Correlating Caretakers' Knowledge, Attitudes and Practices of Hygiene and Continued Breastfeeding with Infants' Gross Motor Development Delay

Background: Gross motor development delay is related to lower physical activity and higher adiposity risk for children. As the factor of this issue remains unclear, this study investigated the factors contributing to motor development delay. Methods: We recruited 132 children and their caretakers in a suburban area of China. The sociodemographic characteristics, child feeding practice, knowledge, attitudes, and practices of hygiene were investigated using a questionnaire. Child's nutritional status and gross motor milestones were assessed using the WHO Multicentre Growth Reference Study. Results: Approximately 20% of children experienced delayed achievement of certain milestones. Children from high-income families were more likely to experience developmental delay than those from middle-income. Continued breastfeeding at one year and superior hygiene potentially improved motor development. Conclusions: This study suggests providing telework support can improve mothers continued breastfeeding rates and broader hygiene education for both mothers and grandmothers in suburban areas of China.