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Systematic review and meta-analysis : fussing and crying durations and prevalence of colic in infants
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Wolke, Dieter, Bilgin, Ayten and Samara, Muthanna (2017) Systematic review and meta-analysis : fussing and crying durations and prevalence of colic in infants. The Journal of Pediatrics, 185 . 55-61.e4. doi:10.1016/j.jpeds.2017.02.020
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Official URL: http://dx.doi.org/10.1016/j.jpeds.2017.02.020
Abstract
Objective
To determine the mean duration of fussing and crying and prevalence of colic using modified Wessel criteria in infants in the first 3 months of life.
Study design
A systematic literature search was performed using the databases Medline, PsycINFO, and Embase. The major outcome measure was mean total fuss/cry duration during 24 hours at ages 1-2 weeks (11 samples), 3-4 weeks (6 samples), 5-6 weeks (28 samples), 8-9 weeks (9 samples), and 10-12 weeks (12 samples).
Results
Of 5687 articles reviewed, 28 diary studies (33 samples) were suitable for inclusion in meta-analysis; these studies included 8690 infants. No statistical evidence for a universal crying peak at 6 weeks of age across studies was found. Rather, the mean fuss/cry duration across studies was stable at 117-133 minutes (SDs: 66-70) in the first 6 weeks and dropped to a mean of 68 minutes (SD: 46.2) by 10-12 weeks of age. Colic was much more frequent in the first 6 weeks (17%-25%) compared with 11% by 8-9 weeks of age and 0.6% by 10-12 weeks of age, according to modified Wessel criteria and lowest in Denmark and Japan.
Conclusions
The duration of fussing/crying drops significantly after 8-9 weeks of age, with colic as defined by modified Wessel criteria being rare in infants older than 9 weeks. Colic or excessive fuss/cry may be more accurately identified by defining fuss/cry above the 90th percentile in the chart provided based on the review.
| Item Type: | Journal Article | ||||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science > Psychology Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Crying in infants -- Statistics, Newborn infants -- Colic -- Statistics, Systematic reviews (Medical research) | ||||||||
| Journal or Publication Title: | The Journal of Pediatrics | ||||||||
| Publisher: | Mosby, Inc. | ||||||||
| ISSN: | 0022-3476 | ||||||||
| Official Date: | June 2017 | ||||||||
| Dates: |
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| Volume: | 185 | ||||||||
| Page Range: | 55-61.e4 | ||||||||
| DOI: | 10.1016/j.jpeds.2017.02.020 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Funder: | Turkey. Millî Eğitim Bakanlığı |
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