Cited by 118Child Welfare and AdoptionChild Nutrition and Water AccessHuman Health and Disease

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Developmental and Nutritional Status of Internationally Adopted Children

Miller, Laurie C.·1995·Archives of Pediatrics & Adolescent Medicine

DOI 10.1001/archpedi.1995.02170130042009

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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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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)
DOI: 10.1001/archpedi.1995.02170130042009
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 › Sociology and Political Science › 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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Developmental and Nutritional Status of Internationally Adopted Children

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