Department of Human Movement Science, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Eur J Neurosci. 2024 Aug;60(3):4128-4147. doi: 10.1111/ejn.16320. Epub 2024 Apr 1.
This study aimed to review the prevalence of developmental coordination disorder (DCD) in individuals born preterm and systematically explore this prevalence according to gestational age and different assessment cut-offs and compare it to full-term peers. The eligibility criteria were observational and experimental studies reporting the prevalence of DCD in preterm individuals. A systematic search was performed in databases from inception until March 2022. Two independent reviewers performed the selection. Study quality assessment was performed using the checklists from Joanna Briggs Institute (JBI). Data analysis was performed on Excel and Review Manager Software 5.4. Among the 1774 studies identified, 32 matched the eligibility criteria. The pooled estimate rate of the DCD rate in preterm was 21% (95% confidence interval [CI] 17.8-24.3). The estimate rates were higher as gestational age decreased, and preterm children are two times more likely to have DCD than their full-term peers risk ratio (RR) 2.2 (95% CI 1.77-2.79). The limitation was high heterogeneity between studies; the assessment tools, cut-off points and age at assessment were diverse. This study provided evidence that preterm children are at higher risk for DCD than full-term children, and the risks increased as gestational age decreased.
本研究旨在回顾早产儿中发育性协调障碍（DCD）的患病率，并根据胎龄和不同评估标准系统地探讨这一患病率，并将其与足月婴儿进行比较。纳入标准为报告早产儿 DCD 患病率的观察性和实验性研究。从研究开始到 2022 年 3 月，在数据库中进行了系统检索。两名独立的审查员进行了选择。使用 Joanna Briggs Institute（JBI）的清单对研究质量进行评估。使用 Excel 和 Review Manager Software 5.4 进行数据分析。在确定的 1774 项研究中，有 32 项符合纳入标准。早产儿 DCD 发生率的汇总估计率为 21%（95%置信区间[CI]17.8-24.3）。胎龄越小，估计率越高，早产儿患 DCD 的风险是足月婴儿的两倍（风险比 RR 2.2，95%置信区间 1.77-2.79）。研究之间存在高度异质性，评估工具、截止值和评估年龄多种多样，这是本研究的局限性。本研究提供了证据表明，早产儿患 DCD 的风险高于足月婴儿，而且随着胎龄的降低，风险增加。
