Conclusion
This systematic review and meta-analyses provided evidence that preterm children are at higher risk for DCD than full-term children, and the risks increased as gestational age decreased. In sum, our findings showed a DCD estimate pooled rate of 21% among preterm children, and they are at 2 times higher risk than full-term peers. There was variation in the prevalence of DCD in preterm according to prematurity classification, the assessment tool used, and the cut-off points adopted in each study. Limited available data on LMIC and for preterm adolescents and adults were observed, evidencing the need for additional primary research that would improve the estimated prevalence of DCD in these populations and the need for diversity and inclusion in research publication and support of researchers in LMIC countries. Clinical practice should focus on longitudinal motor assessment, early diagnosis, and early intervention for these children, while research should focus on standard cut-off criteria and older preterm populations.