Association of the Onset of Self-Feeding With Subsequent Suspected Developmental Coordination Disorder: A Prospective Cohort Study in China
BackgroundSuccessful self-feeding reflects the readiness of early motor development and environmental impacts, and the onset of self-feeding as a developmental milestone might be a predictor of subsequent motor development in children. In this study, we explored the association between the onset of...
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.818771/full |
| _version_ | 1817992880680075264 |
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| author | Jing Hua Gareth J. Williams Anna L. Barnett Jiajia Zhang Hua Jin Manyun Xu Juan Chen Yingchun Zhou Guixiong Gu Wenchong Du |
| author_facet | Jing Hua Gareth J. Williams Anna L. Barnett Jiajia Zhang Hua Jin Manyun Xu Juan Chen Yingchun Zhou Guixiong Gu Wenchong Du |
| author_sort | Jing Hua |
| collection | DOAJ |
| description | BackgroundSuccessful self-feeding reflects the readiness of early motor development and environmental impacts, and the onset of self-feeding as a developmental milestone might be a predictor of subsequent motor development in children. In this study, we explored the association between the onset of self-feeding and childhood risk of Developmental Coordination Disorder in children from one-child and two-child families.MethodsWe conducted a data-linkage prospective cohort study from 38 kindergartens in 6 cities in China. A total of 11,727 preschoolers aged 3–6 years old were included in the final analysis and were assessed with the Movement Assessment Battery for Children-second edition (MABC-2) Test. The information on early self-feeding onset was obtained from parents. The mixed and multi-level logistic models utilizing a random intercept were used to investigate the associations between the onset time of self-feeding and subsequent motor performance.ResultsThe results showed that, compared with those beginning self-feeding at or younger than 12 months of age, children starting self-feeding at 13–24, 25–36, and later than 36 months, showed a decrease in their total MABC-2 scores of 2.181, 3.026, and 3.874, respectively; and had an increased risk of suspected DCD by 36.0, 101.6, 102.6%, respectively; they also had 30.2, 46.6, 71.2% increased prevalence of at risk of suspected DCD, when adjusting for both child and family characteristics (each p < 0.05). Significant associations were observed in fine motor, gross motor, and balance subtests (each p < 0.05) in groups with a delayed onset of self-feeding. However, the strength of the associations was mitigated in the fine motor and balance subtests in children with a sibling.ConclusionThe delayed onset time of self-feeding acts as an early behavioral marker for later childhood motor impairment. Moreover, children with a sibling may benefit from additional interaction and their motor developmental pattern may be affected by the presence of a sibling. |
| first_indexed | 2024-04-14T01:32:03Z |
| format | Article |
| id | doaj.art-85657810317c4f428f0138ebb5d4bedb |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-14T01:32:03Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj.art-85657810317c4f428f0138ebb5d4bedb2022-12-22T02:20:09ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-05-011310.3389/fpsyt.2022.818771818771Association of the Onset of Self-Feeding With Subsequent Suspected Developmental Coordination Disorder: A Prospective Cohort Study in ChinaJing Hua0Gareth J. Williams1Anna L. Barnett2Jiajia Zhang3Hua Jin4Manyun Xu5Juan Chen6Yingchun Zhou7Guixiong Gu8Wenchong Du9Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, ChinaSchool of Social Sciences, Nottingham Trent University, Nottingham, United KingdomCentre for Psychological Research, Oxford Brookes University, Oxford, United KingdomShanghai Key Laboratory of Maternal Fetal Medicine, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, ChinaHealth Care Department of Suzhou Ninth People’s Hospital, Suzhou, ChinaKLATASDS-MOE, School of Statistics, East China Normal University, Shanghai, ChinaKLATASDS-MOE, School of Statistics, East China Normal University, Shanghai, ChinaKLATASDS-MOE, School of Statistics, East China Normal University, Shanghai, ChinaPediatrics Research Institution of Suzhou University, Suzhou, ChinaNTU Psychology, Nottingham Trent University, Nottingham, United KingdomBackgroundSuccessful self-feeding reflects the readiness of early motor development and environmental impacts, and the onset of self-feeding as a developmental milestone might be a predictor of subsequent motor development in children. In this study, we explored the association between the onset of self-feeding and childhood risk of Developmental Coordination Disorder in children from one-child and two-child families.MethodsWe conducted a data-linkage prospective cohort study from 38 kindergartens in 6 cities in China. A total of 11,727 preschoolers aged 3–6 years old were included in the final analysis and were assessed with the Movement Assessment Battery for Children-second edition (MABC-2) Test. The information on early self-feeding onset was obtained from parents. The mixed and multi-level logistic models utilizing a random intercept were used to investigate the associations between the onset time of self-feeding and subsequent motor performance.ResultsThe results showed that, compared with those beginning self-feeding at or younger than 12 months of age, children starting self-feeding at 13–24, 25–36, and later than 36 months, showed a decrease in their total MABC-2 scores of 2.181, 3.026, and 3.874, respectively; and had an increased risk of suspected DCD by 36.0, 101.6, 102.6%, respectively; they also had 30.2, 46.6, 71.2% increased prevalence of at risk of suspected DCD, when adjusting for both child and family characteristics (each p < 0.05). Significant associations were observed in fine motor, gross motor, and balance subtests (each p < 0.05) in groups with a delayed onset of self-feeding. However, the strength of the associations was mitigated in the fine motor and balance subtests in children with a sibling.ConclusionThe delayed onset time of self-feeding acts as an early behavioral marker for later childhood motor impairment. Moreover, children with a sibling may benefit from additional interaction and their motor developmental pattern may be affected by the presence of a sibling.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.818771/fullself-feedingearly behavioral markerdevelopmental coordination disorderpreschool childrentwo-child families |
| spellingShingle | Jing Hua Gareth J. Williams Anna L. Barnett Jiajia Zhang Hua Jin Manyun Xu Juan Chen Yingchun Zhou Guixiong Gu Wenchong Du Association of the Onset of Self-Feeding With Subsequent Suspected Developmental Coordination Disorder: A Prospective Cohort Study in China Frontiers in Psychiatry self-feeding early behavioral marker developmental coordination disorder preschool children two-child families |
| title | Association of the Onset of Self-Feeding With Subsequent Suspected Developmental Coordination Disorder: A Prospective Cohort Study in China |
| title_full | Association of the Onset of Self-Feeding With Subsequent Suspected Developmental Coordination Disorder: A Prospective Cohort Study in China |
| title_fullStr | Association of the Onset of Self-Feeding With Subsequent Suspected Developmental Coordination Disorder: A Prospective Cohort Study in China |
| title_full_unstemmed | Association of the Onset of Self-Feeding With Subsequent Suspected Developmental Coordination Disorder: A Prospective Cohort Study in China |
| title_short | Association of the Onset of Self-Feeding With Subsequent Suspected Developmental Coordination Disorder: A Prospective Cohort Study in China |
| title_sort | association of the onset of self feeding with subsequent suspected developmental coordination disorder a prospective cohort study in china |
| topic | self-feeding early behavioral marker developmental coordination disorder preschool children two-child families |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.818771/full |
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