Growth Status Of Children Research Articles

Malnutrition in infants aged 6-23 months in China’s poorest rural counties from 2016 to 2021: cross sectional study

ObjectivesTo assess trends and differences in child malnutrition by population subgroups among infants aged 6-23 months in China’s poorest rural counties.DesignSix consecutive cross sectional surveys were conducted annually.SettingThe study was...

Assessment of growth status in children and adolescents with type 1 diabetes mellitus in Baghdad: a case-control study.

To assess growth parameters in adolescents and children with type 1 diabetes mellitus, and the factors influencing their growth. The case-control study was conducted from February to December 2020 at the Endocrine Outpatient Clinic of the Central Child Teaching Hospital of Paediatrics, Baghdad, Iraq, and comprised patients aged 2-16 years who had type 1 diabetes for at least a year. The patients formed group A, while healthy controls matched for age and gender from different schools and kindergartens formed group B. Weight, height and body mass index of all the subjects in both groups were measured and worked out, and the values were compared. Data was analysed using SPSS 25. Of the 192 subjects, 96(50%) were in each of the 2 groups; 50(52.1%) girls and 46(47.9%) boys in group A, and 58(60.4%) girls and 38(39.6%) boys in group B. The overall mean age was 9.66±3.26 years. Group A children had significantly lower mean height, weight and body mass index Z scores compared to group B (p=0.001). The height Z score of group A children was significantly inversely associated with age, duration of disease, and glycated haemoglobin level (p=0.001), while the weight Z score was significantly inversely correlated with age and glycated haemoglobin (p=0.001). The body mass index Z score of group A was significantly inversely associated with age and glycated haemoglobin level (p<0.05). Children with type 1 diabetes mellitus had significantly lower mean height, weight and body mass index Z scores compared to their counterparts in the control group. Pubertal age group, poor glycaemic control, longer disease duration, and using conventional insulin regimen were the factors affecting growth parameters.

Evaluation of Nutritional Preferences of School-Age Children and Parents Attitudes Towards Child Nutrition: A Cross-Sectional Study

Objective: This study aimed to examine the nutrition of school-age children and the influence of their parents. Method: The study involved 259 school-age children aged 9-12 and their volunteering parents from a province in Türkiye. A questionnaire was administered to the children questioning sociodemographic data and basic nutritional information, anthropometric measurements were taken, and the Parent Mealtime Action Scale was applied to their parents. The obtained data were analyzed in SPSS 26 program. Results: It was found that the snack consumption status of children was related to the income status of the family's daily fruit and vegetable consumption (p&lt;0.01). It has been found that animal fat restricted diet is associated with growth status in children (p&lt;0.01). It has been determined that the children's eating situation is related to the persistent behavior of parents (p&lt;0.05). It has been found that children who do not consume chips at all are also fed restricted animal fats in their daily diet. It was determined that bagel/cereal consumption was also excessive in children in whom rewarding was applied excessively (p&lt;0.05). Conclusion: As a result, it was determined that school-age children's own preferences in food choices, as well as the parent's behavior and educational status, and the family's income level also have a significant impact. It is thought that it will be beneficial to provide nutrition education to parents and children in order to develop the right eating habits in school-age children and to increase the level of nutrition knowledge.

Association between type of congenital heart disease with child growth and development status: A cross-sectional study in Medan, Indonesia.

Congenital heart disease (CHD) is a congenital disorder primarily affecting newborns and children. Children with CHD have a greater risk of experiencing growth delays or disorders compared to healthy children. CHD also affects various aspects of a child's development. The aim of this study was to determine the association of CHD types (cyanotic and acyanotic) with the growth and development status of children. A cross-sectional study was conducted among CHD patients at a national reference hospital in Sumatra, H. Adam Malik General Hospital in Medan, Indonesia. The children's growth status was assessed using the WHO growth chart, and the developmental condition was evaluated through the Denver Developmental Screening Test-II. Chi-squared test and Fisher's exact test were used to assess the association between the type of CHD with growth and development status in children. Using a consecutive sampling method, a total of 53 individuals were included in this study. Almost half of CHD patients (48.1%) were within the age group of 0-2 years and more than half (61.1%) were girls. Acyanotic CHD (74.1%) was more prevalent than cyanotic CHD (25.9%), with ventricular septum defect (VSD) as the most common diagnosis. A total of 37% of children with CHD suffered from malnutrition, whereas the remaining 62.9% had good nutrition. The Denver Developmental Screening Test-II indicated that 81.4% of the children were normal, whereas 18.5% had developmental disorders. Our data suggested a significant association between cyanotic CHD and poor growth status in children based on weight-for-age, weight-for-length, and body mass index (BMI)-for-age. However, there was no association between the type of CHD and developmental status in children. This study highlights that the type of CHD is significantly associated with the growth status of children, but not with their developmental status.

