Evaluation of motor and cognitive development among infants exposed to HIV

• Published in: Early human development 2017-02, Vol.105, p.7-10
• Main Authors: da Silva, Kaitiana Martins, de Sá, Cristina dos Santos Cardoso, Carvalho, Raquel
• Format: Article
• Language: English
• Subjects: Advanced Basic Science; Anti-HIV Agents - adverse effects; Case-Control Studies; Child Development; Cognition; Female; HIV Infections - drug therapy; HIV Infections - epidemiology; HIV/AIDS; Humans; Infant; Male; Movement; Neonatal and Perinatal Medicine; Neurodevelopmental Disorders - diagnosis; Neurodevelopmental Disorders - epidemiology; Pregnancy; Prenatal Exposure Delayed Effects - diagnosis; Prenatal Exposure Delayed Effects - epidemiology; Vertical transmission
• ISSN: 0378-3782; 1872-6232
• DOI: 10.1016/j.earlhumdev.2016.12.013

Abstract This study of a prospective and cross-sectional nature compared the motor and cognitive development of HIV-exposed and unexposed infants in their first 18 months of age. 40 infants exposed to HIV and antiretroviral therapy (Experimental Group - EG) and 40 unexposed infants (Control Group - CG) participated in the study. They were divided into four age groups of 4, 8, 12 and 18 months old, with 10 infants from EG and 10 from CG in each group. The infants were evaluated once on motor and cognitive development by the Bayley Scale of Infant and Toddler Development. Performance category grading and comparisons among scaled score, composite score and percentile rank were held. There was significant group effect for scores in motor and cognitive domains showing lower scores for EG regardless of age. In comparison to the CG, the EG presented lower scores for cognitive domain at 8 and 18 months. In the performance categories, all infants were classified at or above the average for motor and cognitive development, except of one EG-18 month old infant classified as borderline for motor development. Infants exposed to HIV and antiretroviral therapy own adequate cognitive and motor development in the first 18 months. However, the lower scores found, particularly on the 8th and 18th month for cognitive development, may indicate future problems, highlighting the need for systematic follow-up of this population.