Automatic assessment of infant carrying and holding using at-home wearable recordings

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Feb. 28, 2024

Abstract Assessing infant carrying and holding (C/H), or physical infant-caregiver interaction, is important for a wide range of contexts in development research. An automated detection quantification C/H particularly needed long term at-home studies where infants’ neurobehavior measured using wearable devices. Here, we first developed phenomenological categorization interactions to support five different definitions behaviors. Then, trained assessed deep learning-based classifiers their automatic from multi-sensor recordings that were originally used mobile assessment motor development. Our results show an feasible at few-second temporal accuracy. With the best definition, detector shows 96% accuracy 0.56 kappa, which slightly less than video-based inter-rater agreement between human experts (98% accuracy, 0.77 kappa). The classifier performance varies with definition reflecting extent movements are present each variant. A systematic benchmarking experiment widely actigraphy-based method ignores normally occurring Finally, proof-of-concept utility novel studying behavior across Particularly, matching detections individuals’ gross ability discloses insights infant-parent interaction.

Language: Английский

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Early-childhood body mass index and its association with the COVID-19 pandemic, containment measures and islet autoimmunity in children with increased risk for type 1 diabetes

Diabetologia, Journal Year: 2024, Volume and Issue: 67(4), P. 670 - 678

Published: Jan. 12, 2024

Abstract Aims/hypothesis The aim of this study was to determine whether BMI in early childhood affected by the COVID-19 pandemic and containment measures, it associated with risk for islet autoimmunity. Methods Between February 2018 May 2023, data on autoimmunity were collected from 1050 children enrolled Primary Oral Insulin Trial, aged 4.0 months 5.5 years age. start defined as 18 March 2020, a stringency index used assess measures. Islet either development persistent confirmed multiple autoantibodies, or one more autoantibodies type 1 diabetes. Multivariate linear mixed-effect, logistic regression methods applied effect early-childhood measurements (BMI time-varying variable, at 9 age overweight age), Cox proportional hazard models risk. Results increased ( β = 0.39; 95% CI 0.30, 0.47) 0.44; 0.03, 0.84). During pandemic, higher positively 0.02; 0.00, 0.04 per 10 units increase), 0.13; 0.01, 0.25) 0.23; 0.43). A age-corrected developing up (HR 1.16; 1.01, 1.32 HR 1.68, 1.00, 2.82, respectively). Conclusions/interpretation Early-childhood during influenced level restrictions pandemic. Controlling elevated genetic susceptibility Graphical

Language: Английский

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Development and psychometric validation of a clinical instrument for infant feeding and lifestyle evaluation

Journal of Pediatric Gastroenterology and Nutrition, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 11, 2025

Abstract Objective There is an absence of a comprehensive clinical instrument to assess and track the development non‐ideal feeding practices lifestyle behaviours in early childhood. Our primary aim was develop validate assessment instrument, called Feeding, Lifestyle, Activity Goals (FLAGs), designed serve as feeding, activity behaviour checklist for children aged 0–2 years. Methods This study took place between January May 2023. Experts evaluated content validity using criteria relevance, clarity, simplicity ambiguity, calculate item index (I‐CVI) scale CVI (S‐CVI) (acceptable cutoff ≥ 0.80). Face assessed by caregivers. Repeated assessments were also performed determine test‐retest reliability based on intra‐class correlation (ICC) > 0.75). Construct established through principal component analysis (PCA), internal consistency measured Cronbach's α coefficient 0.70). Results FLAGs consists 19 items, with I‐CVI 1.00 12 out S‐CVI average >0.90 clarity. Among 198 caregivers, 99.0% responded ‘agree’ ‘strongly agree’ clarity ambiguity; 99.5% criterion 100% simplicity. PCA showed two‐component structure (55.9% variance). Overall 0.71. Participants repeated 9 days apart, ICC 0.861 ( p < 0.001) total scores. Conclusions We have developed which assesses infant's from 0 2 years, this has been acceptable reliability.

