Moderation and moderated mediation in the analysis of non-nutritive sucking pattern of preterm newborns
DOI:
https://doi.org/10.29352/mill0214.21339Keywords:
suction, newborn, stimulation, maturation, mediation, moderationAbstract
Introduction: Stimulation of non-nutritive suction has been shown to influence the maturation process of nutritive suction.
Objective: Analyze the effect of maturation on the suction pattern, mediated by the time of experience.
Methods: Sample consisting of 34 newborns with an average gestational age of 33.2 weeks and an average experience time of 14.7 days. We used the suction pattern as a moderation model. The dependent variable is the average number of sucks, and the independent variables considered are gestational age (maturation) and length of experience (moderator).
Results: A positive relationship between experience and suction pattern was found, variable with time of practice and more evident after 32 weeks of gestational age.
Conclusion: The statistical evidence found has clinical relevance in the design of intervention programs to stimulate the sucking of premature newborns, and is of interest to health professionals with intervention in the field.
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Barlow, S.M., Finan, D.S., Lee, J., Chu, S. (2008). Synthetic orocutaneous stimulation entrains preterm infants with feeding difficulties to suck. Journal of Perinatology, Aug;28(8):541-8. doi: 10.1038/jp.2008.57
Bauman, A.E., Sallis, J.F., Dzewaltowski, D.A., & Owen, N. (2002). Toward a Better Understanding of the Influences on Physical Activity the Role of Determinants, Correlates, Causal Variables, Mediators, Moderators, and Confounders. Am J Prev Med, Aug;23 (2 Suppl):5-14. doi: 10.1016/s0749-3797(02)00469-5.
Chervyakov, A.V., Sinitsyn, D.O., & Piradov, M.A. (2016). Variability of Neuronal Responses: Types and Functional Significance in Neuroplasticity and Neural Darwinism. Front. Hum. Neurosci, Nov 25;10:603. doi: 10.3389/fnhum.2016.00603. eCollection 2016.
Cunha, M., Barreiros, J., Gonçalves, I., & Figueiredo, H. (2009). Nutritive sucking pattern — from very low birth weight preterm to term newborn. Early Human Development, Feb;85(2):125-30. doi: 10.1016/j.earlhumdev.2008.07.003. Epub 2008 Sep 3
Cunha, M., Barreiros, J., Pereira J.M., Viegas, V., Banha, C., Diniz, A., Pereira, M., Barroso, R., Carreiro, H. (2019). A promising and low-cost prototype to evaluate the motor pattern of nutritive and non-nutritive suction in newborns. Journal of Pediatric and Neonatal Individualized Medicne, 8(2):e080220 doi: 10.7363/080220.
Fairchild, A.J. & MacKinnon, D.P. (2009). A General Model for Testing Mediation and Moderation Effects. Prev Sci, Jun;10(2):87-99. doi: 10.1007/s11121-008-0109-6.
Finan, D.S., & Barlow, S.M. (1998). Intrinsic dynamics and mechanosensory modulation of non-nutritive sucking in human infants. Early Human Development, Sep;52(2):181-97. doi: 10.1016/s0378-3782(98)00029-2.
Fucile, S., Gisel, E., & Lau, C. (2005). Effect of an oral stimulation program on sucking skill maturation of preterm infants. Dev Med and Child Neurol, Mar;47(3):158-62. doi: 10.1017/s0012162205000290.
Hadders-Algra, M. (2000a). The Neuronal Group Selection Theory: a framework to explain variation in normal motor development. Dev Med & Child Neurol, Aug;42(8):566-72. doi: 10.1017/s0012162200001067.
Hadders-Algra, M. (2000b). The neuronal group selection theory: promising principles for understanding and treating developmental motor disorders. Dev Med & Child Neurol, Oct;42(10):707-15. doi: 10.1017/s0012162200001316.
Hayes, A.F. & Rockwood, N.J. (2016). Regression-Based Statistical Mediation and Moderation Analysis in Clinical Research: Observations, Recommendations and Implementation. Behav Res Ther, Nov;98:39-57. doi: 10.1016/j.brat.2016.11.001. Epub 2016 Nov 5.
