Developmental and nutritional status of internationally adopted children
Abstract
OBJECTIVES: To assess the relationship between developmental status of international adoptees at the time of entry into the United States and their nutritional status and concurrent medical problems. DESIGN: Prospective study. SETTING/PATIENTS: One hundred twenty-nine internationally adopted children attending the International Adoption Clinic at the Floating Hospital for Children, Boston, Mass, underwent detailed developmental assessments, anthropometric measurements, and medical examinations. RESULTS: The anthropometric measurements of the international adoptees were below the means for weight, height, and head circumference based on standards of the World Health Organization. Only 65 children (50%) were developmentally normal. Gross motor delays were identified in 43 children (33%), fine motor delays in 52 (40%), language delays in 23 (18%), cognitive delays in 21 (16%), and global delays in 18 (14%). The severity of delays were related to z scores for weight, height, and head circumference. The 36 children with medical problems had lower z scores compared with healthy children and were more likely to have delayed development. CONCLUSIONS: Careful developmental and growth screening of internationally adopted children at entry into the United States identifies adopted children at entry interventions and close follow-up. Longitudinal studies of internationally adopted children may provide evidence about the reversibility of growth and developmental delays, findings applicable to any environmentally deprived child.
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Previous research has found lower levels of motor proficiency to be associated with lower full scale IQ.
“Previous research has found lower levels of motor proficiency to be associated with lower full scale IQ.16”
From Motor outcomes in children exposed to early psychosocial deprivation (2014) · cites this paper as [16]
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Growth recovery in newly arrived international adoptees in Italy: relation to parenting stress
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Auxo-endocrinological features in a cohort of internationally adopted children in Italy
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Macronutrient Deprivation: Biological Mechanisms and Effects on Early NeurodevelopmentPreprint
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Children Adopted Internationally Examining Developmental Status At Arrival and Six Month Follow Up
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- Authors
- Miller, L. C.
- Affiliations
- Tufts Medical Center (US)
- Corresponding author
- Miller, Laurie C.
- Venue
- Archives of Pediatrics & Adolescent Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 1995-01-01
- Volume
- 149
- Issue
- 1
- Pages
- 40
- ISSN
- 1072-4710 (ISSN-L)
- OpenAlex
- W2055668582
- Cited by
- 118
- References
- 15
- Citations by year
- 2021: 4 · 2020: 2 · 2019: 3 · 2018: 2 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 6 · 2012: 6
- FWCI
- 17.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Pediatrics and Adolescent Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Human Health and Disease
- Keywords
- international adoption, adopted children, developmental delay, nutritional status, anthropometry, gross motor delay, fine motor delay, language delay, cognitive delay, growth screening, health problems, environmental deprivation, developmental follow-up
- MeSH terms
- Adoption, Child, Child Development, Child, Preschool, Humans, Infant, International Cooperation, Nutritional Status, Prospective Studies
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