Jornal de pediatria最新文献

{"title":"Brain imaging in children referred to pediatric neurology out-patients with headache","authors":"Emine Ergül Sarı ,&nbsp;Gonca Bektaş ,&nbsp;Figen Palabıyik ,&nbsp;Sadık Sami Hatipoğlu","doi":"10.1016/j.jped.2024.11.005","DOIUrl":"10.1016/j.jped.2024.11.005","url":null,"abstract":"<div><h3>Objective</h3><div>Headaches are common in children and adolescents as well as in adults. Due to the fact that the primary medical concern for children presenting with headache complaints is the possibility of intracranial pathology, nowadays, imaging methods are frequently used in those patients.</div></div><div><h3>Methods</h3><div>Retrospective data analysis was performed on the records of children who attended the Pediatric Neurology Outpatient Clinic between June 01, 2018, and December 01, 2018, complaining of headaches. Children who had a headache for longer than four weeks and had brain magnetic resonance imaging were included in the study. Brain MRI findings were classified as (1) headache-related and requiring definitive intervention, (2) possibly headache-related abnormalities, (3) headache-related abnormalities that did not require intervention, and (4) normal.</div></div><div><h3>Results</h3><div>The 387 patients included in the study were between the ages of 2 and 17, with a median age of 10.5 years. Of the patients, 234 were female and 153 were male. The duration of the headache was a median of 12 months. According to brain MRI findings, 253 patients (65%) were in group 4, 79 patients (20%) were in group 2, 54 patients (14%) were in group 3, and 1 patient (0.3%) was in group 1.</div></div><div><h3>Conclusion</h3><div>The probability of detecting significant abnormalities with brain MRI in children with chronic headaches with normal neurological examination is found to be low. Imaging methods should be kept in mind that they may be useful in diagnosis in selected cases.</div></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":"101 3","pages":"Pages 356-361"},"PeriodicalIF":2.8,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Height and weight reference charts for Brazilians with intellectual disabilities aged 7–17","authors":"Adriana Nascimento de Souza ,&nbsp;Fabio Bertapelli ,&nbsp;Gil Guerra-Junior","doi":"10.1016/j.jped.2024.11.004","DOIUrl":"10.1016/j.jped.2024.11.004","url":null,"abstract":"<div><h3>Objective</h3><div>It was to develop smoothed height and weight percentiles for boys and girls with IDs between 7 and 17 years old.</div></div><div><h3>Methods</h3><div>The sample consisted of 1,047 young people (645 boys and 402 girls; 7–17 years old) with ID. A total of 4,059 measurements (height: <em>n</em> = 2,041; weight: <em>n</em> = 2,018) were retrospectively obtained from the period between 2013 and 2018. Smoothed height and weight percentiles were developed using the LMS method. Local and global diagnosis of percentiles were evaluated with Q statistics and detrended Q-Q plots.</div></div><div><h3>Results</h3><div>Percentiles (5, 10, 25, 50, 75, 90, and 95) for height-to-age and weight-to-age were developed with satisfactory modeling in boys and girls between 7 and 17 years old. Boys showed a linear trend in height up to 11 or 12 years old, an increment from 13 to 15 years old and a deceleration from 15 or 16 years old. For the girls, height was linear between the ages of 7 and 11, followed by a deceleration from the age of 12 and without substantial changes from the ages of 15 to 17. Regarding weight, girls showed a linear trend of weight gain until the age of 13 and deceleration at the age of 14 or 15. Boys, however, showed a linear tendency to gain weight from 7 to 17 years old.</div></div><div><h3>Conclusion</h3><div>The height and weight percentiles developed in this study can help monitor the growth of young people with ID.</div></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":"101 2","pages":"Pages 269-275"},"PeriodicalIF":2.8,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Direct oral provocation test with beta-lactams in Brazilian children and adolescents","authors":"Nathália Mota Gomes de Almeida ,&nbsp;Mara Morelo Rocha Felix ,&nbsp;Maria Inês Perelló Lopes Ferreira ,&nbsp;Fábio Chigres Kuschnir","doi":"10.1016/j.jped.2024.11.003","DOIUrl":"10.1016/j.jped.2024.11.003","url":null,"abstract":"<div><h3>Objective</h3><div>Beta-lactam (BL) allergy is considered a public health issue worldwide. To date, there is no consistent data on the direct Oral Provocation Test (OPT) for BL in Brazilian children and adolescents. This study's main objective is to describe the safety profile of direct OPT in this population.