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Paper Information

Journal:   PAYESH   JANUARY-MARCH 2009 , Volume 8 , Number 1; Page(s) 67 To 73.
 
Paper: 

THE WEIGHT TO AGE GROWTH CHART IN 5 YEARS OLD CHILDREN AND ITS RISK FACTORS IN TEHRAN, IRAN

 
 
Author(s):  TOUTOUNCHI P.*
 
* DEPARTMENT OF SOCIAL MEDICINE, FACULTY OF MEDICINE, TEHRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

Objective(s): To determine the weight to age growth chart and some of its risk factors in 5 years old children in South Health Center in Tehran, Iran.
Methods: This was a cross-sectional study. We collected data on sex, birth weight, the age of introducing food supplement, tube of milk which consumed during the first 6 months of life by child, the time of complete weaning, birth order, family size, maternal education, maternal job, interval between the child birth and the birth of the previous child at family, the regulation of child care at the health center and the condition of weight to age growth chart at 5 years old child. There were 27 health centers and from each center 45 children were chosen randomly. Data collection was performed from the family file of each child.
Results: 1150 children were studied. There were 567 (49.3%) male and 583 (50.7%) female. The mean birth weight of children was 3200 g with SD: 568.84g. The minimum and maximum age of food supplement introducing to child were 2mo and 14mo respectively (mean: 6mo, SD: 1.9mo). 845 of children were fed only with breast milk during the first 6 months of life. The mean age of complete weaning was 19mo with SD: 7.93 mo. About 50% of children had first birth order. The family size of 79.42% of children was 3. 87% of mothers were educated and the remaining was illiterate. 96% of mothers were housewives and others were employed. Birth Interval of 41.37% and 9.9% of children with the previous siblings were less than 2 years or more than 2 years respectively and the other children was the first child of the family. 8.46%, 26.6% and 67% of children considered to be good, moderate or bad regarding to regularity of child care at the health center. In general 963 children (83.74%), 19 children (1.65%) and 7 children (0.61%) had normal, under 3 percentile or over 97 percentile weight to age growth chart at the last visit to the health center respectively. There were 40 (3.48%), 82 (7.13%) and 39 (3.39%) slowness, flatness or descending of the weight to age growth chart. There was significant statistical relationship between the weight to age growth chart and birth order (p<0.02). Generally 187 cases (16.16%) showed abnormal weight to age growth chart. Moreover the higher birth order increased the probability of abnormal weight to age growth chart at 5 years of age.
Conclusion: The findings were similar to existing reports. However, further prospective studies are recommended to confirm such findings.

 
Keyword(s): WEIGHT TO AGE, GROWTH CHART, FIVE YEARS OLD CHILD, RISK FACTOR
 
References: 
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  Persian Abstract Yearly Visit 93
 
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