Evaluation of child development in pediatric outpatient children
DOI:
https://doi.org/10.33448/rsd-v14i9.49513Keywords:
Child development, Child care, Pediatrics, Health profile, Well-child care.Abstract
Introduction: Early childhood is crucial for child development, yet monitoring this progress is often inadequate in Primary Care. Changes are necessary to promote health and the full development of children; therefore, it is essential to highlight the prevalence of potential developmental delays and conduct epidemiological assessments to address existing gaps. Objectives: To investigate the developmental profile of children aged zero to sixty-five months attended at the pediatric sector of the Specialty Outpatient Clinic of the State University of Health Sciences of Alagoas (Ambesp/Uncisal), as well as to strengthen the culture of child healthcare in public health. Materials and Methods: Observational, descriptive, cross-sectional study with data collected through a semi-structured interview and the Survey of Well-being of Young Children questionnaire (SWYC-BR). Results: Thirty children participated in the sample; 53% exhibited developmental delays. The sample showed a predominance of males, mixed/black race/color, residents of the capital of Alagoas, and families with income up to one minimum wage. Approximately 80% received adequate prenatal care. Regarding development, infants and children also presented behavioral alterations; moreover, reading habits were largely absent, and screen time was inadequate. Conclusions: The study emphasized the prevalence of developmental delays in early childhood, highlighting the importance of appropriate monitoring and stimulation during well-child visits. The findings may guide measures to improve the health and well-being of children and their families.
References
Alves, C. R. L., Guimarães, M. P. A., & Moreira, R. S. (2021). Survey of Well-being of Young Children (SWYC-BR): Manual de aplicação e interpretação. Universidade Federal de Santa Catarina.
Araujo, L. B., Mélo, T. R., & Israel, V. L. (2017). Low birth weight, family income and paternal absence as risk factors in neuropsychomotor development. Journal of Human Growth and Development, 27(3), 272–279. https://doi.org/10.7322/jhgd.141241
Black, M. M., Walker, S. P., Fernald, L. C. H., Andersen, C. T., DiGirolamo, A. M., Lu, C., et al. (2017). Early childhood development coming of age: Science through the life course. The Lancet, 389(10064), 77–90. https://doi.org/10.1016/S0140-6736(16)31389-7
Dhamrait, G. K., Christian, H., O’Donnell, M., & Pereira, G. (2021). Gestational age and child development at school entry. Scientific Reports, 11(1), 14522. https://doi.org/10.1038/s41598-021-93780-z
Domingues-Montanari, S. (2017). Clinical and psychological effects of excessive screen time on children. Journal of Paediatrics and Child Health, 53(4), 333–338. https://doi.org/10.1111/jpc.13462
Ferreira, R. de C., Alves, C. R. L., Guimarães, M. A. P., Menezes, K. K. P. de, & Magalhães, L. de C. (2020). Effects of early interventions focused on the family in the development of children born preterm and/or at social risk: A meta-analysis. Jornal de Pediatria, 96(1), 20–38. https://doi.org/10.1016/j.jped.2019.05.002
Figueiras, A. C. (2005). Monitoring child development in the IMCI context. Pan American Health Organization.
Fuentefria, R. do N., Silveira, R. C., & Procianoy, R. S. (2017). Motor development of preterm infants assessed by the Alberta Infant Motor Scale: Systematic review article. Jornal de Pediatria, 93(4), 328–342. https://doi.org/10.1016/j.jped.2016.08.005
Geng, F., Botdorf, M., & Riggins, T. (2021). How behavior shapes the brain and the brain shapes behavior: Insights from memory development. The Journal of Neuroscience, 41(5), 981–990. https://doi.org/10.1523/JNEUROSCI.0725-20.2020
Grantham-McGregor, S., Cheung, Y. B., Cueto, S., Glewwe, P., Richter, L., & Strupp, B. (2007). Developmental potential in the first 5 years for children in developing countries. The Lancet, 369(9555), 60–70. https://doi.org/10.1016/S0140-6736(07)60032-4
Heffler, K. F., Sienko, D. M., Subedi, K., McCann, K. A., & Bennett, D. S. (2020). Association of early-life social and digital media experiences with development of autism spectrum disorder–like symptoms. JAMA Pediatrics, 174(7), 690–698. https://doi.org/10.1001/jamapediatrics.2020.0230
Iyer, S. N., Dawson, M. Z., Sawyer, M. I., Abdullah, N., Saju, L., & Needlman, R. D. (2017). Added value of early literacy screening in preschool children. Clinical Pediatrics, 56(10), 959–963. https://doi.org/10.1177/0009922817691826
Lima, M., Eickmann, S., Lima, A., Guerra, M., Lira, P., Huttly, S., et al. (2004). Determinants of mental and motor development at 12 months in a low income population: A cohort study in northeast Brazil. Acta Paediatrica, 93(7), 969–975. https://doi.org/10.1111/j.1651-2227.2004.tb03033.x
Liu, X., Behrman, J. R., Stein, A. D., Adair, L. S., Bhargava, S. K., Borja, J. B., et al. (2017). Prenatal care and child growth and schooling in four low- and medium-income countries. PLoS ONE, 12(2), e0171299. https://doi.org/10.1371/journal.pone.0171299
Manole. (2022). Tratado de pediatria (5ª ed.). Manole.
