Dwivedi Deepak, Singh Surendra, Singh Jyoti, Bajaj Naresh, Singh Harendra Pratap
Department of Pediatrics, SS Medical College, Rewa, Madhya Pradesh, India. Correspondence to: Dr Deepak Dwivedi, Assistant Professor (Pediatrics), D-2/8, Doctors Colony, Rewa 486 001, Madhya Pradesh, India.
Department of Pediatrics, SS Medical College, Rewa, Madhya Pradesh, India.
Indian Pediatr. 2018 Feb 15;55(2):131-133.
This cross sectional study was done to assess the developmental status in children (6-30 mo old) with severe acute malutrition (SAM).
Study subjects were enrolled from children in SAM therapeutic unit, and controls were selected from well-baby clinic of the institute. Neurodevelopment of both groups was assessed using the Developmental assessment scale of Indian infants (DASII). Developmental quotient (DQ) ≤70 was considered delayed.
Mean (SE) motor DQ 59.04 (0.74) and mental DQ 62.1 (0.57) was lower in SAM as compared to controls (both P<0.0001). Clusters of early age were normal but clusters with items of later infancy were delayed.
Children with SAM show significant delay in development, and motor DQ is affected more than mental DQ.
开展这项横断面研究以评估重度急性营养不良（SAM）患儿（6至30月龄）的发育状况。
研究对象来自SAM治疗单元的儿童，对照组从该机构的健康婴儿诊所选取。两组的神经发育均使用印度婴儿发育评估量表（DASII）进行评估。发育商（DQ）≤70被视为发育迟缓。
与对照组相比，SAM组的平均（标准误）运动DQ为59.04（0.74），智力DQ为62.1（0.57），均较低（P均<0.0001）。早期年龄段的聚类正常，但包含婴儿后期项目的聚类存在延迟。
SAM患儿显示出发育显著延迟，且运动DQ比智力DQ受影响更大。