Prospective Association between Total and Trimester-Specific Gestational Weight Gain Rate and Physical Growth Status in Children within 24 Months after Birth.

In this study, our aim was to investigate the potential correlation between the mother's total gestational weight gain (GWG) rate and the trimester-specific GWG rate (GWGR) with the physical development status of the child within 24 months of age. We utilized linear regression models and linear mixed effects models to explore both time point and longitudinal relationships between GWGR and children's anthropometric outcome z-scores at 0, 1, 2, 4, 6, 9, 12, 18, and 24 months. To examine the critical exposure windows, we employed multiple informant models. We also conducted a stratified analysis considering pre-pregnancy BMI and the gender of the children. Our findings revealed notable positive associations between total GWGR and z-scores for body mass index for age (BMIZ), head circumference for age (HCZ), weight for age (WAZ), length for age (LAZ), and weight for length (WHZ) across different trimesters of pregnancy (pint < 0.05). The GWGR during the first two trimesters mainly influenced the relationship between total GWGR and BMIZ, WAZ, and LAZ, while the GWGR during the first trimester had a significant impact on the correlation with HCZ (0.206, 95% CI 0.090 to 0.322). Notably, the associations of GWGR and children's BMIZ were pronounced in male children and pre-pregnancy normal-weight women. In conclusion, our study findings indicated that a higher GWGR during each trimester was associated with greater physical growth during the first 24 months of life, especially GWGR in the first and second trimesters.

Factors associated with physical growth status among children aged 12-59 months in the Japanese National Growth Survey on Preschool Children: A retrospective analysis.

This study aimed to examine the factors associated with physical growth status among children aged 12-59 months in Japan. Data from the 2010 National Growth Survey on Preschool Children, a nationwide cross-sectional survey, were used for this analysis (n = 4196). After adjustment for confounding factors, multiple logistic regression analyses showed that boys who were born small-for-gestational-age were more likely to be underweight (adjusted odds ratio [aOR]: 12.55, 95% confidence interval [CI]: [6.76-23.3], p < 0.001), stunted (aOR: 5.78, 95% CI: [3.48-9.60], p < 0.001)and wasted (aOR: 7.02, 95% CI: [3.30-15.0], p < 0.001), while boys who were large-for-gestational-age were less likely to be stunted (aOR: 0.26, 95% CI: [0.11-0.60], p < 0.01). Girls who were born small-for-gestational-age were more likely to be underweight (aOR: 5.42, 95% CI: [2.73-10.7], p < 0.001), stunted (aOR: 4.04, 95% CI: [2.43-6.73], p < 0.001)and wasted (aOR: 6.27, 95% CI: [2.55-15.4], p < 0.001), while girls who were large-for-gestational age were more likely to be overweight (aOR: 5.90, 95% CI: [1.64-21.3], p < 0.001). Moreover, the following factors were associated with the physical growth status in children: maternal prepregnancy body mass index, complications during pregnancy, continuous breastfeeding, initiation age of complementary feeding, smoking status of the father or those living with the mother during pregnancyand birth order. Further research is needed to expand support for high-risk families and to verify their effectiveness.

CLINICAL PROFILE OF TYPE-1 DIABETES PEDIATRIC PATIENTS IN DR. SOETOMO GENERAL ACADEMIC HOSPITAL SURABAYA: CORRELATION OF GROWTH STATUS AND METABOLIC CONTROL

Highlights1. Diabetes mellitus type 1 (DM) is a chronic autoimmune illness characterized by insulin insufficiency and hyperglycemia as a consequence.2. Stable HbA1c levels may be indicative of improved growth rates. AbstractBackground: Type-1 diabetes mellitus (DM) is a chronic auto-immune disease characterized by insulin insufficiency and resultant hyperglycemia caused by the destruction of insulin-producing beta cells in the pancreas. Metabolic control in type-1 DM affects the metabolism of patients, one of which is growth status, which is influenced by growth hormone. Improved growth rates can indicate stable HbA1c levels. However, whether growth is affected by the degree of diabetic control is still debatable. Objective: This study was conducted to determine whether the metabolic control correlates with growth status of children with type-1 diabetes in the Endocrine Polyclinic at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Material and Method: Retrospective observational analysis with a cross-sectional method was conducted on 96 type-1 DM patients at Dr. Soetomo General Academic Hospital Surabaya, Indonesia. The analysis was carried out using Chi-Square test to determine whether there was a correlation. Result: From a total of 96 pediatric patients, the majority was male (54.1%), patients with high-risk metabolic control were 79.2%, and those with z-score normal category were 62.5%. The results indicated no significant correlation between growth status and metabolic control of pediatric patients, with Chi-Square test results showed p=0.421 (p&gt;0.05). Conclusion: There was no significant correlation between growth status and metabolic control of type-1 diabetes pediatric patients at the Endocrine Polyclinic Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