Ministério da Saúde. (2022). Nota técnica nº 13/2022-SAPS/MS: Proporção de gestantes com pelo menos 6 (seis) consultas pré-natal realizadas, sendo a 1ª até a 12ª semana de gestação. Ministério da Saúde.
Ministério da Saúde. (2023). Caderneta da criança: Passaporte da cidadania (5ª ed.). Ministério da Saúde.
Mohammed, S., Afaya, A., & Abukari, A. S. (2023). Reading, singing, and storytelling: The impact of caregiver-child interaction and child access to books and preschool on early childhood development in Ghana. Scientific Reports, 13(1), 13751. https://doi.org/10.1038/s41598-023-40953-1
Nelson, W. (2023). Nelson tratado de pediatria (20ª ed.). Elsevier.
Neves, K. da R., Morais, R. L. de S., Teixeira, R. A., & Pinto, P. A. F. (2016). Growth and development and their environmental and biological determinants. Jornal de Pediatria, 92(3), 241–250. https://doi.org/10.1016/j.jped.2015.09.007
Oliveira, C. V. R. de, Palombo, C. N. T., Toriyama, Á. T. M., Veríssimo, M. de L. Ó. R., Castro, M. C. de, & Fujimori, E. (2019). Desigualdades em saúde: O desenvolvimento infantil nos diferentes grupos sociais. Revista da Escola de Enfermagem da USP, 53, e03448. https://doi.org/10.1590/S1980-220X2018001103448
Paiva, G. S. de, Lima, A. C. V. M. de S., Lima, M. de C., & Eickmann, S. H. (2010). The effect of poverty on developmental screening scores among infants. São Paulo Medical Journal, 128(5), 276–283. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802010000500007
Pedrosa, N. C. C. E., & Oliveira, C. A. de. (2021). Determinantes sociais de saúde que permeiam o sofrimento mental de crianças na fronteira franco-brasileira. [Trabalho acadêmico não publicado].
Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [free ebook]. Santa Maria. Editora da UFSM.
Perrin, E., Sheldrick, C., Visco, Z., & Mattern, K. B. (n.d.). The Survey of Well-being of Young Children (SWYC) user’s manual [Manual]. http://www.theSWYC.org
Silva, Â. C. D. da, Engstrom, E. M., & Miranda, C. T. de. (2015). Fatores associados ao desenvolvimento neuropsicomotor em crianças de 6-18 meses de vida inseridas em creches públicas do Município de João Pessoa, Paraíba, Brasil. Cadernos de Saúde Pública, 31(9), 1881–1893. https://doi.org/10.1590/0102-311X00012215
Shitsuka, R. et al. (2014). Matemática fundamental para tecnologia. (2.ed). Editora Érica.
Sousa, A. F. de, Claro, M. de L., & Rondó, P. H. C. (2022). Screening for neuropsychomotor and social-emotional development in children under 24 months of age in the Brazilian semi-arid region. Revista Paulista de Pediatria, 40, e2020487. https://doi.org/10.1590/1984-0462/2022/40/2020487
Sun, J., Liu, Y., Chen, E. E., Rao, N., & Liu, H. (2016). Factors related to parents’ engagement in cognitive and socio-emotional caregiving in developing countries: Results from Multiple Indicator Cluster Survey 3. Early Childhood Research Quarterly, 36, 21–31. https://doi.org/10.1016/j.ecresq.2015.12.001
Vieira, S. (2021). Introdução à bioestatistica. Editora GEN/Guanabara Koogan.
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). Strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. BMJ, 335(7624), 806–808. https://doi.org/10.1136/bmj.39335.541782.AD
Walker, S. P., Wachs, T. D., Meeks Gardner, J., Lozoff, B., Wasserman, G. A., Pollitt, E., et al. (2007). Child development: Risk factors for adverse outcomes in developing countries. The Lancet, 369(9556), 145–157. https://doi.org/10.1016/S0140-6736(07)60076-2
Zelkowitz, P., & Doutora, E. E. (2017). Prematuridade e seu impacto sobre o desenvolvimento psicossocial e emocional da criança [Relatório técnico]. Portal de Boas Práticas. https://portaldeboaspraticas.iff.fiocruz.br/wp-content/uploads/2021/04/prematuridade-e-seu-impacto-sobre-o-desenvolvimento-psicossocial-e-emocional-da-crianca.pdf
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Leticia Oliveira Souza Santos, Nivia Lavinia Chagas Pereira, Marina Rodrigues Martins, Wanessa Santos Marinho, Sthefany Toledo Gonçalo, Patrícia Costa Alves Pinto, Milton Vieira Costa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
