Italian Children Research Articles

The production of relative clauses in Italian-speaking children with DLD

Children with Developmental Language Disorder (DLD) have been shown to struggle with the acquisition of complex structures requiring structural embedding and movement of a sentential element from its original position. This study examines the production of subject and object relative clauses (RCs) by Italian children, investigating whether: i) seven-year-old children with DLD are impaired in embedding or movement operations; ii) specific factors, such as animacy of the arguments, affect the production of sentences with movement and embedding, iii) the linguistic profile of children with DLD is qualitatively different from that of typically developing (TD) children. We elicited the production of RCs with animate and inanimate arguments in 12 Italian-speaking children with DLD (mean age = 7;2) and in two TD control groups: age matched (AM) and language matched (LM). Children with DLD produced fewer RCs than either control group and made different errors, showing a slightly different developmental path. Animacy mismatch did not improve RC production in any group. Results suggest that seven-year-old children with DLD are in a transitional stage: they can use embedding but still have difficulties with movement operations, especially in object RCs. This indicates that the language competence of children with DLD improves with age, but long-distance dependencies continue to be challenging.

Is change of direction influenced by motor competencies? A possible response from a MOBAK-based study in Italian schoolchildren.

Change of direction (COD) ability requires higher motor control capacity and helps children improve individual motor skills. Likewise, basic motor competencies (BMC) are relevant during child maturation and may interleave with COD ability. This study aimed to investigate the possible individual determinants between the COD ability and the BMC, cognitive skills, and anthropometrics characteristics in Italian primary school children aged 6 to 11. Children of both sexes (N.=221) were recruited from primary schools (grade 1 to 5) of Northwestern Italy. COD was assessed by 10×5 m Shuttle Run Test; motor coordination by the Motor Coordination (Motorische Basiskompetenzen, MOBAK) 1-6 test battery, whereas Trail Making Test was used to assess cognitive performance. A stepwise linear regression indicated that motor competencies level - assessed by the MOBAK Test - is the most fitting dimension describing COD performance for girls, with the highest R2 in Grade 5 (SEE=0.56); and the lowest SEE in Grade 5 (SEE=1.44); moreover, for boys the highest in Grade 3 (SEE=0.52) and the lowest SEE in Grade 4 (SEE=1.30). This study confirms the biunivocal relationship between COD and BMC, and the need for physical education teachers and trainers to stimulate both, during growth.

Children's diet assessed with the Mediterranean Diet Index: the finding of new eating habits and their impact on a cohort of Italian children.

Mediterranean Diet (MD) has been inversely associated with many diseases: it reduces total mortality and lowers cardiovascular risk. Despite the known benefits of MD, variations of dietary habits have occurred in recent years especially in young people. The aim of our study is to evaluate MD adherence in a cohort of Italian children and adolescents living in Southern Italy. Adherence to MD was evaluated with the Mediterranean Diet Index (KIDMED). Sex, age, and anthropometric measures were recorded on a population of 132 children; of those 71.2% showed poor adherence to MD, 26.5% average adherence and only 2.3% good adherence. Higher prevalence of poor adherence was recorded in obese children and there was statistically significant inverse correlation between age and adherence score. Our results highlight low adherence to MD in a cohort of Italian children. These findings support the importance of monitoring dietary habits, especially in adolescents.

The increase of bronchiolitis severity in the 2022-2023 season in an Italian tertiary children's hospital: An isolated phenomenon or a warning sign?

Recent literature has shown epidemiological changes in bronchiolitis with an increased incidence in the post-SARS-CoV-2 pandemic period but reports regarding disease severity are conflicting. We aimed to describe the epidemiology, disease severity, and microbiology of bronchiolitis during the 2022-2023 cold season compared to the previous 5 years. This single-center retrospective observational study at IRCCS Gaslini, Italy, included all children aged 0-2 years hospitalized for bronchiolitis from 1 September 2017 to 31 August 2023. Findings from the 2022-2023 season were compared to the previous 5 years. We observed a statistically significant increase in the 2022-2023 season in the absolute number of bronchiolitis admissions. Children who required mechanical ventilation (MV) dramatically increased from a total of seven patients in the previous five seasons to 17 in the 2022-2023 season alone (p = .001). All other severity parameters significantly increased: the need for respiratory support (p = .002), the median length of stay (5 days vs. 4 days, p = .001), and the median duration of respiratory support (4 days vs. 3 days, p = .016). We report a substantial increase in the severity of bronchiolitis in the season 2022-2023 with a remarkable number of previously healthy infants requiring MV. Further studies are needed to confirm whether our findings are an isolated phenomenon or part of a true global trend. Health systems need to be prepared and protective preventive measures should be implemented for all newborns.

