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疑似发展性协调障碍在西班牙课堂中的流行率及相关因素。

Prevalence of suspected developmental coordination disorder and associated factors in Spanish classrooms.

机构信息

University of A Coruña, Faculty of Health Sciences, Campus de Oza S/N, A Coruña, Spain.

University of A Coruña, Faculty of Health Sciences, Campus de Oza S/N, A Coruña, Spain.

出版信息

Res Dev Disabil. 2019 Mar;86:31-40. doi: 10.1016/j.ridd.2019.01.004. Epub 2019 Jan 15.

Abstract

BACKGROUND

Developmental Coordination Disorder (DCD) is a multifactorial, neurodevelopmental motor disorder that severely affects the activities of a child's daily life and classroom performance. The aim of this study was to determine the prevalence of suspected DCD in a sample of Spanish schoolchildren and its association with socio-demographic factors.

METHODS

We conducted a cross-sectional study including a random sample of 460 children attending mainstream schools in northwest Spain in 2017. A Developmental Coordination Disorder Questionnaire-European Spanish was used to evaluate suspected DCD prevalence. We performed multivariate logistic and linear regression analysis to determine the socio-demographic variables associated with suspected DCD and problematic motor coordination performance.

RESULTS

The prevalence of suspected DCD was 12.2%. According to the multivariate analysis, DCD symptoms were significantly associated with males (OR = 3.0), ages above 10 years old (OR = 5.0) and low participation in out-of-school physical activities (OR = 2.3). Preterm birth children were twice as likely to show suspected DCD, although this association was not statistically significant (OR = 2.1).

CONCLUSIONS

A high percentage of Spanish schoolchildren are at risk for developing DCD. There is a strong connection between suspected DCD and socio-demographic factors. Protocols aimed to detect DCD and intervention programmes in classrooms designed to promote motor coordination skills need to take these factors into consideration.

摘要

背景

发育性协调障碍(DCD)是一种多因素的神经发育性运动障碍,严重影响儿童日常生活和课堂表现。本研究旨在确定西班牙学龄儿童疑似 DCD 的患病率及其与社会人口因素的关联。

方法

我们进行了一项横断面研究,纳入了 2017 年西班牙西北部主流学校的 460 名随机抽样儿童。使用发育性协调障碍问卷-西班牙文版评估疑似 DCD 的患病率。我们进行了多变量逻辑回归和线性回归分析,以确定与疑似 DCD 和运动协调问题相关的社会人口变量。

结果

疑似 DCD 的患病率为 12.2%。根据多变量分析,DCD 症状与男性(OR=3.0)、年龄超过 10 岁(OR=5.0)和校外体力活动参与度低(OR=2.3)显著相关。早产儿童出现疑似 DCD 的可能性是两倍,但这种关联没有统计学意义(OR=2.1)。

结论

西班牙学龄儿童中有很大一部分存在发展 DCD 的风险。疑似 DCD 与社会人口因素之间存在很强的关联。需要考虑这些因素,制定旨在检测 DCD 和在课堂上促进运动协调技能的干预计划。

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