Dr Sushila Nayar School of Public Health, Mahatma Gandhi Institute of Medical Sciences, Sewagram, 442102 Wardha, Maharashtra, India.
Indian J Pediatr. 2012 Mar;79(3):333-41. doi: 10.1007/s12098-011-0582-y. Epub 2011 Oct 20.
To study the magnitude and determinants of growth faltering among 0-6 y children in adopted villages of medical college.
A total 305 children of less than 6 y were followed monthly for 1 y to assess the growth faltering. At each visit, the mothers/caretakers of children were interviewed and information regarding immunization, morbidity profile, dietary history and child feeding practices collected using a pre-tested interview schedule. Monthly anthropometric measurements of child were taken. Growth faltering has been defined as failure to gain weight or actual loss of weight, and weight gain less than 300 g over a period of three consecutive months.
The cumulative incidence of growth faltering among 0-6 y children was 930 per 1,000 children per year (95% CI 900.8-959.2).The number of growth faltering episodes per child per year was 3.1 (95% CI 2.9-3.3). In the multivariate analysis, the authors found presence of anemia, presence of any illness and improper household ventilation as significant predictors of growth faltering.
The present finding suggests more focus should be given on early detection and timely correction of growth faltering rather than just identification and treatment of severely malnourished children.
研究医学院附属村庄 0-6 岁儿童生长迟缓的程度和决定因素。
对 305 名不满 6 岁的儿童进行了为期 1 年的每月随访，以评估生长迟缓情况。每次就诊时，都会对儿童的母亲/照顾者进行访谈，并使用经过预测试的访谈表收集关于免疫接种、发病情况、饮食史和儿童喂养习惯的信息。每月对儿童进行人体测量学测量。生长迟缓被定义为体重未增加或实际体重减轻，以及在连续三个月内体重增加少于 300 克。
0-6 岁儿童生长迟缓的累积发生率为每千名儿童每年 930 例（95%CI900.8-959.2）。每个儿童每年的生长迟缓发作次数为 3.1 次（95%CI2.9-3.3）。在多变量分析中，作者发现贫血、任何疾病和家庭通风不良是生长迟缓的显著预测因素。
本研究结果表明，应更加关注早期发现和及时纠正生长迟缓，而不仅仅是识别和治疗严重营养不良的儿童。
