku Setänen

Preterm children's developmental coordination disorder, cognition and quality of life: a prospective cohort study

Anna Nyman
Karoliina Uusitalo
Katri Lahti
Liisa Lehtonen
Mira Huhtala
Liisi Ripatti
Leena Haataja
Mari Koivisto
Riitta Parkkola
Päivi Rautava
Sirkku Setänen
Katso/Avaa
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BMJ Publishing Group
doi:10.1136/bmjpo-2019-000633
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Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2021042822234
Tiivistelmä

Objective To 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.

Design Prospective follow-up study.

Setting Regional population of children born very preterm in Turku University Hospital, Finland, in 2001–2006.

Patients A total of 170 children born very preterm were followed up until 11 years of age.

Main outcome measures Motor 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.

Results Eighteen 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).

Conclusions DCD 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.

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