Evaluation of growth status of children with non-syndromic oral clefts.

To assess the growth status of children with non-syndromic oral clefts (NSOC) and explore potential influencing factors. The data of NSOC children aged ≤5 years hospitalized between December 2018 and June 2020 were retrieved and evaluated, including their height, weight, NSOC subtypes and demographic characteristics before reparative surgeries. The growth status of the children was assessed using height-for-age Z-score (HAZ), weight-for-age Z-score (WAZ) and weight-for-height Z-score (WHZ). In total, 504 NSOC children (271 females & 233 males) were included. The proportion of stunting (HAZ <-2), underweight (WAZ <-2) and wasting (WHZ <-2) was 4.96%, 5.16% and 3.97%, respectively. In addition, we observed that HAZ and WAZ decreased with increasing age (both p < 0.01). Moreover, non-syndromic cleft palate only (NSCP) and non-syndromic cleft lip and palate (NSCLP) were associated with lower HAZ and WAZ compared with non-syndromic cleft lip only (NSCL) (all p < 0.01), while NSCLP was associated with a lower WHZ compared with NSCL (p < 0.01). The growth retardation and low weight rate of NSOC children under 5 years old were higher than the national average level and differed by the age of NSOC children and disease subtypes. Further improvements are warranted to promote the growth status of the NSOC-affected children.

EARLY DETECTION OF CHILDREN'S DEVELOPMENT ON STUNTING TODDLERS

Stunting is an impaired growth in children because of long-term insufficient nutrition from conception until the age of two. Regarding Basic Health Research 2018, the prevalence of stunting in Indonesia was 30.8%, higher than the WHO’s target. As stated in the Nutritional Status Monitoring, the prevalence of stunting in Karangasem from 2015 to 2017 was 27.5%, 26.1%, and 23.6% respectively. Early detection of child development status could be utilized as a pilot project to construct an intervention scheme for stunting prevention. This research aims for in-depth learning on the children growth status of stunting toddlers in the village of Ban, including gross motor, fine motor, language and adaptive skills. The research method was a qualitative design with a phenomenological approach. The in-depth interview was arranged with 15 participants sorted by purposive sampling, including 5 stunting toddlers, 5 mothers or babysitters of those toddlers, and 5 health personnel in the field. This result showed impairment of child development in long-term stunting toddlers. Without stimulation from parents, babysitters, and the social environment for those impaired children, they would undergo prolonged developmental failure. The data also showed that the majority of children experienced impairment in fine motor-adaptive skills whereas the gross motor and language skills were still normal.&#x0D; Keywords: Stunting; Nutrition; Child Development; In-depth Interview.

THE EFFECT OF PARTICIPATORY MODEL ELUCIDATION ON THE PRACTICE OF SUPPLEMENTARY FEEDING (MP-ASI) ON GROWTH STATUS IN 12-24 MONTHS OF CHILDREN IN THE WEST LOMBOK DISTRICT

