Neurodevelopmental milestones and associated behaviours are similar among healthy children across diverse geographical locations View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-01-30

AUTHORS

José Villar, Michelle Fernandes, Manorama Purwar, Eleonora Staines-Urias, Paola Di Nicola, Leila Cheikh Ismail, Roseline Ochieng, Fernando Barros, Elaine Albernaz, Cesar Victora, Naina Kunnawar, Sophie Temple, Francesca Giuliani, Tamsin Sandells, Maria Carvalho, Eric Ohuma, Yasmin Jaffer, Alison Noble, Michael Gravett, Ruyan Pang, Ann Lambert, Enrico Bertino, Aris Papageorghiou, Cutberto Garza, Alan Stein, Zulfiqar Bhutta, Stephen Kennedy

ABSTRACT

It is unclear whether early child development is, like skeletal growth, similar across diverse regions with adequate health and nutrition. We prospectively assessed 1307 healthy, well-nourished 2-year-old children of educated mothers, enrolled in early pregnancy from urban areas without major socioeconomic or environmental constraints, in Brazil, India, Italy, Kenya and UK. We used a specially developed psychometric tool, WHO motor milestones and visual tests. Similarities across sites were measured using variance components analysis and standardised site differences (SSD). In 14 of the 16 domains, the percentage of total variance explained by between-site differences ranged from 1.3% (cognitive score) to 9.2% (behaviour score). Of the 80 SSD comparisons, only six were >±0.50 units of the pooled SD for the corresponding item. The sequence and timing of attainment of neurodevelopmental milestones and associated behaviours in early childhood are, therefore, likely innate and universal, as long as nutritional and health needs are met. More... »

PAGES

511

Journal

TITLE

Nature Communications

ISSUE

1

VOLUME

10

Author Affiliations

  • Oxford Maternal & Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, OX2 6HG UK
  • Department of Paediatrics, University Hospital Southampton, Southampton, SO16 6YD UK
  • Nagpur INTERGROWTH-21st Research Centre, Ketkar Hospital, Nagpur, 440012 Maharashtra India
  • Nuffield Department of Women’s & Reproductive Health, University of Oxford, Oxford, OX3 9DU UK
  • Ospedale Infantile Regina Margherita-Sant’Anna Citta della Salute e della Scienza di Torino, Torino, 10126 Italy
  • College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
  • Faculty of Health Sciences, Aga Khan University, Nairobi, Kenya
  • Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, 96015-560 Brazil
  • Faculty of Medicine, Universidade Federal de Pelotas, Pelotas, 96015-560 Brazil
  • Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, 96010-610 Brazil
  • Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Sciences, University of Oxford, Oxford, OX3 7LD UK
  • Department of Family & Community Health, Ministry of Health, Muscat, Sultanate of Oman
  • Department of Engineering Science, University of Oxford, Oxford, OX1 3PJ UK
  • Global Alliance to Prevent Prematurity and Stillbirth (GAPPS), Seattle Children’s, Seattle, 98105 WA USA
  • School of Public Health, Peking University, Beijing, 100191 China
  • Dipartimento di Scienze Pediatriche e dell’ Adolescenza, SCDU Neonatologia, Universita di Torino, Torino, 10126 Italy
  • Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205 USA
  • Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, OX3 7JX UK
  • Center for Global Child Health, Hospital for Sick Children, Toronto, M5G 2L3 Canada
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1038/s41467-018-07983-4

    DOI

    http://dx.doi.org/10.1038/s41467-018-07983-4

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1111780244

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30700709


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