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Motor performance of infants attending the nurseries of public day care centers

OBJECTIVE: To analyze gross, fine and global motor performance and its correlation with neonatal and familial variables and day care exposure among children between 12-24 months of age attending public day care centers. METHODS: This cross-sectional study evaluated 40 infants (mean age 14.3±2.4 months) attending public day care centers. The Bayley Scales of Infant and Toddler Development-III test was used to assess motor performance and to allow comparison between gross and fine domains of motor development. Neonatal, familial and day care center exposure data were collected and correlated with motor performance. Paired t-tests for mean comparisons and Pearson correlation were used. RESULTS: Motor performance of the studied group was below the average mean. The prevalence of suspected delays in gross and global motor performance was 22.5%, in contrast to none in fine motor performance. There was a significant difference between fine and gross motor performance, with the latter displaying lower scores; 35% of the group showed significant discrepancies between these areas. No correlation was found between the motor categories, neonatal and familial characteristics, and day care center exposure variables. CONCLUSIONS: The infants' global motor development fell below the average mean, with a delay in gross motor development and a relevant discrepancy between motor domains. This study suggests that attention should be given to gross motor skills and opportunities for exploration the environment in day care centers, especially during the first two years of life.

child day care centers; infant; child development


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