The acquisition of grammatical alternates: a comparison of Italian and Norwegian possessives

Possessive alternates (prenominal and postnominal) have mirrored properties in Italian and Norwegian when taking into consideration frequency, derivation, and markedness; i.e., the variant that is base-generated in one language is considered the derived one in the other language. Thus, in both languages there is a variant used for unmarked contexts (i.e., topic) and for marked contexts (i.e., contrast). Previous studies have shown that Italian children acquire the use of the variants with ease, whereas Norwegian children were found to overuse the marked variant, even in unmarked contexts. Here, we reanalyse the co-occurrences of the possessive and the noun in the monolingual corpora for the two languages available on CHILDES, by focusing more attentively on the contextual use of the variants, to reveal whether the same principles underly the acquisition process. Our findings contradict the previous claims on the acquisition of Italian but are in line with the previous findings for Norwegian. Both groups of children overuse the marked but base-generated variant, indicating the relevance of syntactic economy in language acquisition.

Apolipoprotein B and Lipid Profile in Italian Children and Adolescents.

The prevention of cardiovascular (CV) disease is mandatory from childhood onwards. Among biochemical markers related to the clinical cardiovascular outcome, LDL cholesterol (LDL-C), non-HDL-C and apolipoprotein B (ApoB) are recognized as main target parameters. Emphasis on ApoB concentrations is growing, as representative of any class of atherogenic lipoprotein. This consideration allows checking of subjects under 18 years of age when the CV risk occurs. The aim of this study is to evaluate ApoB levels in a sample of Italian hyperlipidemic children and adolescents, and their siblings, to test any relationship with their lipid profile. A retrospective study, including 1877 children and adolescents (aged 0-18 years), was performed. Clinical and biochemical data were selected from a database, including the lipid profile, ApoB analysis and anthropometric parameters of any proband. Participants had been checked as potentially hyperlipidemia affected, the suspicion raised by familial CV risk or because the dyslipidemia was already known. Data from the first visit at the University Hospitals in Rome and Turin were collected. Patients affected by secondary hyperlipidemia or obesity were excluded. Blood test analysis was performed in fasting conditions by automated commercial kits. Participants were classified according to gender, age (stratified in subgroups: 0-5, 6-10, 11-14, and 15-18 years old) and anthropometric parameters, referred to as weight in Kg and height in cm, and BMI calculated. Lipid profile results were stratified in relation to acceptable, borderline, or increased levels, as indicated by NCEP, and any potential relation with ApoB established. Statistics were performed by Epi-Info 7 programs to evaluate the variance analysis. Either parent could sign the informed consent. Among the whole sample n.1010 and n.867 participants were females and males, respectively. TC values acceptable (≤170 mg/dL), borderline (171-200 mg/dL) and elevated (≥201 mg/dL) were found in 411 (22%), 585 (31%) and 881 (47%) participants, respectively. The LDL-C cut-off considered was 110 mg/dL (90° percentile). Mean ApoB progressively increased from 65 to 110 mg/dL according to TC levels and resulted in significant correlation when any age subgroup and gender was considered. The highest ApoB values, TC and LDL-C related, were found in the youngest subgroup, regardless of gender. ApoB results increase progressively and in parallel with TC and LDL-C and represent a further parameter to distinguish between normal and hyperlipidemic subjects. Serum levels are close to 70 mg/dL and to 100 mg/dL in the former and latter group, respectively.