Language: Английский

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Breaking the cycle: Psychological and social dimensions of pediatric functional gastrointestinal disorders

World Journal of Clinical Pediatrics, Journal Year: 2025, Volume and Issue: 14(2)

Published: March 18, 2025

BACKGROUND Functional gastrointestinal disorders (FGIDs) in children present with chronic symptoms like abdominal pain, diarrhea, and constipation without identifiable structural abnormalities. These are closely linked to gut-brain axis dysfunction, altered gut microbiota, psychosocial stress, leading psychiatric comorbidities such as anxiety, depression, behavioral issues. Understanding this bidirectional relationship is crucial for developing effective, holistic management strategies that address physical mental health. AIM To examine the impacts of FGIDs children, focusing on anxiety depression their association other neurodevelopmental childhood, attention-deficit/hyperactivity disorder, emphasizing role axis, emotional dysregulation, stress. Key mechanisms explored include neurotransmitter microbiota imbalance, central sensitization, heightening stress reactivity, symptom perception. The review also evaluates family dynamics coping exacerbating FGID contributing conditions. METHODS A narrative was conducted using 328 studies sourced from PubMed, Scopus, Google Scholar, covering research published over past 20 years. Inclusion criteria focused examining diagnosis, mechanisms, comorbidities, factors pediatric populations. commonly affecting including functional constipation, irritable bowel syndrome, gastroesophageal reflux, cyclic vomiting were analyzed concerning psychological impacts. RESULTS highlights a strong connection between symptoms, mediated by dysregulated sensitization. physiological disruptions increase children’s vulnerability while - early-life trauma, maladaptive dynamics, ineffective intensify cycle distress. CONCLUSION Effective requires biopsychosocial approach integrating medical, psychological, dietary interventions. Parental education, early intervention, multidisciplinary care coordination critical mitigating long-term improving both health outcomes FGIDs.

Language: Английский

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Unveiling COVID-19 lockdowns shaped the growth of Chinese preschool children

International Journal of Obesity, Journal Year: 2025, Volume and Issue: unknown

Published: March 27, 2025

Language: Английский

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The Socio-Ecological Factors of Physical Activity Participation in Preschool-Aged Children with Disabilities

Healthcare, Journal Year: 2025, Volume and Issue: 13(9), P. 1081 - 1081

Published: May 7, 2025

Background: To effectively promote physical activity (PA) participation in preschool-aged children with disabilities (PACD), a comprehensive understanding of the associated factors is necessary. Consequently, this study aims to examine influencing PA PACD using socio-ecological model. Methods: The Disability Status Survey 2020 South Korea has been used for current study. aged below five years were selected, resulting 5825 children. Variables selected across each level model: (1) intrapersonal (child’s sex, chronic condition, disability level, perceived health), (2) interpersonal (siblings’ status, grandparents’ satisfaction number friends), (3) organizational (enrollment therapy, enrollment occupational therapy), and (4) environmental (residential area, government support). decision tree analysis was conducted chi-square automatic interaction detection multi-level PACD. Results: produced three-level model six terminal nodes. In sample, 48.4% participants reported participating PA. most common location at home, balance exercises being frequent type activity, followed by stretching. Frequent barriers regular included lack professionals who are knowledgeable about absence disability-specific programs. identified living grandparents, child’s having sibling, therapy as predictors Conclusions: This study’s strength lies its thorough examination span both levels. enhance among PACD, interventions should target these

Language: Английский

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Childhood Mediterranean Diet Adherence Is Associated with Lower Prevalence of Childhood Obesity, Specific Sociodemographic, and Lifestyle Factors: A Cross-Sectional Study in Pre-School Children

Epidemiologia, Journal Year: 2023, Volume and Issue: 5(1), P. 11 - 28

Published: Dec. 23, 2023

Background: The Mediterranean diet (MD) has been related with a decreased probability of overweight/obesity as well central obesity at all stages the human life, decreasing risk diverse disease states and improving quality life. Over last few years, prevalence childhood especially abdominal highly increased worldwide, being associated higher likelihood next life during adulthood. purpose present study was to explore relationship MD compliance sociodemographic, anthropometry lifestyle features in pre-school children aged 2–5 years old. Methods: This is cross-sectional study, which includes 5188 from regions Greece. Relevant questionnaires were applied evaluate sociodemographic enrolled children. Anthropometric parameters measured by relevant techniques. Qualified utilized for assessing several factors such physical activity, breastfeeding practices, adherence, asthma diabetes mellitus type I. Results: Of children, 41.7% showed low 36.4% them indicated moderated compliance, while only 21.9% high adherence. Overweight/obesity noted 24.2% assigned noticed 18.2% them. Higher an elevated sex (boys, p = 0.0005), Greek nationality (p 0.0088), rural residence 0.0099), < 0.0001) 0.0001), lower childbirth weight activity 0.0041), improved 0.0008), exclusive 1 0.0002). Conclusions: A adherence specific better anthropometric, beneficial However, remains or moderate vast majority Thus, future public strategies policies should be performed inform parents potential effects against chronic diseases stage their children’s lives.