Lundqvist, C. & Hafström, M. (1999). Non-nutritive sucking in full-term and preterm infants studied at term conceptional age. Acta Paediatrica, Nov;88(11):1287-9. doi: 10.1080/080352599750030455.
Markland D. (1999). Self-determination moderates the effects of perceived competence on intrinsic motivation in an exercise setting. Journal of Sport and Exercise Psychology, 21,351-61.
Matos, E., Costa, C., Rebelo Pacheco, S., Moreira, T., Cunha, M., Barroso, R. (2019). Variables which influence the neurodevelopment at 2 years of newborns born less than 32 weeks of gestational age or less than 1,500 g. J Pediatr Neonat Individual Med, 8(1):e080128. doi: 10.7363/080128
Medoff-Cooper, B., McGrath, J.M., Bilker, W. (2000). Nutritive sucking and neurobehavioral development in preterm infants from 34 weeks PCA to term. MCN Am J Matern Child Nurs, Mar-Apr;25(2):64-70. doi: 10.1097/00005721-200003000-00004. PMID: 10748582.
Mizuno, K., & Ueda, A. (2006). Changes in sucking performance from nonnutritive sucking to nutritive sucking during breast- and bottle-feeding. Pediatr Res, May;59(5):728-31. doi: 10.1203/01.pdr.0000214993.82214.1c.
Moreira, T., Matos, E., Rebelo Pacheco, S., Cunha, M. (2020). The catch-up growth at 2 years of newborns born less than 32 weeks of gestational age. J Pediatr Neonat Individual Med, 9(1):e090103. doi: 10.7363/090103
Muller, D., Judd, C.M., Yzerbyt, V.Y. (2005). When moderation is mediated and mediation is moderated. J Pers Soc Psychol. Dec;89(6):852-63. doi: 10.1037/0022-3514.89.6.852. PMID: 16393020.
Palmeira, A.L., Markland, D.A., Silva, M.N., Branco, T.L., Martins, S.C. Minderico, C.S., Vieira, P.N., Barata, J.T., Serpa, S.O., Sardinha, L.B., & Teixeira, P.J. (2009). Reciprocal effects among changes in weight, body image, and other psychological factors during obesity treatment: a mediation analysis. Int J of Behavioral Nutrition and Physical Activity, Feb 9;6:9. doi: 10.1186/1479-5868-6-9.
Peixoto, J.C., Guimarães, H., Machado, M.C., Martins, V., Mimoso, G., Neto, M.T., Tomé, T., Virella, D., e Grupo do Registo Nacional do Recém-nascido de Muito Baixo Peso. (2002). Nascer prematuro em Portugal. Estudo Multicêntrico Nacional 1996-2000. Prémio Bial de Medicina Clínica. Porto: Fundação Bial.
Preacher, K.J., Rucker, D.D. & Hayes, A.F. (2007). Addressing Moderated Mediation Hypotheses: Theory, Methods, and Prescriptions. Multivariate Behavioral Research, Jan-Mar 2007;42(1):185-227. doi: 10.1080/00273170701341316.
Qureshi, M.A., Vice, F.L., & Taciak, V.L. (2002). Changes in rhythmic suckle feeding patterns in term infants in the first month of life. Dev Med Child Neurol, Jan;44(1):34-9. doi: 10.1017/s0012162201001621.
Rocha, A.D., Moreira, M.E., Pimenta, H.P., Ramos, J.R., Lucena, S.L. (2007). A randomized study of the efficacy of sensory–motor–oral stimulation and non-nutritive sucking in very-low birthweight infant. Early Hum Dev, Jun;83(6):385-8. doi: 10.1016/j.earlhumdev.2006.08.003.
Taki, M., Mizuno, K., Murase, M., Nishida, Y., Itabashi, K., & Mukai, Y. (2010). Maturational changes in the feeding behaviour of infants – a comparison between breast-feeding and bottle-feeding. Acta Pædiatrica, Jan;99(1):61-7. doi: 10.1111/j.1651-2227.2009.01498.x.
Wrotniak, B.H., Stettler, N., & Medoff-Cooper, B. (2009). The relationship between birth weight and feeding maturation in preterm infants. Acta Paediatr, Feb;98(2):286-90. doi: 10.1111/j.1651-2227.2008.01111.x. Epub 2008 Nov 4.
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