Determinants of developmental coordination disorder in 7‐year‐old children: a study of children in the D anish N ational B irth C ohort

Rikke Fæbo Larsen · Laust Hvas Mortensen · Torben Martinussen · Anne‐Marie Nybo Andersen

73 citations0/0 files storedDevelopmental Medicine & Child Neurology

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Children's Physical and Motor Development Infant Development and Preterm Care Prenatal Substance Exposure Effects

Abstract

AIM: The aim of this study was to investigate early life determinants of developmental coordination disorder (DCD) in 7-year-old children. METHOD: The study was based on data from 33,354 women and their children who participated in the 7-year follow-up study of the Danish National Birth Cohort. Information on several potential determinants (maternal age at conception, maternal occupational status, smoking and alcohol consumption during pregnancy, child's sex, intrauterine growth restriction, degree of preterm birth, and age at walking) was obtained from population registries, from interviews during pregnancy and when the child was 18 months old. The outcome in this study was DCD at 7 years of age, measured by the validated Developmental Coordination Disorder Questionnaire. The associations between the potential determinants and DCD were estimated using logistic regression. RESULTS: The study population consisted of 17,065 males and 16,289 females (141 [0.4%] born very preterm [23(+0)-31(+6) wk]; 1281 [3.8%] born moderately preterm [32(+0)-36(+6) wk]; 29,044 [87.1%] were born term [37(+0)-41(+6) wk], and 2888 [8.7%] were born post-term [≥ 42(+0) wk]). Independently of each other, the following determinants were predictors of DCD: being a female (odds ratio [OR] 0.36 [95% confidence interval {CI} 0.31-0.41]); being born very preterm (OR 6.28 [95% CI 3.99-9.89]) or moderately preterm (OR 2.10 [95% CI 1.65-2.67]); being small for gestational age (OR 1.74 [95% CI 1.46-2.08]); being 15 months of age or more at walking attainment (OR 3.05 [95% CI 2.57-3.60]); and maternal occupational status (higher grade professionals (OR 1.28 [95% CI 1.02-1.61); economically inactive (OR 1.43 [95% CI 1.07-1.91]). Young maternal age and smoking were risk factors among term-born children. INTERPRETATION: The risk of DCD increases with decreasing gestational age. Intrauterine growth restriction is also a strong risk factor, as well as delayed walking.

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References

2009Psychometric Properties of the Revised Developmental Coordination Disorder Questionnaire 2009Prevalence of Developmental Coordination Disorder Using the DSM-IV at 7 Years of Age: A UK Population–Based Study 2005Developmental Coordination Disorder, Generalized Self-Efficacy Toward Physical Activity, and Participation in Organized and Free Play Activities 2005Developmental Coordination Disorder (Dyspraxia): An Overview of the State of the Art 2007Physical Fitness in Children With Developmental Coordination Disorder 2010The Association Between Developmental Coordination Disorder and Other Developmental Traits 2006Terminology used in research reports of developmental coordination disorder

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