PMID- 27488057
OWN - NLM
STAT- MEDLINE
DCOM- 20171120
LR  - 20191210
IS  - 1471-2431 (Electronic)
IS  - 1471-2431 (Linking)
VI  - 16
DP  - 2016 Aug 3
TI  - Developmental outcomes and physical activity behaviour in children post major 
      surgery: an observational study.
PG  - 123
LID - 10.1186/s12887-016-0660-4 [doi]
LID - 123
AB  - BACKGROUND: Infants may be at neurodevelopmental risk from adverse events arising 
      in the neonatal period. This study aimed to investigate the developmental 
      outcomes and physical activity behaviours of term infants after neonatal major 
      surgery, at age three years. METHODS: This prospective study enrolled infants who 
      underwent major surgery in their first 90 days, between August 2006 and December 
      2008. Developmental status was assessed using the Bayley Scales of Infant and 
      Toddler Development, Third Edition (BSID-III). Physical activity and sedentary 
      behaviour (i.e. small screen recreation) (SSR) were assessed using the 
      Preschool-Age Physical Activity Questionnaire (Pre-PAQ). Activity (moving between 
      slow to fast pace) and SSR were reported for a 3-day period. RESULTS: One hundred 
      and thirty five children (68 major surgery, 67 control) were assessed, using both 
      measures, at age three years. Both groups were within the average range across 
      all domains of the BSID-III although the surgical group was significantly below 
      the controls for cognition (t = -3.162, p = 0.002) receptive language 
      (t = -3.790, p < 0.001) and fine motor skills (t = -2.153, p = 0.03). Mean 
      activity time for the surgical group was 191 mins.day(-1), and 185 mins.day-1 for 
      controls. Mean SSR time was 77 mins.day(-1), and 83 mins.day(-1) for the 
      respective groups. There was no significant difference between groups for either 
      physical activity (p = 0.71) or SSR time (p = 0.49). CONCLUSIONS: By age three, 
      children who had major surgery in infancy are developmentally normal but have not 
      quite caught up with their peer group in cognitive, receptive language and fine 
      motor skill domains. Both groups met recommended 3 h of daily physical activity 
      but exceeded 60-min SSR time recommended for preschool-age children.
FAU - Dwyer, Genevieve Mary
AU  - Dwyer GM
AD  - Physiotherapy Program, School of Science and Health, The University of Western 
      Sydney, Locked Bag 1797, Penrith, NSW 2751, Sydney, Australia. 
      g.dwyer@westernsydney.edu.au.
FAU - Walker, Karen
AU  - Walker K
AD  - Grace Centre for Newborn Care, The Children's Hospital at Westmead, Sydney, 
      Australia.
AD  - Discipline of Paediatrics and Child Health, Sydney Medical School, The University 
      of Sydney, Sydney, Australia.
AD  - Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney, 
      Australia.
FAU - Baur, Louise
AU  - Baur L
AD  - Discipline of Paediatrics and Child Health, Sydney Medical School, The University 
      of Sydney, Sydney, Australia.
FAU - Badawi, Nadia
AU  - Badawi N
AD  - Grace Centre for Newborn Care, The Children's Hospital at Westmead, Sydney, 
      Australia.
AD  - Discipline of Paediatrics and Child Health, Sydney Medical School, The University 
      of Sydney, Sydney, Australia.
AD  - Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney, 
      Australia.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
DEP - 20160803
PL  - England
TA  - BMC Pediatr
JT  - BMC pediatrics
JID - 100967804
SB  - IM
MH  - *Child Development
MH  - Child, Preschool
MH  - Developmental Disabilities/diagnosis/*etiology
MH  - *Exercise
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - *Motor Skills
MH  - Outcome Assessment, Health Care
MH  - *Postoperative Complications/diagnosis
MH  - Prospective Studies
PMC - PMC4973046
OTO - NOTNLM
OT  - Bayley Scale of Infant and Toddler Development, Third edition
OT  - Child
OT  - Cognitive
OT  - Developmental outcomes
OT  - Early childhood
OT  - Follow-up
OT  - Infant
OT  - Language development
OT  - Motor
OT  - Neonatal surgery
OT  - Neurodevelopment
OT  - Physical activity behaviour
OT  - Preschool-Age Physical Activity Questionnaire
OT  - Sedentary behaviour
OT  - Small screen recreation
EDAT- 2016/08/05 06:00
MHDA- 2017/11/29 06:00
PMCR- 2016/08/03
CRDT- 2016/08/05 06:00
PHST- 2015/07/17 00:00 [received]
PHST- 2016/07/29 00:00 [accepted]
PHST- 2016/08/05 06:00 [entrez]
PHST- 2016/08/05 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
PHST- 2016/08/03 00:00 [pmc-release]
AID - 10.1186/s12887-016-0660-4 [pii]
AID - 660 [pii]
AID - 10.1186/s12887-016-0660-4 [doi]
PST - epublish
SO  - BMC Pediatr. 2016 Aug 3;16:123. doi: 10.1186/s12887-016-0660-4.