Motor Development of Children in the Kurdistan Region of Iraq: Parent Survey.

The actual literature highlights the importance of the socio-cultural context in the development of children. However, there is a lack of specific evidence about the middle East, especially regarding the development of Kurdish children who are living in a post-war scenario, in a country which is experiencing continuous instability due to the different crises. The main aim of this study is to identify the features of the motor development of Kurdish children according to parents' opinion. A comparison with Italian children is provided as a Western example, which reflects data from the literature. In the study, 331 parents of Kurdish and Italian children aged between 3 and 7 years were involved. Parents filled the questionnaire at kindergartens, after providing consent. The questionnaire was conceptualized, designed, tested and provided ad hoc for this study; it focused on the timing of development, concerning major milestones like head control, sitting and standing-up. The questionnaire consists of 15 questions and has not been standardized yet. A logistic regression showed several differences between Kurdish and Italian children, like head control (p = 0.007) or the manipulation of big objects (p < 0.0001). These results identify the effect of the socio-cultural context and the impact of the growing environment of the child. Moreover, the results of this survey show the need for introducing different adapted, translated and validated assessment tools for motor development, considering differences related to the socio-cultural context.

The Association between Mid-Upper Arm Circumference and Blood Pressure in an Italian Population of School-Aged Children and Adolescents with Lipid Disorders

Background: Many anthropometric measurements have been investigated concerning their association with blood pressure (BP) in paediatric age groups. This study aims to find a relationship between mid-upper arm circumference (MUAC) and BP in a population of children and adolescents aged 1–18 years. Methods: 5853 subjects (2977 females and 2876 males) were studied. MUAC, body mass index (BMI), and BP were measured. The individuals in the study were subdivided and grouped by gender and type of school attended in Italy: 1–5 years (pre-school), 6–10 years (primary school), 11–13 years (secondary school), 14–18 years (high school). Results: In the age range of 6–13 years, all the subjects with MUAC &gt; 50th percentile had systolic and diastolic BP significantly higher than children with MUAC below 50th percentile (p &lt; 0.0001). In the age range 14–18 years, the relationship persisted only in females (p &lt; 0.001 and p &lt; 0.05 for diastolic and systolic BP, respectively). A linear relationship was found between MUAC and BMI. Conclusions: In Italian children of both genders aged 6–13, arm distribution of body fat is strongly associated with increased systolic and diastolic BP. As such, a simple anthropometric measurement like MUAC might represent a tool to identify young subjects who are at risk for HTN.

The "Measure of Empathy in Early Childhood": Psychometric Properties and Associations with Externalizing Problems and Callous Unemotional Traits.

Empathy is crucial to the development of socio-emotional skills in youth and empathy development is central to understanding and subtyping youth with externalizing problems. This study explored for the first time the psychometric properties of the Measure of Empathy in Early Childhood (MEEC)in a sample of 652 Italian children aged 6 to 8 years. The gender invariance of MEEC scores and their associations with other measures of empathy and prosocial behavior, and children's externalizing problems and callous-unemotional (CU) traits were also evaluated. Results indicated that with some modifications, a 5-factor structure of the Italian version of MEEC scores fitted the data and was invariant across gender. Results further supported the reliability and validity of MEEC total and subscale scores. Practical implications of these results are discussed.

Which Treatment Modalities Are Being Used by Italian Children and Adolescents with Type 1 Diabetes?

Which Treatment Modalities Are Being Used by Italian Children and Adolescents with Type 1 Diabetes?

