Overall neurodevelopment | Gross motor development | Fine motor development | Language development | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Normal | Delayed | P value | Normal | Delayed | P value | Normal | Delayed | P value | Normal | Delayed | P value | |
N(%) | N(%) | N(%) | N(%) | N(%) | N(%) | N(%) | N(%) | |||||
Variables in terms of children | ||||||||||||
Child—Sex | ||||||||||||
Female | 78,652(95.8) | 3443(4.20) | 77,976(95.0) | 4119(5.0) | 78,349(95.4) | 3746(4.6) | 77,773(94.7) | 4322(5.3) | ||||
Male | 91,515(95.20) | 4625(4.80) | < 0.001* | 91,245(94.9) | 4895(5.1) | 0.476 | 91,100(94.8) | 5040(5.2) | < 0.001* | 89,693(93.3) | 6447(6.7) | < 0.001* |
Parity of more than three children | ||||||||||||
No | 169,686(95.5) | 8029(4.5) | 168,741(95.0) | 8974(5.0) | 168,971(95.1) | 8744(4.9) | 166,982(94.0) | 10,733(6.0) | ||||
Yes | 481(92.5) | 39(7.5) | 0.001* | 480(92.3) | 40(7.7) | 0.006* | 478(91.9) | 42(8.1) | 0.001* | 484(93.1) | 36(6.9) | 0.398 |
Multiple birth | ||||||||||||
Singleton | 168,824(95.5) | 7978(4.5) | 167,894(95.0) | 8908(5.0) | 168,107(95.1) | 8695(4.9) | 166,143(94.0) | 10,659(6.0) | ||||
Twins/multiple birth | 1343(93.7) | 90(6.3) | 0.001* | 1327(92.6) | 106(7.4) | < 0.001* | 1342(93.6) | 91(6.4) | 0.013* | 1323(92.3) | 110(7.7) | 0.009* |
Gestational weeks | ||||||||||||
37–42 weeks | 168,663(95.5) | 7998(4.5) | 167,719(94.9) | 8942(5.1) | 167,955(95.1) | 8706(4.9) | 166,002(94) | 10,659(6) | ||||
< 37 weeks | 795(95.2) | 40(4.8) | 0.715 | 795(95.2) | 40(4.8) | 0.721 | 790(94.6) | 45(5.4) | 0.539 | 767(91.9) | 68(8.1) | 0.011* |
≥ 42 weeks | 709(95.9) | 30(4.1) | 0.542 | 707(95.7) | 32(4.3) | 0.366 | 704(95.3) | 35(4.7) | 0.810 | 697(94.3) | 42(5.7) | 0.690 |
Neonatal injury | ||||||||||||
No | 169,718(95.5) | 8028(4.5) | 168,778(95.0) | 8968(5.0) | 169,000(95.1) | 8746(4.9) | 167,008(94) | 10,738(6) | ||||
Yes | 449(91.8) | 40(8.2) | < 0.001* | 443(90.6) | 46(9.4) | < 0.001* | 449(91.8) | 40(8.2) | 0.001* | 458(93.7) | 31(6.3) | 0.782 |
Head circumference at physical examination | ||||||||||||
Normal | 160,926(95.5) | 7618(4.5) | 160,051(95) | 8493(5) | 160,277(95.1) | 8267(4.9) | 158,364(94.0) | 10,180(6.0) | ||||
Macrocephaly | 6782(95.7) | 302(4.3) | 0.308 | 6723(94.9) | 361(5.1) | 0.83 | 6715(94.8) | 369(5.2) | 0.247 | 6674(94.2) | 410(5.8) | 0.382 |
Microcephaly | 2459(94.3) | 148(5.7) | 0.005* | 2447(93.9) | 160(6.1) | 0.011* | 2457(94.2) | 150(5.8) | 0.047* | 2428(93.1) | 179(6.9) | 0.079 |
BMI at birth | ||||||||||||
Normal | 158,521(95.6) | 7312(4.4) | 157,593(95) | 8240(5) | 157,845(95.2) | 7988(4.8) | 155,964(94.0) | 9869(6.0) | ||||
Malnutrition | 7177(93.2) | 523(6.8) | < 0.001* | 7162(93) | 538(7) | < 0.001* | 7154(92.9) | 546(7.1) | < 0.001* | 7106(92.3) | 594(7.7) | < 0.001* |
Obesity | 4469(95) | 233(5) | 0.073 | 4466(95) | 236(5) | 0.876 | 4450(94.6) | 252(5.4) | 0.087 | 4396(93.5) | 306(6.5) | 0.112 |
BMI at physical examination | ||||||||||||
Normal | 157,423(95.5) | 7356(4.5) | 156,565(95.0) | 8214(5.0) | 156,811(95.2) | 7968(4.8) | 154,885(94.0) | 9894(6.0) | ||||
Malnutrition | 1697(93.1) | 126(6.9) | < 0.001* | 1649(90.5) | 174(9.5) | < 0.001* | 1696(93) | 127(7) | < 0.001* | 1701(93.3) | 122(6.7) | 0.219 |
Obesity | 11,047(95.0) | 586(5.0) | 0.004* | 11,007(94.6) | 626(5.4) | 0.058 | 10,942(94.1) | 691(5.9) | < 0.001* | 10,880(93.5) | 753(6.5) | 0.040* |
Variables in terms of parents | ||||||||||||
Advanced maternal age | ||||||||||||
No | 165,341(95.5) | 7765(4.5) | 164,375(95.0) | 8731(5.0) | 164,610(95.1) | 8496(4.9) | 162,683(94.0) | 10,423(6.0) | ||||
Yes | 4826(94.1) | 303(5.9) | < 0.001* | 4846(94.5) | 283(5.5) | 0.127 | 4839(94.3) | 290(5.7) | 0.015* | 4783(93.3) | 346(6.7) | 0.032* |
Cesarean section | ||||||||||||
No | 98,392(95.6) | 4578(4.4) | 97,895(95.1) | 5075(4.9) | 97,959(95.1) | 5011(4.9) | 96,842(94.0) | 6128(6.0) | ||||
Yes | 71,775(95.4) | 3490(4.6) | 0.055 | 71,326(94.8) | 3939(5.2) | 0.004* | 71,490(95) | 3775(5) | 0.151 | 70,624(93.8) | 4641(6.2) | 0.060 |
Variables in terms of the environment and inheritance | ||||||||||||
Per capita GDP | 3.62 ± 0.96a | 3.40 ± 0.82 a | < 0.001* | 3.62 ± 0.96 a | 3.51 ± 0.86 a | < 0.001* | 3.63 ± 0.96 a | 3.30 ± 0.81 a | < 0.001* | 3.62 ± 0.96 a | 3.39 ± 0.83 a | < 0.001* |
Family heredity history | ||||||||||||
No | 169,631(95.5) | 8032(4.5) | 168,693(95.0) | 8970(5.0) | 168,928(95.1) | 8735(4.9) | 166,940(94.0) | 10,723(6.0) | ||||
Yes | 536(93.7) | 36(6.3) | 0.042* | 528(92.3) | 44(7.7) | 0.004* | 521(91.1) | 51(8.9) | < 0.001* | 526(92) | 46(8) | 0.044* |