</div></div><div><h3>Method</h3><div>A cross-sectional study was conducted with patients aged 1 to 17 years with a history of mild immediate or delayed reactions to penicillin. The European Network of Drug Allergy (ENDA) questionnaire was used. The authors performed OPTs with amoxicillin over five days. Continuous variables were described using their means and standard deviations. Bivariate analysis between test positivity and other study variables was performed using the Chi-square test, odds ratio, and their respective 95 % confidence intervals (CI 95 %). A <em>p</em>-value &lt; 0.05 was considered significant.</div></div><div><h3>Results</h3><div>In total, 54 OPTs were performed, four were positive (7.5 %) and one was considered inconclusive. All reactors were boys and had delayed reactions, with no severe reactions, and three showed symptoms on the first day of testing.</div></div><div><h3>Conclusion</h3><div>&gt;90 % of the sample was delabeled as allergic to BL. There were no severe reactions, confirming the safety of direct OPT in this age group. Among the reactors, 3 patients presented symptoms on the first day of testing before receiving the second dose and one had symptoms on 5 days, indicating that further studies are needed on the optimal duration of the OPT.</div></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":"101 3","pages":"Pages 381-387"},"PeriodicalIF":2.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early onset sepsis: clinical observation or risk factors approach?","authors":"Sofia Romay Oliveira,&nbsp;Cintia Lopes,&nbsp;Alana Beatriz Coelho Basilio","doi":"10.1016/j.jped.2024.10.007","DOIUrl":"10.1016/j.jped.2024.10.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the perinatal risk factors approach for early-onset sepsis (EOS), which is based on categorical risk stratification, with the clinical observation-based approach, evaluating their impact on laboratory testing frequency, the use of antibiotic therapy, and EOS incidence.</div></div><div><h3>Methods</h3><div>Retrospective observational study, conducted from November 2021 to March 2022. Newborns (NB) at 34 wk of age were included and clinical data from prenatal care, birth, hospitalization, and laboratory tests were evaluated.</div></div><div><h3>Results</h3><div>Sample of 1,086 newborns. Ninety-seven NB (8.9 %) underwent infectious screening in the clinical observation approach versus 279 (26.5 %) in the perinatal risk factors approach, which represents a 65.2 % decrease in the clinical observation approach (<em>p</em> &lt; 0.01). Under the perinatal risk factors approach, 35 (3.2 %) of NBs received empirical antibiotic therapy for EOS, versus only 22 (2.0 %) in the clinical observation approach, which would be a 37.1 % decrease in the clinical observation strategy (<em>p</em> &lt; 0.01). We found no difference in the incidence of culture-confirmed EOS.</div></div><div><h3>Conclusion</h3><div>The clinical observation approach, when compared to the perinatal risk factors approach, reduces laboratory testing and the use of antibiotic therapy, with no impact on the incidence of EOS. Further research is required to determine the best way to systematize serial examinations of NB's and which symptoms would be the best predictors of EOS.</div></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":"101 3","pages":"Pages 375-380"},"PeriodicalIF":2.8,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with the dietary patterns of Brazilian adolescents: analysis of the National Survey of School Health","authors":"Alanna Gomes da Silva ,&nbsp;Thales Philipe Rodrigues da Silva ,&nbsp;Deborah Carvalho Malta","doi":"10.1016/j.jped.2024.09.006","DOIUrl":"10.1016/j.jped.2024.09.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify the dietary patterns of Brazilian adolescents and to verify their associated factors.