Neurodevelopmental problems, general health and academic achievements in a school‐based cohort of 11‐year‐old Swedish children

Abstract

AbstractAimAssessing rates of neurodevelopmental problems (NDPs) in 11‐year‐old children and possible association with other health complaints and school performance.MethodsIn‐school study of 11‐year‐old children as an add‐on assessment to the 4th grade regular health check‐up, comprising a structured physical neurodevelopmental examination, neuropsychological assessment, behavioural ratings, maternal interview, review of medical records and academic achievements.ResultsOut of 348 children recruited from eight schools, 223 (64%) participated. Any physical condition was found in 102/222 (46%), most commonly atopy (18%). One in five had a BMI z‐score >2 standard deviations over the reference mean. One or more NDP was found in 86/221 (40%) children. The number of failed national tests correlated positively with NDP severity rated with the clinical global impression severity instrument (Spearman's r = 0.41, p < 0.001). The majority of participants with failed national tests, also had co‐occurring health complaints (≥2 of: stomach or extremity ache, headache, difficulties sleeping, internalising symptoms or obesity) and NDPs.ConclusionHealth complaints, physical conditions and NDPs are very common in 11‐year‐old children and warrant adequately staffed, thoroughly equipped school healthcare services.