Li Huaqiang, Ke Xiaohua, Huang Dunbing, Xu Xiaqing, Tian Huan, Gao Jiaxin, Jiang Cai, Song Wei
School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Department of Rehabilitation Medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Front Pediatr. 2024 Sep 26;12:1387406. doi: 10.3389/fped.2024.1387406. eCollection 2024.
The aim of the study was to synthesize previous evidence and clarify the prevalence of developmental coordination disorder (DCD) in children by meta-analysis.
A comprehensive computerized search of databases, including PubMed, Embase, Web of Science, The Cochrane Library, CINAHL, and PsycINFO databases, was conducted to identify relevant national and international articles published before 18 December 2023 on DCD prevalence in children. The meta-analysis of prevalence was conducted using Stata 18.0.
A total of 18 papers involving 31,203 patients were included. The prevalence of children with DCD was found to be 5%. A subgroup analysis showed that prevalence was 7% [95% confidence interval (CI) 4%-10%] and 4% (95% CI 3%-7%) for boys and girls, respectively; 4% (95% CI 2%-8%), 2% (95% CI 2%-2%), and 6% (95% CI 3%-10%) in Asia, Europe, and North America, respectively; and 18% (95% CI 8%-31%) and 6% (95% CI 4%-7%) for preterm (<37 weeks) and term infants (≥37 weeks), respectively. The prevalence of very low birth weight children (<1,250 g) with DCD was found to be 31%.
In this study, we found that the prevalence of children with DCD in the general population was 5% and that preterm infants (<37 weeks) and very low birth weight infants (<1,250 g) have a higher prevalence of DCD and require early screening and regular follow-up.
https://www.crd.york.ac.uk/, Identifier (CRD42024503320).
本研究旨在综合既往证据，通过荟萃分析阐明儿童发育性协调障碍（DCD）的患病率。
对包括PubMed、Embase、Web of Science、Cochrane图书馆、CINAHL和PsycINFO数据库在内的数据库进行全面的计算机检索，以识别2023年12月18日前发表的有关儿童DCD患病率的相关国内外文章。使用Stata 18.0进行患病率的荟萃分析。
共纳入18篇涉及31203例患者的论文。发现DCD患儿的患病率为5%。亚组分析显示，男孩和女孩的患病率分别为7%[95%置信区间（CI）4%-10%]和4%（95%CI 3%-7%）；亚洲、欧洲和北美的患病率分别为4%（95%CI 2%-8%）、2%（95%CI 2%-2%）和6%（95%CI 3%-10%）；早产（<37周）和足月儿（≥37周）的患病率分别为18%（95%CI 8%-31%）和6%（95%CI 4%-7%）。极低出生体重儿（<1250g）患DCD的患病率为31%。
在本研究中，我们发现普通人群中DCD患儿的患病率为5%，早产（<37周）和极低出生体重儿（<1250g）患DCD的患病率较高，需要早期筛查和定期随访。