Background: Counseling on the practice of feeding infants and children to mothers with babies 0-24 months is an educational effort that can produce community behavior to increase knowledge (Suharjo, 2003). Counseling often carried out in the community by nutrition officers and posyandu cadres about feeding practices usually uses the lecture method and question and answer discussion. However, the method above makes the target bored quickly and less interested, so the results are not optimal. Another method that can help is participatory counseling or adult learning (POD), which emphasizes that participants are directly involved and carry out two-way communication and share experiences from each participant (Kemenkes, 2015). One of these methods is the participatory extension method. Research Methods: The study was carried out in the working area of the Kediri Health Center, West Lombok Regency, with 15 case groups and 15 control groups and had the same characteristics for three months, from September to November 2018. The study used a quasi-experimental method, pre-test post-test control group design. The data collected included data on characteristics, body weight, level of knowledge, and intake before and after giving participatory counseling interventions. Data analysis used an independent t-test to see the effect of participatory method counseling on children's growth status. Research Result: The results showed that the education level of all respondents (100%) achieved primary education, namely Elementary School (SD) and Junior High School (SMP). The results showed that the samples' average weight gain or growth status, treatment, and control, was 0.4 Kg. There is a significant effect on the growth status of children aged 12-24 months for weight gain in both cases and controls. Both have increased. Viewed from the level of knowledge, most of the respondents have a sufficient level of expertise, and the increase in the knowledge possessed by respondents in the treatment is not better than control. Conclusion: There is no effect of participatory method counseling on the level of knowledge of the case and control groups. Results counseling with participatory methods can change the eating patterns of children aged 12-24 months in the treatment group, as seen from the number, frequency, and variety of menus served by mothers of toddlers. Suggestion: There needs to be a continuation of research with the same method, but the dependent variable is diet (amount, frequency, variety, and cleanliness)

Comparison of National Growth Standards for Turkish Infants and Children with World Health Organization Growth Standards

Objective:Using World Health Organization (WHO) standards in pediatric practice is still controversial in many countries. It is suggested that national growth charts best reflect the genetic and ethnic characteristics of a population. The aim of this study was to compare length/height, body weight, and body mass index (BMI) in healthy Turkish children of ages 0 to 18 with those proposed by WHO as the international growth standards.Methods:The data of Turkish children were collected from infant/child population aged 0-5 years (2391 boys, 2102 girls) and children of ages between 6-18 years (1100 boys, 1020 girls). For comparison, the 50th, 3rd, and 97th percentile curves for length/height, weight, and BMI in Turkish children were plotted together with respective WHO data.Results:Heights were essentially similar in the Turkish and WHO data at ages between 3-10 years. Turkish children were markedly taller compared to the WHO standards after the age of 10 years. Evaluation of the 3rd percentile data revealed that Turkish boys were shorter than the WHO subjects in the first 2 years of life. From 6 months of age, Turkish children showed higher weight for age values in the 3rd, 50th, and 97th percentiles. In all age groups between 6 months and 3 years, and in between 6-18 years of age, Z-score values, as well as the 50th, 15th, 85th, and 95th percentile values were higher in Turkish children. The differences were particularly noteworthy at ages 1-2 years and in the pubertal years.Conclusion:WHO growth standards do not reflect the growth of Turkish children and may substantially alter the prevalence of short stature and underweight in Turkish children in the 0-5 years age group. When assessing the nutritional and growth status of children, national growth standards may be more appropriate.

Growth assessments for children with recurrent tracheoesophageal fistulas.

To assess the growth status of children with recurrent tracheoesophageal fistula (rTEF), and determine the possible risk factors of growth retardation (GR). The medical records of 83 patients with rTEF who underwent surgical repair were retrospectively analyzed. The patients were retrospectively divided into two groups according to whether they had GR. The clinical variables were compared between the GR and non-GR groups. Univariate and multivariable logistic regression analysis were performed to identify the risk factors for GR. Eighty-three children diagnosed with rTEF were included in this study. After a median follow-up of 31.4 (19.8, 48.7) months, GR occurred in 28 patients (33.7%). Among them, six patients with only weight for age Z score (WAZ) < -2SD, five patients with only height for age Z score (HAZ) < -2SD, and six patients with only BMI for age Z score (BAZ) < -2SD, while seven patients with both WAZ and HAZ < -2SD and four patients with both WAZ, HAZ and BAZ < -2SD. Multivariate logistic regression analysis showed that birth weight, anastomotic stricture and dysphagia after rTEF repair were independent risk factors with OR of 0.325 (0.119, 0.891), 4.396 (1.451, 13.324) and 5.341 (1.153, 24.752) for GR, respectively. GR is a common complication after rTEF repair. Birth weight, anastomotic stricture and dysphagia after rTEF repair are independent risk factors affecting growth.

