Caregiving Disruptions Affect Growth and Pubertal Development in Early Adolescence in Institutionalized and Fostered Romanian Children: A Randomized Clinical Trial

The Journal of Pediatrics
Dana E JohnsonStacy S Drury

Abstract

To determine the effects of foster care vs institutional care, as well as disruptions in the caregiving environment on physical development through early adolescence. This was a randomized controlled trial of 114 institutionalized, though otherwise healthy, children from 6 orphanages and 51 never institutionalized control children living in birth families (family care group) in Bucharest, Romania. Children were followed from baseline (21 months, range 5-31) through age 12 years for caregiving disruptions and growth trajectories and through age 14 years for pubertal development. Children randomized to the foster care group showed greater rates of growth in height, weight, and body mass index (BMI) through age 12 years than institutionalized group. Tanner development was delayed in institutionalized group boys compared with foster care group and family care group boys at 12 but not 14 years. There were no differences in Tanner development and age of menarche among foster care group, institutionalized group, and family care group girls at ages 12 and 14 years. More disruptions in caregiving between 30 months and 12 years moderated decreases in growth rates of height in foster care group and weight in foster care group and institut...Continue Reading

Associated Clinical Trials

Sep 5, 2008·Charles Alexander Nelson III

Citations

Aug 3, 2019·International Journal of Developmental Neuroscience : the Official Journal of the International Society for Developmental Neuroscience·Emily B Reilly, Megan R Gunnar
Nov 21, 2020·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Natalie L ColichKatie A McLaughlin
Dec 31, 2020·Children·Alexandra Mihaela StoicaMonica Monea
Jul 10, 2021·Frontiers in Human Neuroscience·Anaïs F StensonTanja Jovanovic
Mar 8, 2019·Journal of the American Academy of Child and Adolescent Psychiatry·Mark WadeStacy S Drury

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