Infant mortality in Italy: large geographic and ethnic inequalities

BackgroundNeonatal and infant mortality rates are among the most significant indicators for assessing a country's healthcare and social development.This study examined the trends in neonatal, post-neonatal, and infant mortality in Italy from 2016 to 2020 and analysed differences between children of Italian and foreign parents based on areas of residence, as well as the leading causes of death. Special attention was given to the analysis of mortality in 2020, the first year of the Covid-19 pandemic, and its comparison with previous years.MethodsData from 2016 to 2020 were collected by the Italian National Institute of Statistics and extracted from two national databases, the Causes of Death register and Live births registered in the population register. Neonatal, post-neonatal, and infant mortality rates were calculated using conventional definitions. The main analyses were conducted by comparing Italian citizens to foreigners and contrasting residents of the North with those of the South. Group comparisons were made using mortality rate ratios. The main causes of death were examined, and Poisson log-linear regression models were employed to investigate the relationships between mortality rate ratios for each cause of death and citizenship, place of residence and calendar year.ResultsIn Italy, in 2020, the neonatal mortality rate was 1.76 deaths per thousand live births and it was 55% higher in foreign children than in Italian children. Foreign children had a higher mortality rate than Italians for almost all significant causes of death. Children born in the South of Italy, both Italian and foreign, had an infant mortality rate about 70% higher than residents in the North. Regions with higher infant mortality were Calabria, Sicily, Campania, and Apulia. In the South, mortality from neonatal respiratory distress and prematurity was higher.In the first months of 2020, between March and June, the first Covid-19 wave, Italy experienced an increase in neonatal and infant mortality compared to the same period in 2016–2019, not directly related to SARS-CoV-19 infection. The primary cause was neonatal respiratory distress.ConclusionsThe neonatal and infant mortality rates indicate the persistence of profound inequalities in Italy between the North and the South and between Italian and foreign children.

Science and scientists from children’s point of view: comparison and gender outlooks among 2011 and 2021 primary school student drawings

This article explores the evolving perceptions of science and scientists from the unique perspective of Italian primary school children by comparing students’ drawings from two distinct periods, 2011 and 2021. A notable research gap exists in understanding how the perceptions of science and scientists among primary school children have evolved over time and if it is different for gender and grade level. The methodology involves a qualitative analysis of drawings examining the presence, the number and gender of depicted scientists, stereotypes, scientific topics, inventions, tools, location, and accompanying speech bubbles. The statistical analysis emphasizes the differences between how girls and boys represent science and scientists. From the data, a generally positive picture of the work of scientists emerges, as well as a great level of confidence in the potential of science. Notably, while the prevailing image of a scientist is still predominantly male, the 2021 dataset demonstrates a significant increase in depictions of female scientists, primarily drawn by girls, signaling an increased sense of belonging and potential for girls to pursue careers in science. Environmental and health-related scientific themes have gained prominence, accompanied by an increase in inventive ideas. The data highlights the children’s awareness of pressing global issues, such as climate change and healthcare, caused by Covid emergency. Furthermore, the results contribute to evaluate how science showed itself over ten years, if it has led to an effective shared science and a less stereotyped image, also encouraging gender equality.

The psychosocial functioning in adolescents with severe obesity evaluated throughout the strengths and difficulties questionnaire (SDQ): a preliminary report.

Childhood obesity is associated with poor psychological adjustment. Severely impacts the psychological adjustment of young patients. To assess the psychological functioning of children and adolescents, several questionnaires have been proposed so far. Although the Strengths and Difficulties Questionnaire (SDQ) is one of the most well-used tools, its application in obesity research is scarce. The study is aimed at assessing the psychological profile of a sample of Italian children and adolescents seeking an in-hospital multidisciplinary body weight reduction program for obesity, via SDQ. One hundred and fourteen consecutive Italian children and adolescents with obesity (43 males/71 females, age range: 11-17 years, mean age ± SD: 15.1 ± 1.66, body mass index-BMI ± SD: 37.4 ± 6.13 kg/m2), were recruited at the Division of Auxology, Istituto Auxologico Italiano IRCCS, Piancavallo (VB). Obese Females reported worse conditions of emotional symptoms (t = 5.48; p < 0.001) and peer problems (t = 2.34; p = 0.021), as well as higher which were associated with greater scores of pro-social behaviors than obese males (t = 3.07; p = 0.003). The total difficulties score (t = 4.00; p < 0.001) and the total impact score (t = 4.53; p < 0.001) were significantly higher in females than males. No statistically significant differences in SDQ variables were found in relation to the degree of obesity (BMI SDS: 2-2.99; BMI SDS: > 3). These findings can contribute to understand the psychological condition of adolescents with obesity in a better way and also to develop effective interventions for the treatment of pediatric obesity which not only take into account the medical and physical aspects but also the emotional and social difficulties expressed by adolescents with obesity.

