{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T22:07:16Z","timestamp":1769897236509,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Children born with oesophageal atresia are at risk for impaired motor function, yet longitudinal data are lacking. This study aimed to assess overall motor functioning, motor domains and potential predictors at school age over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational cohort study conducted within a tertiary university hospital's follow\u2010up programme. Outcomes included overall motor performance and specific subdomains: manual dexterity, ball skills and balance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from 161 children (84% oesophageal atresia type C) assessed at 5, 8 and 12\u2009years showed estimated mean (95% CI)\n                      <jats:italic>z<\/jats:italic>\n                      \u2010scores of \u22120.61 (\u22120.79 to \u22120.44), \u22120.35 (\u22120.53 to \u22120.16) and \u22120.56 (\u22120.77 to \u22120.34), respectively. At all ages and across subdomains, the proportion of children with definite motor impairments was significantly higher than the normative population (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Univariable analyses identified lower gestational age, longer anaesthetic exposure, no sports participation and lower socio\u2010economic status (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) as risk factors for impaired motor functioning. Multivariable analyses identified sports participation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005) and, at 8\u2009years, absence of thoracotomy (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) as independent predictors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>School\u2010aged children born with oesophageal atresia remain at risk for persistent motor impairments. Encouraging sports participation is recommended, and further research is needed to explore the underlying mechanisms of motor impairment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70074","type":"journal-article","created":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T03:01:22Z","timestamp":1743217282000},"page":"2012-2022","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Persisting Motor Function Problems in Children With Oesophageal Atresia Associated With Surgical Approach and Sports"],"prefix":"10.1111","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7297-1098","authenticated-orcid":false,"given":"Anne\u2010Fleur R. L.","family":"van Hal","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7196-2480","authenticated-orcid":false,"given":"Sophie","family":"de Munck","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tabitha P. L.","family":"Zanen \u2013 van den Adel","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"},{"name":"Department of Orthopaedics and Sports Medicine, Section of Physical Therapy Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9187-244X","authenticated-orcid":false,"given":"Joost","family":"van Rosmalen","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Erasmus MC  Rotterdam the Netherlands"},{"name":"Department of Epidemiology Erasmus MC  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7045-4708","authenticated-orcid":false,"given":"Saskia J.","family":"Gischler","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5824-3492","authenticated-orcid":false,"given":"Hanneke","family":"IJsselstijn","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9235-7685","authenticated-orcid":false,"given":"John","family":"Vlot","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Erasmus MC Sophia Children's Hospital  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3817-5733","authenticated-orcid":false,"given":"Leontien C. 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