</div></div><div><h3>Methods</h3><div>Cross-sectional study with data from the 2019 National Survey of School Health. Students aged 13 to 17 participated in the survey, totaling a sample of 125,123 adolescents. The variables were divided into two groups: healthy and unhealthy diet. Principal component analysis was used to identify the dietary patterns. To evaluate the association, logistic regression was used, estimated by the Odds Ratio, with the respective 95 % confidence intervals.</div></div><div><h3>Results</h3><div>Two main components were identified: first related to regular consumption of fruits, vegetables, and beans; the second related to non-regular consumption of sweet treats, soft drinks, and fast food. The highest likelihood of regularly consuming the first was observed among adolescents residing in the Central-West and Southeast regions, with higher maternal education, who abstained from alcohol, engaged in physical activity, were not sedentary, ate breakfast, had lunch or dinner with their parents, refrained from eating while engaging in other activities, and participated in school meal programs. The lowest likelihood of not regularly consuming the second was found among male adolescents aged 16 to 17, attending public schools, who abstained from alcohol, and were not sedentary.</div></div><div><h3>Conclusions</h3><div>This study identified two dietary patterns, both linked to socioeconomic factors and healthy lifestyle habits. Recognizing these patterns among adolescents enables health surveillance efforts aimed at reducing diseases and health problems.</div></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":"101 2","pages":"Pages 247-254"},"PeriodicalIF":2.8,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural barriers and facilitators of the parents for human papillomavirus (HPV) vaccination uptake by their daughters: A systematic review","authors":"Noor Shuhada Salleh ,&nbsp;Khatijah Lim Abdullah ,&nbsp;Heng Yee Chow","doi":"10.1016/j.jped.2024.07.012","DOIUrl":"10.1016/j.jped.2024.07.012","url":null,"abstract":"<div><h3>Objective</h3><div>There is a pressing need for public health practitioners to understand cultural values influencing parents on the uptake of human papillomavirus (HPV) vaccination for their daughters, which is presenting a growing challenge to close the immunization gap worldwide. Parental decisions were predominantly shaped by cultural norms and values. This systematic review encompasses parental perspectives on the influence of cultural values on the uptake of HPV vaccination by their daughters.</div></div><div><h3>Method</h3><div>This systematic review was registered on PROSPERO CRD42020211324. Eligible articles were selected from CINAHL, PsycINFO, EMBASE, PubMed and Science Direct. Original qualitative studies exploring parental perspectives on the influence of cultural values on the uptake of HPV vaccination by their daughters under the age of 18, published in the English language with no restriction dates were reviewed. Two authors independently screened abstracts, conducted the fill-text review, extracted information using a standardized form, and assessed study quality. A third author is needed to resolve the disagreements if necessary.</div></div><div><h3>Results</h3><div>Of the 1552 citations, 22 were included, with information on 639 parents. Five themes emerged from the data: sexuality-related concerns; upbringing and moral values; obligation to protect; external influences; and vaccine-related concerns.</div></div><div><h3>Conclusion</h3><div>This systematic review is beneficial to identify and understand the culturally related facilitators and barriers to HPV vaccination among young women for the development of strategies to optimize HPV vaccine coverage among this population group by the policymakers.</div></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":"101 2","pages":"Pages 133-149"},"PeriodicalIF":2.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An analysis of the remission phase in type 1 diabetes within a multiethnic Brazilian sample","authors":"Maria E.N. Ramos ,&nbsp;Isabella S. Leão ,&nbsp;Joana R.D. Vezzani ,&nbsp;Ludmila N.R. Campos ,&nbsp;Jorge L. Luescher ,&nbsp;Renata S. Berardo ,&nbsp;Lenita Zajdenverg ,&nbsp;Melanie Rodacki","doi":"10.1016/j.jped.2024.09.005","DOIUrl":"10.1016/j.jped.2024.09.005","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the frequency and potential influencing factors of the remission phase (RP) in Type 1 Diabetes (T1D) as well as the associations between various criteria used for its definition.