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Twenty-year follow-up of kangaroo mother care versus traditional care

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dc.creatorCharpak, Nathaliespa
dc.creatorTessier, Rejeanspa
dc.creatorRuiz, Juan G.spa
dc.creatorHernandez, Jose Tiberiospa
dc.creatorUriza, Felipespa
dc.creatorVillegas, Julietaspa
dc.creatorNadeau, Linespa
dc.creatorMercier, Catherinespa
dc.creatorMaheu, Francoisespa
dc.creatorMarin, Jorgespa
dc.creatorCortés Cortés, Darwin
dc.creatorGallego Acevedo, Juan Miguel
dc.creatorMaldonado, Dariospa
dc.date.accessioned2020-05-25T23:57:58Z
dc.date.available2020-05-25T23:57:58Z
dc.date.created2017spa
dc.description.abstractBACKGROUND AND OBJECTIVES: Kangaroo mother care (KMC) is a multifaceted intervention for preterm and low birth weight infants and their parents. Short- and mid-term benefits of KMC on survival, neurodevelopment, breastfeeding, and the quality of mother-infant bonding were documented in a randomized controlled trial (RCT) conducted in Colombia from 1993 to 1996. The aim of the present study was to evaluate the persistence of these results in young adulthood. METHODS: From 2012 to 2014, a total of 494 (69%) of the 716 participants of the original RCT known to be alive were identified; 441 (62% of the participants in the original RCT) were re-enrolled, and results for the 264 participants weighing less than 1800 g at birth were analyzed. The KMC and control groups were compared for health status and neurologic, cognitive, and social functioning with the use of neuroimaging, neurophysiological, and behavioral tests. RESULTS: The effects of KMC at 1 year on IQ and home environment were still present 20 years later in the most fragile individuals, and KMC parents were more protective and nurturing, reflected by reduced school absenteeism and reduced hyperactivity, aggressiveness, externalization, and socio-deviant conduct of young adults. Neuroimaging showed larger volume of the left caudate nucleus in the KMC group. CONCLUSIONS: This study indicates that KMC had significant, long-lasting social and behavioral protective effects 20 years after the intervention. Coverage with this efficient and scientifically based health care intervention should be extended to the 18 million infants born each year who are candidates for the method. Copyright © 2017 by the American Academy of Pediatrics.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1542/peds.2016-2063
dc.identifier.issn314005
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22779
dc.language.isoengspa
dc.publisherAmerican Academy of Pediatricsspa
dc.relation.citationIssueNo. 1
dc.relation.citationTitlePediatrics
dc.relation.citationVolumeVol. 139
dc.relation.ispartofPediatrics, ISSN:314005, Vol.139, No.1 (2017)spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85009128745&doi=10.1542%2fpeds.2016-2063&partnerID=40&md5=329bdba4a1c2aed2e95e89c72ca975d2spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordlow birth weighteng
dc.subject.keywordAggressivenessspa
dc.subject.keywordAnthropometryspa
dc.subject.keywordArticlespa
dc.subject.keywordBehaviorspa
dc.subject.keywordBehavior assessmentspa
dc.subject.keywordBehavior disorderspa
dc.subject.keywordBrain sizespa
dc.subject.keywordCaudate nucleusspa
dc.subject.keywordChild health carespa
dc.subject.keywordCognitionspa
dc.subject.keywordComparative studyspa
dc.subject.keywordControlled studyspa
dc.subject.keywordExternalizationspa
dc.subject.keywordFemalespa
dc.subject.keywordFollow upspa
dc.subject.keywordFragile individualspa
dc.subject.keywordGestational agespa
dc.subject.keywordHealth statusspa
dc.subject.keywordHistoryspa
dc.subject.keywordHome environmentspa
dc.subject.keywordHumanspa
dc.subject.keywordHyperactivityspa
dc.subject.keywordIntelligence quotientspa
dc.subject.keywordKangaroo carespa
dc.subject.keywordLow birth weightspa
dc.subject.keywordMalespa
dc.subject.keywordMaternal stressspa
dc.subject.keywordMiscellaneous named groupsspa
dc.subject.keywordMorbidityspa
dc.subject.keywordMortalityspa
dc.subject.keywordNeuroimagingspa
dc.subject.keywordNeurophysiologyspa
dc.subject.keywordNurturing behaviorspa
dc.subject.keywordOptometryspa
dc.subject.keywordOutcome assessmentspa
dc.subject.keywordPriority journalspa
dc.subject.keywordProtective behaviorspa
dc.subject.keywordRandomized controlled trial (topic)spa
dc.subject.keywordSchool attendancespa
dc.subject.keywordSocial interactionspa
dc.subject.keywordTraditional carespa
dc.subject.keywordWork historyspa
dc.subject.keywordYoung adultspa
dc.subject.keywordYoung adulthoodspa
dc.subject.keywordAdolescentspa
dc.subject.keywordBreast feedingspa
dc.subject.keywordChildspa
dc.subject.keywordChild behavior disordersspa
dc.subject.keywordColombiaspa
dc.subject.keywordConduct disorderspa
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordInfantspa
dc.subject.keywordInfant carespa
dc.subject.keywordIntelligencespa
dc.subject.keywordKangaroo carespa
dc.subject.keywordLongitudinal studyspa
dc.subject.keywordLow birth weightspa
dc.subject.keywordMother child relationspa
dc.subject.keywordNeurodevelopmental disordersspa
dc.subject.keywordNewbornspa
dc.subject.keywordObject relationspa
dc.subject.keywordPrematurityspa
dc.subject.keywordPreschool childspa
dc.subject.keywordRandomized controlled trialspa
dc.subject.keywordSocial adaptationspa
dc.subject.keywordSurvival analysisspa
dc.subject.keywordTrendsspa
dc.subject.keywordYoung adultspa
dc.subject.keywordAdolescentspa
dc.subject.keywordBreast feedingspa
dc.subject.keywordChildspa
dc.subject.keywordChild behavior disordersspa
dc.subject.keywordChildeng
dc.subject.keywordColombiaspa
dc.subject.keywordConduct disorderspa
dc.subject.keywordCross-sectional studiesspa
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordInfantspa
dc.subject.keywordInfant carespa
dc.subject.keywordInfanteng
dc.subject.keywordInfanteng
dc.subject.keywordInfanteng
dc.subject.keywordIntelligencespa
dc.subject.keywordKangaroo-mother care methodspa
dc.subject.keywordLongitudinal studiesspa
dc.subject.keywordMalespa
dc.subject.keywordMother-child relationsspa
dc.subject.keywordNeurodevelopmental disordersspa
dc.subject.keywordObject attachmentspa
dc.subject.keywordSocial adjustmentspa
dc.subject.keywordSurvival analysisspa
dc.subject.keywordYoung adultspa
dc.titleTwenty-year follow-up of kangaroo mother care versus traditional carespa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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