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      Different intrauterine environments and children motor development in the first 6 months of life: a prospective longitudinal cohort

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          Abstract

          This prospective cohort longitudinal study examines the risk factors associated with different intrauterine environments and the influence of different intrauterine environments on children’s motor development at 3- and 6-months of life. Participants were 346 mother/newborn dyads enrolled in the first 24 to 48 h after delivery in public hospitals. Four groups with no concurrent condition composed the sample: mothers with a clinical diagnosis of diabetes, mothers with newborns small for gestational age due to idiopathic intrauterine growth restriction (IUGR), mothers who smoked tobacco during gestation, and a control group composed of mothers without clinical condition. Children were assessed at three- and six-months regarding motor development, weight, length, head circumference, and parents completed a socioeconomic questionnaire. The IUGR children had lower supine, sitting, and overall gross motor scores at 6 months than the other children’s groups. Anthropometric and sociodemographic characteristics negatively influenced gross motor development. IUGR and anthropometric and sociodemographic characteristics negatively impact motor development. Intrauterine environment impact child neurodevelopment.

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          Most cited references58

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          Longitudinal data analysis using generalized linear models

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            WHO Child Growth Standards based on length/height, weight and age

            To describe the methods used to construct the WHO Child Growth Standards based on length/height, weight and age, and to present resulting growth charts.
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              The Pathophysiology of Gestational Diabetes Mellitus

              Gestational diabetes mellitus (GDM) is a serious pregnancy complication, in which women without previously diagnosed diabetes develop chronic hyperglycemia during gestation. In most cases, this hyperglycemia is the result of impaired glucose tolerance due to pancreatic β-cell dysfunction on a background of chronic insulin resistance. Risk factors for GDM include overweight and obesity, advanced maternal age, and a family history or any form of diabetes. Consequences of GDM include increased risk of maternal cardiovascular disease and type 2 diabetes and macrosomia and birth complications in the infant. There is also a longer-term risk of obesity, type 2 diabetes, and cardiovascular disease in the child. GDM affects approximately 16.5% of pregnancies worldwide, and this number is set to increase with the escalating obesity epidemic. While several management strategies exist—including insulin and lifestyle interventions—there is not yet a cure or an efficacious prevention strategy. One reason for this is that the molecular mechanisms underlying GDM are poorly defined. This review discusses what is known about the pathophysiology of GDM, and where there are gaps in the literature that warrant further exploration.
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                Author and article information

                Contributors
                cw.andressa@gmail.com
                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                26 June 2023
                26 June 2023
                2023
                : 13
                : 10325
                Affiliations
                [1 ]GRID grid.8532.c, ISNI 0000 0001 2200 7498, Programa de Pós-Graduação em Saúde da Criança e do Adolescente, , Universidade Federal do Rio Grande do Sul (UFRGS), ; Ramiro Barcelos, 2400, Santa Cecília, Porto Alegre, RS 90035-903 Brazil
                [2 ]GRID grid.414449.8, ISNI 0000 0001 0125 3761, Hospital de Clínicas de Porto Alegre (HCPA), ; Porto Alegre, RS Brazil
                [3 ]GRID grid.8532.c, ISNI 0000 0001 2200 7498, Programa de Pós‐Graduação em Ciências do Movimento Humano, , Universidade Federal do Rio Grande do Sul (UFRGS), ; Porto Alegre, RS Brazil
                [4 ]GRID grid.8532.c, ISNI 0000 0001 2200 7498, Escola de Educação Física, Fisioterapia e Dança, , Universidade Federal do Rio Grande do Sul (UFRGS), ; Porto Alegre, RS Brazil
                [5 ]GRID grid.8532.c, ISNI 0000 0001 2200 7498, Faculdade de Medicina, Departamento de Pediatria, , Universidade Federal do Rio Grande do Sul (UFRGS), ; Porto Alegre, RS Brazil
                [6 ]GRID grid.414449.8, ISNI 0000 0001 0125 3761, Serviço de Pediatria, , Hospital de Clínicas de Porto Alegre (HCPA), ; Porto Alegre, RS Brazil
                [7 ]GRID grid.8532.c, ISNI 0000 0001 2200 7498, Faculdade de Medicina, Departamento de Nutrição, , Universidade Federal do Rio Grande do Sul (UFRGS), ; Porto Alegre, RS Brazil
                [8 ]GRID grid.414449.8, ISNI 0000 0001 0125 3761, Serviço de Nutrição e Dietética, , Hospital de Clínicas de Porto Alegre (HCPA), ; Porto Alegre, RS Brazil
                Article
                36626
                10.1038/s41598-023-36626-y
                10293270
                37365232
                428e16d4-13e8-4417-8149-7212d91a5383
                © The Author(s) 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 28 June 2022
                : 7 June 2023
                Categories
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                © Springer Nature Limited 2023

                Uncategorized
                risk factors,intrauterine growth,paediatric research,neurodevelopmental disorders

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