</div></div><div><h3>Methods</h3><div>This was a retrospective cohort study based on data collected from medical records. Three criteria were used to evaluate RP: (1) Glycated hemoglobin (HbA1c) &lt; 7.5 % with an insulin dose &lt; 0.5 U/Kg/day, (2) HbA1c &lt; 7 % with an insulin dose &lt; 0.5 U/Kg/day, and (3) Insulin Dose Adjusted A1c (IDAA1c) ≤ 9, calculated as IDAA1c = HbA1c (%) + [4 x insulin dose (U/Kg/day)]. <em>Statistical analyses included</em> the Mann-Whitney U Test, Chi-Square Test, and Spearman Correlation.</div></div><div><h3>Results</h3><div>The sample <em>consisted of</em> 144 T1D patients, with a mean age of 26.22 ± 8.30 years and a mean age of onset of 13.30 ± 8.50 years. Of these, 52.9 % were female, 60.3 % were Caucasoid, and 31 % experienced diabetic ketoacidosis (DKA) at disease onset. One year after diagnosis, the occurrence of RP ranged from 27.2 % to 46.8 %, depending on the criteria used. Three patients experienced RP even after seven years, according to criterion 3. No association was found between RP and age, DKA, or pubertal status at onset. The three RP criteria were highly associated with each other (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>A significant proportion of patients in this sample experienced RP within 12 months of diagnosis. The three criteria for defining RP were strongly associated, indicating their reliability in both clinical and research contexts.</div></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":"101 2","pages":"Pages 167-171"},"PeriodicalIF":2.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatrics ACES and related life event screener (PEARLS): translation, transcultural adaptation, and validation to Brazilian Portuguese","authors":"Luciana Cristina Mancio Balico ,&nbsp;Neeta Thakur ,&nbsp;Dayna Long ,&nbsp;Emerson Rodrigues da Silva ,&nbsp;Vandrea Carla de Souza","doi":"10.1016/j.jped.2024.10.003","DOIUrl":"10.1016/j.jped.2024.10.003","url":null,"abstract":"<div><h3>Objective</h3><div>Adverse Childhood Experiences (ACEs) have been associated with negative health outcomes. Screening for ACEs is crucial for improving health results, however, there is a shortage of standardized tools designed for children in Brazilian Portuguese. This study aimed to translate, culturally adapt, and validate the Pediatrics ACES and Related Life Event Screener (PEARLS) for use in Brazil.</div></div><div><h3>Method</h3><div>The study followed a methodological design for cross-cultural adaptation and psychometric evaluation. The PEARLS was translated and culturally adapted following a methodology that includes translation, synthesis, expert committee evaluation, target audience evaluation, and back-translation. After adaptation, a pilot cross-sectional study was conducted at a Multidisciplinary Health Care Clinical Center and a General Hospital-Reference Center for Child and Adolescent Care to assess the instrument's internal consistency, convergent validity, content validity and test-retest reliability.</div></div><div><h3>Results</h3><div>The PEARLS-Br versions for Children, Teens, and Teen Self-Report were developed and subjected to pilot testing with 202 subjects. Participants demonstrated excellent comprehension, with Verbal Rating Scale median scores of 4 (IQR 4–5). Internal consistency was high, with Cronbach's alpha coefficients ranging from 0.78 to 0.81. Content validity, assessed by Kappa, indicated slight to almost perfect agreement across constructs. Test-retest reliability, assessed by Spearman's correlation coefficient, ranged from 0.89 to 0.94.</div></div><div><h3>Conclusions</h3><div>PEARLS-BR (Child, teen, and teen self-report versions) were successfully translated, culturally adapted, and validated for assessing ACEs in Brazilian children and adolescents. This tool fills a crucial gap in ACE assessment in the Brazilian context, aligning with global recommendations for screening ACEs to improve overall health outcomes.