Association between small for gestational age and motor coordination difficulties in children aged 5-6 years : insights from the Hokkaido study on environment and children's health

Tojo, Maki; Iwata, Hiroyoshi; Tamura, Naomi; Yamaguchi, Takeshi; Tsuchiya, Kenji J.; Suyama, Satoshi; Obara, Taku; Nakai, Akio; Yoshikawa, Toshio; Yamagata, Toyoki; Itoh, Mariko; Yamazaki, Keiko; Kobayashi, Sumitaka; Kishi, Reiko

Association between small for gestational age and motor coordination difficulties in children aged 5-6 years : insights from the Hokkaido study on environment and children's health

Tojo, Maki; Iwata, Hiroyoshi; Tamura, Naomi et al.

Brain and development, 2025, 47(1), 104296

Permalink : https://hdl.handle.net/2115/97324

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アクセス権	open access
URI	https://hdl.handle.net/2115/97324
タイトル	Association between small for gestational age and motor coordination difficulties in children aged 5-6 years : insights from the Hokkaido study on environment and children's health
著者	Tojo, Maki ; Iwata, Hiroyoshi ; Tamura, Naomi ; Yamaguchi, Takeshi ; Tsuchiya, Kenji J. ; Suyama, Satoshi ; Obara, Taku ; Nakai, Akio ; Yoshikawa, Toshio ; Yamagata, Toyoki ; Itoh, Mariko ; Yamazaki, Keiko ; Kobayashi, Sumitaka ; Kishi, Reiko
著者名 Tojo, Maki
著者名 Iwata, Hiroyoshi
著者名 Tamura, Naomi
著者名 Yamaguchi, Takeshi
著者名 Tsuchiya, Kenji J.
著者名 Suyama, Satoshi
著者名 Obara, Taku
著者名 Nakai, Akio
著者名 Yoshikawa, Toshio
著者名 Yamagata, Toyoki
著者名 Itoh, Mariko
著者名 Yamazaki, Keiko
著者名 Kobayashi, Sumitaka
e-Rad_Researcher 80112449 著者名 Kishi, Reiko
言語	英語
キーワード	Small for gestational age
	Developmental coordination disorder
	Motor coordination difficulties
	Preschool age
	Cohort study
	Japan
発行日	2025-02
出版者	Elsevier
収録物名	Brain and development
巻(号)	47(1)
ページ	104296
抄録	Background Developmental coordination disorder (DCD) presents motor skill delays in early childhood and has been associated with later maladaptation, necessitating early intervention. However, research on the potential risk factors, particularly in preschool-aged children, remains scarce. Aims We aimed to explore the association between small for gestational age (SGA) and other factors and motor coordination problems in 5–6-year-olds from the Hokkaido Study on Environment and Children's Health Cohort. Study design Prospective. Subjects We analyzed data from >3500 participants from the Hokkaido Study, a prospective birth cohort, and assessed children aged 5–6 years. Outcome measures Participants underwent assessment with the Developmental Coordination Disorder Questionnaire Japanese version (DCDQ-J). We conducted linear regression analyses adjusted for variables such as the child's sex, maternal age, and maternal smoking history during pregnancy, while also examining the independent associations of each risk factor. Results Among the 3883 children analyzed for SGA, children with SGA exhibited significantly lower DCDQ-J total scores than non-SGA children (mean difference: −2.25, 95 % confidence interval [−4.19, −0.30], p = 0.02). On the subscales, children with SGA demonstrated significantly lower “Control During Movement” scores than non-SGA children (mean difference: −0.96, 95 % confidence interval [−1.78, −0.13], p = 0.02). Furthermore, the child's sex, maternal smoking, maternal age, and preterm birth were independently associated with DCD. Conclusions SGA was shown to be one of the risk factors for the manifestation of motor coordination difficulties in 5–6-years old children. In combination with other factors, screening for motor coordination difficulties in SGA children will be an important means of initiating appropriate interventions.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 2024. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	0387-7604
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.braindev.2024.10.004