Developmental and Nutritional Status of Internationally Adopted Children

doi:10.1001/archpedi.1995.02170130042009

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Vol. 149 No. 1, January 1995

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Developmental and Nutritional Status of Internationally Adopted Children

Laurie C. Miller, MD; Marybeth T. Kiernan, MS, OTR; Michele I. Mathers, OTR; Marisa Klein-Gitelman, MD

Arch Pediatr Adolesc Med. 1995;149(1):40-44.

Abstract

Objectives
To assess the relationship between developmental status of internationaladoptees at the time of entry into the United States and theirnutritional status and concurrent medical problems.

Design
Prospective study.

Setting/Patients
One hundred twenty-nine internationally adopted children attendingthe International Adoption Clinic at the Floating Hospital forChildren, Boston, Mass, underwent detailed developmental assessments,anthropometric measurements, and medical examinations.

Results
The anthropometric measurements of the international adopteeswere below the means for weight, height, and head circumferencebased on standards of the World Health Organization. Only 65children (50%) were developmentally normal. Gross motor delayswere 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 relatedto z scores for weight, height, and head circumference. The36 children with medical problems had lower z scores comparedwith healthy children and were more likely to have delayed development.

Conclusions
Careful developmental and growth screening of internationallyadopted children at entry into the United States identifieschildren in need of interventions and close follow-up. Longitudinalstudies of internationally adopted children may provide evidenceabout the reversibility of growth and developmental delays,findings applicable to any environmentally deprived child.

(Arch Pediatr Adolesc Med. 1995;149:40-44)

Author Affiliations

From the Departments of Pediatrics (Drs Miller and Klein-Gitelman) and Occupational Therapy (Drs Kiernan and Mathers), Floating Hospital for Children, New England Medical Center, Boston, Mass. Dr Klein-Gitelman is now with the Division of Rheumatology, Children's Memorial Hospital, Chicago, Ill.

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