</div></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":"101 2","pages":"Pages 262-268"},"PeriodicalIF":2.8,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Growth charts of Brazilian girls with Turner syndrome without the use of GH or oxandrolone","authors":"Stela Carpini-Dantas ,&nbsp;Gil Guerra-Junior ,&nbsp;Andréa Trevas Maciel-Guerra ,&nbsp;Denise Barbieri Marmo ,&nbsp;Tarsis Paiva Vieira ,&nbsp;Carolina Paniago Lopes ,&nbsp;Maria Tereza Matias Baptista ,&nbsp;André Moreno Morcillo ,&nbsp;Sofia Helena Valente de Lemos-Marini","doi":"10.1016/j.jped.2024.09.003","DOIUrl":"10.1016/j.jped.2024.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>The development of specific growth charts for Turner Syndrome (TS) promotes adequate assessment of growth and weight gain, and earlier diagnosis of comorbidities, and may help to analyze the effectiveness of treatments to promote growth and puberty. The aim of this study was to construct a growth chart with the largest possible series of patients with a cytogenetic diagnosis of TS from a Brazilian reference center.</div></div><div><h3>Methods</h3><div>This is a longitudinal study, with 259 cases of TS born between 1957 and 2014 and followed between 1975 and 2019, without the use of GH or oxandrolone. 3,160 height measurements and 2,918 wt measurements were used, with subsequent calculation of the Body Mass Index (BMI). For data analysis, the “GAMLSS” package of the “R” software was used.</div></div><div><h3>Results</h3><div>The mean target height was 157.8 cm (standard deviation 5.2; median 160.4 cm). The mean height of patients with TS at 20 years of age was 145.6 cm (standard deviation 5.9; median 146.7 cm). Height, weight, and BMI by age graphs were developed for TS girls between 2 and 20 years.</div></div><div><h3>Conclusion</h3><div>These growth charts may be used to monitor the growth of girls with TS and to verify the effect of adjuvant treatments on promoting growth.</div></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":"101 2","pages":"Pages 231-237"},"PeriodicalIF":2.8,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142566922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of sleep duration on child development in Fortaleza, Northeastern Brazil","authors":"Shamyr Sulyvan Castro ,&nbsp;Marcia Maria Tavares Machado ,&nbsp;Luciano Lima Correia ,&nbsp;Simone Farias-Antúnez ,&nbsp;Pedro Lucas Grangeiro de Sá Barreto Lima ,&nbsp;Sophia Costa Vasconcelos ,&nbsp;Elisa Rachel Pisani Altafim ,&nbsp;Marcia C. Castro","doi":"10.1016/j.jped.2024.09.002","DOIUrl":"10.1016/j.jped.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>The present study's objective is to assess whether sleep duration affects Early Childhood Development (ECD). A prospective cohort study was carried out with 278 mother-child dyads in the city of Fortaleza, northeastern Brazil, with data collection every 6 months.</div></div><div><h3>Method</h3><div>The data used in this study are from the third (18 months) and fourth (24 months) survey waves. Information on sleep duration was collected using the Brief Infant Sleep Questionnaire (BISQ) and information on ECD using the Caregiver Reported Early Development Instrument (CREDI). Crude and adjusted regression models were run for each CREDI domain as an outcome with 5 % significance.</div></div><div><h3>Results</h3><div>The authors found that after adjusting for maternal age and schooling, family income, and the presence of other children in the house, night sleep duration was associated with better ECD scores (cognitive: coef. 0.14; 95 % CI 0.04,0.24; language: coef. 0.10; 95 % CI 0.01,0.19; motor: coef. 0.10; 95 % CI 0.03,0.18; socio-emotional: coef. 0.16; 95 % CI 0.06,0.25; overall: coef. 0.14; 95 % CI 0.04,0.24), and the time awake at night associated with worse scores (cognitive: coef. -0.12; 95 % CI -0.23,0.02; motor: coef. -0.09; 95 % CI -0.17,-0.01; socio-emotional: coef. -0.11; 95 % CI -0.21,-0.01; overall: coef. -0.11; 95 % CI -0.21,-0.01).</div></div><div><h3>Conclusions</h3><div>Nocturnal sleep duration affects ECD as expressed in all CREDI scores (cognitive, language, motor, social-emotional, and overall).</div></div>","PeriodicalId":14867,"journal":{"name":"Jornal de pediatria","volume":"101 2","pages":"Pages 238-246"},"PeriodicalIF":2.8,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}