The economic burden of pediatric growth hormone deficiency in Italy: a cost of illness study

PurposeGrowth hormone deficiency (GHD) is a rare condition with a worldwide prevalence of 1 patient in 4000 to 10,000 live births, placing a significant economic burden on healthcare systems. The aim of this study is to generate evidence on the economic burden of children and adolescents with GHD treated with rhGH and their parents in Italy.MethodsA cost of illness analysis, adopting the prevalence approach, has been developed, producing evidence on the total annual cost sustained by the Italian National Health System (NHS) and by the society. The study is based on original data collected from a survey conducted among Italian children and adolescents with GHD and their parents.Results143 children/adolescents with GHD and their parents participated to the survey, conducted from May to October 2021. Patients had a mean age of 12.2 years (SD: 3.1) and were mostly males (68.5%).The average direct healthcare cost sustained by the NHS was € 8,497.2 per patient/year; adding the out-of-pocket expenses (co-payments and expenses for private healthcare service), the total expense was € 8,568.6. The indirect costs, assessed with the human capital approach, were € 847.9 per patient/year. The total of direct and indirect cost is € 9,345.1 from the NHS perspective, and € 9,416.5 from a social perspective. The total cost incurred by the Italian NHS for children with GHD (range: 5,708–8,354) was estimated in € 48.5–71.0 million, corresponding to 0.04–0.06% of the total Italian public health expense in the year 2020.ConclusionsThe total annual cost for GHD children is close to € 10,000, and is mainly due to the cost of rhGH treatment. This cost is almost entirely sustained by the NHS, with negligible out-of-pocket expenses.The economic burden on the Italian NHS for the health care of established GHD children is fourfold higher than the prevalence of the disease in the overall Italian population.

The Sound of Silence: Metaphors of Childhood, Disability, and Incommunicability in Italian Children’s Literature

Abstract: The article aims to highlight some recurring trends in disability representation in Italian contemporary children’s literature. In particular, after a brief excursus of the major changes that occurred in editorial production at the end of the twentieth century, the article focuses on the similarities between the condition of disability and childhood, both bearers of otherness in the conventional adult world and in a liminality position within society. Contemporary children’s authors seem to start from this assumption and repeatedly write stories on special encounters between characters with disabilities and children. In these delicate narratives, in a romantic projection, only the younger ones prove they are able to create deep relationships based on unconditional acceptance of diversity and the ability to bond beyond words—both elements that adults seem to lack. The topic of incommunicability returns, especially, in picture-books and is expressed through powerful iconographic and literary metaphors. Some of these are inspired by certain popular Italian expressions and recur very frequently, in different ways, within children’s literature, such as allusive references to the aquatic world, intended as the silent realm par excellence.

The Long Reach of Creativity: The Lasting Impact of 1970s Italian Children’s Literature

Abstract: Between 1968 and 1980, Italy witnessed a dynamic transformation in children’s literature marked by innovative visual, aesthetic, and educational paradigms, involving a profound assimilation of social, cultural, and political dimensions into children’s literature. Children’s books became hubs of interdisciplinary experimentation in which young readers were to be critical cultural participants. These changes took the forms of playful storytelling, intertextuality, nonlinear narratives, and groundbreaking visual, graphic, and material elements. Pioneering technologies further enriched the sensory experience suffusing these books. This article examines the enduring impact of these transformations on Italian children’s literature, focusing particularly on early literacy. It explores four distinct categories of change: the emergence of radical series, innovative adaptations of folk tales, multisensory training grounds, and a trend toward visual narrative cards. These innovations revolutionized prereading education, emphasizing children’s agency and sensory engagement. In studying these shifts, this research underscores the legacy of early experiments in Italian children’s literature, initiatives that continue to shape contemporary children’s literature and education globally, exemplifying the profound impact of a revolutionary period in children’s publishing.