Language: Английский

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Sex Differences in Physical Activity of US children at age 13 months: Child and Mother Physical Activity Study (CAMPAS)

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: June 26, 2024

Background Lower physical activity (PA) has been observed in females compared to males among preschool-aged and older children. However, the timing of when sex gap emerges is unclear. The purpose this study was investigate whether have lower PA levels than early toddler age explore gross motor competency parenting practices might explain a difference PA. Methods design cross-sectional. Participants were community-based sample 137 children aged 10–16 months residing US Midwest urban/suburban area. Participants’ mothers completed survey that contained demographic questionnaire, Ages Stages Questionnaire subscale, questionnaire. Participating wore an ActiGraph accelerometer on their hip for 7 days. Accelerometer-measured time spent moderate- vigorous intensity (MVPA; minutes/day) total (minutes/day) calculated. Multivariable linear regression analysis conducted predict MVPA by sex, competency, practices, socioeconomic status. Results Among participants (54.0% female), average 13.6 (SD = 1.7). 72 ± 25 79 26 minutes/day males, respectively (p 0.14). Total 221 48 238 47 0.04). Both PA-encouraging positively associated 0.01 p 0.02, respectively) 0.02 0.01, respectively); however, these relationships did not differ 0.11 0.89, respectively). After accounting 15 Conclusions This cross-sectional at age. Gross development child nor A longitudinal investigation should follow further narrow down differences emerge determine factors lead difference.

Language: Английский

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Sex differences in physical activity of US children at age 13 months: child and Mother Physical Activity Study (CAMPAS)

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 21, 2024

Lower physical activity (PA) has been observed in females compared to males among preschool-aged and older children. However, the timing of when sex gap emerges is unclear. The purpose this study was investigate whether have lower PA levels than early toddler age explore gross motor competency parenting practices might explain a difference PA. design cross-sectional. Participants were community-based sample 137 children aged 10–16 months residing US Midwest urban/suburban area. Participants' mothers completed survey that contained demographic questionnaire, Ages Stages Questionnaire subscale, questionnaire. Participating wore an ActiGraph accelerometer on their hip for 7 days. Accelerometer-measured time spent moderate- vigorous intensity (MVPA; minutes/day) total (minutes/day) calculated. Multivariable linear regression analysis conducted predict MVPA by sex, competency, practices, socioeconomic status. Among participants (54.0% female), average 13.6 (SD = 1.7). 72 ± 25 79 26 min/day males, respectively (p 0.14). Total 221 48 238 47 0.04). Both PA-encouraging positively associated 0.01 p 0.02, respectively) 0.02 0.01, respectively); however, these relationships did not differ 0.11 0.89, respectively). After accounting 15 This cross-sectional at age. Gross development child nor A longitudinal investigation should follow further narrow down differences emerge determine factors lead difference.

Language: Английский

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Associations of childhood physical activity and screen time with cardiometabolic health in preteens who were born to mothers with previous macrosomic delivery: Findings from the ROLO longitudinal birth cohort study

Pediatric Obesity, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 3, 2024

Summary Background Macrosomia (birthweight ≥4 kg) may alter the associations of physical activity (PA) and screen time (ST) throughout childhood with later cardiometabolic risk. Objective To investigate PA ST over a 4–6‐year follow‐up period outcomes in preteens (9–11‐year‐olds) who were born to mothers previous macrosomic delivery. Methods This is an analysis 402 from ROLO study, that previously delivered infant macrosomia. Parental‐reported measures obtained early at 5‐years age. Preteen self‐reported PA, parental‐reported ST, anthropometry, dual‐energy x‐ray absorptiometry, blood pressure, heart rate, cardiorespiratory endurance, biomarkers 9–11‐years. Crude adjusted linear regression models explored interaction birthweight was investigated all models. Results Early 5‐year not related preteen outcomes. In models, higher associated lower sum skinfolds ( B = −3.00, 95% CI −5.98, −0.02, p 0.048) endurance 0.50, 0.20, 0.80, 0.001) same point. No strong evidence for modification by found. Conclusion Higher have potential benefits health, irrespective birthweight.

Language: Английский

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