Department of Midwifery, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Gen Med. 2012;5:683-7. doi: 10.2147/IJGM.S34806. Epub 2012 Aug 21.
Advances in medical knowledge and treatment modalities have resulted in an increased survival rate for high-risk infants. This increased number of survivors enables study of the future development of these children. Other than infection and trauma, developmental and behavioral problems are the most common medical problems among such children. This study sought correlations between anthropometric indices at birth and developmental delay in children aged 4-60 months who visited health service centers affiliated with the Isfahan University of Medical Sciences in 2010.
In this descriptive, correlational study, 401 children aged 4-60 months and visiting health service centers were selected using a multistage method. Anthropometric indices at birth were collected from their health care records, and developmental status was measured using the Ages and Stages Questionnaire, the validity (0.84) and reliability (0.94) of which were obtained from a previous study.
The mean age of the children in the normal group was 17.33 ± 13.18 months and that in the developmental delay group was 29.92 ± 19.19 months. Most children in the normal group were female (56%) and in the developmental delay group were male (55.2%). No correlation was found between height and head circumference at birth and developmental delay. However, the birth weight of children with developmental delay was four times lower than that of children with normal development (P = 0.004, odds ratio 4).
Birth weight and male gender were factors that strongly correlated with developmental delay in this study.
医学知识和治疗方法的进步使高危婴儿的存活率提高。存活人数的增加使我们能够研究这些儿童未来的发展情况。除了感染和外伤，发育和行为问题是这些儿童最常见的医疗问题。本研究旨在探讨在 2010 年访问伊斯法罕医科大学附属医院的 4-60 个月儿童中，出生时的人体测量指标与发育迟缓之间的相关性。
在这项描述性、相关性研究中，我们采用多阶段方法选择了 401 名 4-60 个月、访问医疗服务中心的儿童。从他们的健康记录中收集出生时的人体测量指标，使用年龄和阶段问卷（其效度为 0.84，信度为 0.94）测量发育状况，该问卷来自之前的一项研究。
正常组儿童的平均年龄为 17.33±13.18 个月，发育迟缓组为 29.92±19.19 个月。正常组中大多数儿童为女性（56%），发育迟缓组中为男性（55.2%）。出生时的身高和头围与发育迟缓无相关性。然而，发育迟缓儿童的出生体重比正常发育儿童低四倍（P=0.004，比值比 4）。
在本研究中，出生体重和男性是与发育迟缓密切相关的因素。