Person with a disability in the literary work Heart by Edmondo de Amicis

The aim of the report is to analyse the issue of disability in the literary work Heart by Italian children's writer of the 19th century Edmondo de Amicis, in which there appear several characters with different types of, predominantly physical, disability. The report, in addition to the theoretical analysis, also includes a short empirical part presenting the results of interviews about the book from the perspective of primary education. In conclusion, we present a didactic reflection.

Assessment of motor skills in 5-6 year old Italian children using the MABC-2: a preliminary study

The Movement Assessment Battery for Children - Second Edition (MABC-2) is a standardized test used to assess movement skills in children aged between 3-16 years old and to diagnose developmental coordination disorders (DCDs). Monitoring movement skills in children’s is crucial to ensuring their proper physical development, as movement difficulties affect other areas of learning. In particular, it was interesting to investigate the role of gender and age in relation to different movement skills, as their development is influenced by genetic potential, in order which variables can help teachers to predict movement difficulties. The aim of the present study was to quantify the children's movement performance and to analyze the influence of gender, age and the gender x age interaction on movement performance. Methods: The sample consisted of 102 children aged between 5-6 years old from kindergartens. The MABC-2 was used to assess the children's movement performance, which comprised three sub-sections: manual skills, ball skills and balance skills. MANOVA was performed to assess the impact of gender, age and gender x age on performance. Chi Square was used to test differences in movement difficulties among gender. Results: The results showed a significant impact of both gender and age on performance individually, with a significant interaction effect of gender and age on performance. Conclusions: 12 children had several movement difficulties, while only 9 were at risk of DCDs, requiring ecological intervention.

ДЕТСКИЕ РАССКАЗЫ МАКСИМА ГОРЬКОГО В ИЛЛЮСТРАЦИЯХ ИТАЛЬЯНСКОГО ХУДОЖНИКА БРУНО АНГОЛЕТТА (ИЗ ИСТОРИИ ЖУРНАЛА «ПРИМАВЕРА», 1911–1914)

The article examines Maxim Gorky’s contribution to the first Italian children’s monthly magazine Primavera (1911–1914). Founded and directed by the brothers Guido and Vittorio Podrecca, this magazine was characterized by captivating graphics, a refined artistic and literary taste, and an unusual international openness. Translations of numerous foreign literary works appeared within its pages. Among these, Russian literature played a significant role, thanks in part to the direct involvement of Maxim Gorky, who, from his exile in Capri, looked with sympathy at the Podrecca magazine. From 1911 to 1913 four stories by Gorky were published in Italian translation on the pages of Primavera, richly illustrated by the artist Bruno Angoletta: “Music” (Musica, 1911), “Under the Midday Sun” (Al sole del mezzogiorno, 1912), “The Little Sparrow” (Il passerotto, 1913), and “A Tragic Childhood” (Un’infanzia tragica, 1913). Gorky’s collaboration with Primavera serves as an example of cultural transfer accompanying the translation and publication of foreign literature. The article assesses how the socialist orientation of the magazine, the practice of translation, and the visual interpretation by the illustrator engaged in a dialogue with the original text, sometimes enhancing its significance and at other times offering new interpretive possibilities.

From Queens to Rebel Girls? Biographies about Women within Italian Children’s Literature

Abstract: The article explores Italian biography for young readers focusing on the representation of women’s lives that have been overshadowed in the history of the literary genre. The analysis addresses both pedagogical and literary aspects, investigating which female role models are portrayed and the evolution of biographical writing style. In tracing the development of biographies about women within Italian children’s literature and its pedagogical and cultural background, five historical shifts are outlined: (1) the persistence of women’s moralistic portrayals in the 1960s, (2) the conflicting impact of feminist movements on the biographies of the 1970s, (3) the emergence of biographical picturebooks and a psychologically nuanced writing style in the 1980s, (4) the emphasis on rediscovering marginalized female figures at the beginning of the new century, and (5) contemporary trends of celebrating diverse female role models and the critical debate around gender representation. The analysis points out today’s challenges for biographies as hybrid nonfiction— not only interweaving different role models and styles, but also questioning their anthropocentric perspective.