Please ensure Javascript is enabled for purposes of website accessibility
ORIGINAL PAPER
Physical and psychomotor development of preterm infants using Munich Functional Developmental Diagnostics: a cross-sectional study comparing feeding methods in first year
 
More details
Hide details
1
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
 
2
Esculap Student’s Scientific Society, Jan Kochanowski University Kielce, Poland
 
 
Submission date: 2023-09-21
 
 
Final revision date: 2024-06-11
 
 
Acceptance date: 2024-07-31
 
 
Publication date: 2025-06-12
 
 
Corresponding author
Marta Młodawska
Collegium Medicum Jan Kochanowski University Kielce, Poland
 
 
Medical Studies 2025;41(3):233-242
 
KEYWORDS
TOPICS
ABSTRACT
Introduction::
Newborns born prematurely due to the loss of optimal developmental conditions provided by the mother’s body are at risk of impaired physical and psychomotor development. In order to optimize external conditions, we are searching for an optimal feeding method for this group of children.

Aim of the research::
This study investigated the impact of feeding methods on the physical and psychomotor development of 210 moderate to late preterm infants (32–36 6/7 weeks of gestation) at 12 months of age, and their ability to match full-term newborns’ development.

Material and methods::
Infants were divided into two groups based on the feeding method: breastfeeding (n = 91) and formula feeding (n = 119). Measures included obstetric and neonatal risk factors, MFDD (Munich Functional Developmental Diagnostics) scores, and anthropometric data. Comparative analysis was conducted using a full-term infant database.

Results and conclusions::
Among children born prematurely (32–36 6/7 weeks of gestation), during the neurological examination at 12 months of age, there was no statistically significant difference in the individual axes of the MFDD scale between breastfeeding and formula-feeding children. There were also no differences in physical development between the groups. Children born in 32–36 6/7 weeks of gestation show no differences in psychomotor development measured on the MFDD scale or differences in weight gain and head circumference at 12 months of age compared to full-term newborns.
REFERENCES (38)
1.
Młodawska M, Pazera G, Młodawski J. Development of a preterm baby – an overview of current knowledge. Medical Studies. 2021; 37(1): 65-69.
 
2.
Christensen N, Bruun S, Søndergaard J, Christesen HT, Fisker N, Zachariassen G, Sangild PT, Husby S. Breastfeeding and infections in early childhood: a cohort study. Pediatrics. 2020; 146(5): e20191892.
 
3.
Stiemsma LT, Michels KB. The role of the microbiome in the developmental origins of health and disease. Pediatrics. 2018; 141(4): e20172437.
 
4.
Strobel NA, Adams C, McAullay DR, Edmond KM. Mother’s own milk compared with formula milk for feeding preterm or low birth weight infants: systematic review and meta-analysis. Pediatrics. 2022; 150 (Suppl 1): e2022057092D.
 
5.
Sisk PM, Lambeth TM, Rojas MA, Lightbourne T, Barahona M, Anthony E, Auringer ST. Necrotizing enterocolitis and growth in preterm infants fed predominantly maternal milk, pasteurized donor milk, or preterm formula: a retrospective study. Am J Perinatol. 2017; 34(7): 676-683.
 
6.
Natarajan G, Shankaran S. Short- and long-term outcomes of moderate and late preterm infants. Am J Perinatol. 2016 Feb; 33(3): 305-317.
 
7.
Fenton TR, Kim JH. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatr. 2013; 13: 59.
 
8.
Pazera G, eMłodawska M, Kukulska K, Młodawski J. The assessment of psychomotor development in full-term children at 12 months of age with munich functional development diagnostics depending on the feeding method: a cross-sectional study. Pediatr Rep. 2023; 15: 381-389.
 
9.
 
10.
Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 2012; 129(3): e827-e841.
 
11.
World Health Organization. Breastfeeding. Available at: https://www.who.int/topics/bre... (Accessed on July 02, 2019).
 
12.
ACOG. Committee Opinion No. 756: Optimizing Support for Breastfeeding as Part of Obstetric Practice. Obstet Gynecol. 2018; 132(4): e187.
 
13.
Gu X, Shi X, Zhang L, Zhou Y, Cai Y, Jiang W, Zhou Q. Evidence summary of human milk fortifier in preterm infants. Transl Pediatr. 2021 Nov; 10(11): 3058-3067.
 
14.
Hellbrügge T, Pechstein J. Entwicklungsphysiologische Tabellen für Säuglingsalter. Fortschr Med. 1968; 86: 481-483, 608-609.
 
15.
Pazera G, Młodawska M, Młodawski J, Klimowska K. Principal component analysis of Munich Functional Developmental Diagnosis. Pediatr Rep. 2021; 13(2): 227-233.
 
16.
Hellbrugge T, Lajosi F, Menara D, Schamberger R, Rautenstrauch T. Monachijska Funkcjonalna Diagnostyka Rozwojowa. Fundacja ,,Promyk Słońca”, Wrocław 2014.
 
17.
Ortiz-Calderón MV, Valencia-Valencia D, Páez-Pineda OD. Longitudinal evaluation of functional neurodevelopmental diagnosis according to the Munich Method in preterm infants. Rev Salud Publica. 2017 Mar-Apr; 19(2): 161-165.
 
18.
Páez-Pineda OD, Valencia-Valencia D, Ortiz Calderón MV. Evaluating language acquisition using the Early Language Milestone (ELM) and Munich developmental scales. Rev Salud Publica (Bogota). 2014 May-Jun; 16(3): 453-461.
 
