The interaction of social, physical and nutritive factors in triggering early developmental language delay in a sample of egyptian children

Theodor Bilharz Research Institute

Bibliographic Information

Authors: El-Din E.M.S.; Elabd M.A.; Nassar M.S.; Metwally A.M.; Abdellatif G.A.; Rabah T.M.; Shalaan A.; Shaaban S.Y.; Kandeel W.; El Etreby L.A.; Al-Tohamy M.

Journal: Open Access Macedonian Journal of Medical Sciences

Publisher: Open Access Macedonian Journal of Medical Sciences

Publication Date: 12 September 2019

Volume / Issue: Volume 7 / Issue 17

Pages: 2767–2774

ISSN: 18579655

DOI: 10.3889/oamjms.2019.642

Scopus: View on Scopus

Document Type: Article

Access: All Open Access; Gold Open Access; Green Open Access

Authors and Affiliations

El-Din E.M.S., Child Health Department, Medical Division, National Research Centre, Giza, Egypt; Elabd M.A., Child Health Department, Medical Division, National Research Centre, Giza, Egypt; Nassar M.S., Child Health Department, Medical Division, National Research Centre, Giza, Egypt; Metwally A.M., Department of Community Medicine Research, Medical Division, National Research Centre, Giza, Egypt; Abdellatif G.A., Department of Community Medicine Research, Medical Division, National Research Centre, Giza, Egypt; Rabah T.M., Department of Community Medicine Research, Medical Division, National Research Centre, Giza, Egypt; Shalaan A., Biological Anthropology Department, Medical Division, National Research Centre, Giza, Egypt; Shaaban S.Y., Pediatric Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt; Kandeel W., Biological Anthropology Department, Medical Division, National Research Centre, Giza, Egypt, Theodor Bilharz Research Institute, Imbaba, Giza, Cairo, Egypt; El Etreby L.A., Department of Community Medicine Research, Medical Division, National Research Centre, Giza, Egypt; Al-Tohamy M., Biological Anthropology Department, Medical Division, National Research Centre, Giza, Egypt

Abstract

Language acquisition and child development during the early years of life depend on multiple interacting factors. AIM: To explore potential factors that can impact language development in 2 groups of Egyptian children, one with normal language development and the second with delayed development. Also, to explore to what extent can the involvement of impaired motor development potentiate the risk of developmental language delay. METHODS: This cross-sectional case-control study involved Egyptian children belonging to the middle socioeconomic class between 18 and 36 months of age. Children were classified according to their performance on language domain of Bayley Scales of Infant and Toddler Development (Bayley-III) into two groups, infants with the average or above score (control group) and those having below-average scores (cases). Motor development was assessed on the same scale. Factors affecting language development were tested, including socio-demographic, obstetric, and maternal medical factors in addition to Infant Feeding Practices. RESULTS: The independent factors lowering the language scores were early introduction of complementary food, low family income, history of delivery problems, pregnancy-related diseases of the mother, and maternal education. Impaired motor development appears as a further highly significant risk factor to the previously mentioned factors CONCLUSION: In Egyptian children, delayed language development is severely affected by the interaction of medical, social and nutritional factors. Providing adequate maternal health care during pregnancy and childbirth, regular developmental monitoring at each child visit, and screening for such risk factors, can reduce size of the problem and promote child’s social and psychological development. © 2019 Ebtissam M. Salah El Din, Mona A. Elabd, Maysa S. Nassar, Ammal M. Metwally, Ghada A. Abdellatif, Thanaa M. Rabah, Ashraf Shalaan, Sanaa Y. Shaaban, Wafaa Kandeel, Lobna A. El Etreby, Muhammad Al-Tohamy.

Keywords

Children; Language development; Motor development; Risk factors; Article; Bayley Scales of Infant Development; breast feeding; case control study; child; controlled study; cross-sectional study; developmental delay; Egyptian; environmental factor; human; infant feeding; labor complication; language delay; language disability; major clinical study; nutritional assessment; physical examination; pregnancy; preschool child; questionnaire; risk assessment; risk factor; social interaction; social status; socioeconomics

Citation Information

Scopus Citations: 28

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