19.
Ertan AK, Tanriverdi HA, Stamm A, Jost W, Endrikat J, Schmidt W. Postnatal neuro-development of fetuses with absent end-diastolic flow in the umbilical artery and/or fetal descending. Arch Gynecol Obstet. 2012 Jun; 285(6): 1547-1552.
 
20.
Antonini U, Soldini EA, D’Apuzzo V, Brunner R, Ramelli GP. Longitudinal neurodevelopm ental evolution in children with severe non-progr essive encephalopathy. Brain Dev. 2013 Jun; 35(6): 548-554.
 
21.
Parker MG, Stellwagen LM, Noble L, Kim JH, Poindex- ter BB, Puopolo KM; Section on Breastfeeding, Committee on Nutrition, Committee on Fetus and Newborn. Promoting human milk and breastfeeding for the very low birth weight infant. Pediatrics. 2021; 148(5): e2021054272.
 
22.
Patra K, Hamilton M, Johnson TJ, Greene M, Dabrowski E, Meier PP, Patel AL. NICU human milk dose and 20-month neurodevelopmental outcome in very low birth weight infants. Neonatology. 2017; 112(4): 330-336.
 
23.
Horta BL, Loret de Mola C, Victora CG. Breastfeeding and intelligence: a systematic review and meta-analysis. Acta Paediatr. 2015; 104(467): 14-19.
 
24.
Isaacs EB, Fischl BR, Quinn BT, Chong WK, Gadian DG, Lucas A. Impact of breast milk on intelligence quotient, brain size, and white matter development. Pediatr Res. 2010; 67(4): 357-362.
 
25.
Koletzko B, Agostoni C, Carlson SE, Clandinin T, Hornstra G, Neuringer M, Uauy R, Yamashiro Y, Willatts P. Long chain polyunsaturated fatty acids (LC-PUFA) and perinatal development. Acta Paediatr. 2001 Apr; 90(4): 460-464.
 
26.
Klaus M. Mother and infant: early emotional ties. Pediatrics. 1998 Nov; 102 (5 Suppl E): 1244-1246..
 
27.
Quigley M, Embleton ND, McGuire W. Formula versus donor breast milk for feeding preterm or low birth weight infants. Cochrane Database Syst Rev. 2019; 7: CD002971.
 
28.
Boyle EM, Poulsen G, Field DJ, Kurinczuk JJ, Wolke D, Alfirevic Z, Quigley MA. Effects of gestational age at birth on health outcomes at 3 and 5 years of age: population based cohort study. BMJ. 2012; 344: e896.
 
29.
Bocca-Tjeertes IF, Kerstjens JM, Reijneveld SA, de Win- ter AF, Bos AF. Growth and predictors of growth restraint in moderately preterm children aged 0 to 4 years. Pediatrics. 2011; 128(5): e1187.
 
30.
Scharf RJ, Stroustrup A, Conaway MR, DeBoer MD. Growth and development in children born very low birthweight. Arch Dis Child Fetal Neonatal Ed. 2016 Sep; 101(5): F433-F438.
 
31.
Donath SM, Amir LH. Effect of gestation on initiation and duration of breastfeeding. Arch Dis Child Fetal Neonatal Ed. 2008; 93(6): F448-F450.
 
32.
Merewood A, Brooks D, Bauchner H, MacAuley L, Mehta SD. Maternal birthplace and breastfeeding initiation among term and preterm infants: a statewide assessment for Massachusetts. Pediatrics. 2006; 118(4): e1048.
 
33.
Teune MJ, Bakhuizen S, Gyamfi Bannerman C, Opmeer BC, van Kaam AH, van Wassenaer AG, Morris JM, Mol BW. A systematic review of severe morbidity in infants born late preterm. Am J Obstet Gynecol. 2011; 205(4): 374.e1.
 
34.
Talge NM, Holzman C, Wang J, Lucia V, Gardiner J, Breslau N. Late-preterm birth and its association with cognitive and socioemotional outcomes at 6 years of age. Pediatrics. 2010; 126(6): 1124-1131.
 
35.
Gurka MJ, LoCasale-Crouch J, Blackman JA. Long-term cognition, achievement, socioemotional, and behavioral development of healthy late-preterm infants. Arch Pediatr Adolesc Med. 2010; 164(6): 525-532.
 
36.
Harris MN, Voigt RG, Barbaresi WJ, Voge GA, Killian JM, Weaver AL, Colby CE, Carey WA, Katusic SK. ADHD and learning disabilities in former late preterm infants: a population-based birth cohort. Pediatrics. 2013 Sep; 132(3): e630-e636.
 
37.
Ni Y, Beckmann J, Gandhi R, Hurst JR, Morris JK, Mar- low N. Growth to early adulthood following extremely preterm birth: the EPICure study. Arch Dis Child Fetal Neonatal Ed. 2020; 105(5): 496-503.
 
38.
Roberts G, Cheong J, Opie G, Carse E, Davis N, Duff J, Lee KJ, Doyle L, Victorian Infant Collaborative Study Group. Growth of extremely preterm survivors from birth to 18 years of age compared with term controls. Pediatrics. 2013 Feb; 131(2): e439-e445.
 
eISSN:2300-6722
ISSN:1899-1874
Journals System - logo
Scroll to top