Distribution of weight, stature, and growth status in children and adolescents with spinal muscular atrophy: An observational retrospective study in the United States

Introduction/AimsData regarding weight, height/length, and growth status of patients with spinal muscular atrophy (SMA) who have received only supportive care are limited. This cross‐sectional study describes these measurements in patients with Type 1 and Types 2/3 SMA and compares them with reference values from typically developing children.MethodsRetrospective baseline data from three sites in the Pediatric Neuromuscular Clinical Research Network (Boston, New York, Philadelphia) were used. Descriptive statistics for weight, height/length, body mass index‐for‐age, as well as weight‐for‐length and absolute and relative deviations from reference values (ie, 50th percentile from World Health Organization/Centers for Disease Control growth charts) were calculated. Furthermore, growth status was reported.ResultsA total of 91 genetically confirmed patients with SMA receiving optimal supportive care and without any disease‐modifying treatment were stratified into Types 1 (n = 28) and 2/3 SMA (n = 63). Patients with Type 1 SMA weighed significantly less (median = −7.5%) compared with reference values and patients with Types 2/3 SMA were significantly shorter (mean = −3.0%) compared with reference values. The median weight was considerably below the 50th percentile in both groups of patients, even if they received a high standard of care and proactive feeding support.DiscussionMore research is needed to understand which factors influence growth longitudinally, and how to accurately capture growth in patients with SMA. Further research should investigate the best time to provide feeding support to avoid underweight, especially in patients with Type 1, and how to avoid the risk of overfeeding, especially in patients with Types 2/3 SMA.

Evaluation of the nutritional status of rural children living in Zambia

BackgroundGrowth references (growth charts) are used to assess the nutritional and growth status of children. In developed countries, there are growth charts based on the country’s national surveys. However, many developing countries do not have their own growth references, so they usually use WHO and US CDC references. In such cases, it is known that the growth statuses of the subject are underestimated or overestimated. This study sought to accurately assess the growth status of children by developing a local growth chart for children living in the Southern Province of Zambia.MethodsAnthropometric measurements were conducted on 1135 children aged 2–19 years in the target area. The height and weight data for each sex and age were smoothed using the LMS method, and a percentile curve of height and weight was developed. Based on the US CDC reference, three indicators of undernutrition (stunting, underweight, and thinness) were calculated to determine the proportion of those who are undernourished (z-score < − 2).ResultsThe 50th percentile curve of height and weight in the growth chart of the target population was equivalent to the 5–25th percentile curve of the US reference, and the children of Zambia were both small and of low weight. Conversely, although many subjects are small and of low weight, it was found that there were few poor nutritional statuses as judged by BMI. Through comparison with a previous study in the Southern Province of Zambia, a secular change in the growth of children over 20 years was found. Although there was no significant increase in height and weight in the older age group, there was a significant increase in height and weight at an earlier age. This is thought to be due to an increase in the growth rate of children due to improved socioeconomic conditions, women’s education level, and improvement in health care standards.ConclusionsThe subjects were small and of low weight compared to the US population, but the nutritional status was not poor by BMI. The height and weight at an earlier age increased compared to 20 years ago.

Nutritional Assessment of Japanese Encephalitis and Acute Encephalitis Syndrome confirmed patients of Gorakhpur Uttar Pradesh

Malnutrition and infectious diseases are closely interlinked, Japanese Encephalitis and Acute Encephalitis&#x0D; Syndrome has also been associated with malnourishment and or poor immune system of children. The&#x0D; present study investigates the nutritional and growth status of children of Gorakhpur, Uttar Pradesh, infected&#x0D; with JE/AES. For this study 100 patients were selected (58 boys and 42 girls) purposively. The subjects were&#x0D; divided into 3 age groups viz, 1-3, 4-7 and 8-10. Their anthropometric characters viz, height and weight&#x0D; were measured. The results were compared with WHO standard. From the study, it is clear that a large&#x0D; number of JE/AES patients from Gorakhpur UP suffer are severely malnourished. The nutritional status of&#x0D; both boys and girls is lower than the WHO standard both in terms of overall bodily development and BMI.

Growth status of children and adolescents born small for gestational age at full term in Korea: data from the KNHANES-V.

Objectives Small for gestational age (SGA) status is known to show stunted growth and results in short stature in adults. The aim of this study was to describe the current short stature in subjects born SGA in Korea and to assess catch-up growth (CUG) or non-CUG. Methods We analyzed data from 3,524 subjects (1,831 male) aged 1-18 years who were born as full-term singletons and who participated in the Fifth Korean National Health and Nutrition Examination Survey (2010-2011). Results The prevalence of SGA was 13.4% (n=471). Subjects born SGA had fathers with shorter height, shorter mother's height, and mid-parental height than non-SGA subjects (p<0.05 for all). The odds ratios (ORs) for SGA birth of a short statured father and a short statured mother were 2.00 (95% CI; 1.15-3.47) and 2.11 (95% CI; 1.30-3.40), respectively. Among 471 SGA subjects, 28 subjects (5.9%) were non-CUG, which made up 36.4% of all subjects with short stature. The CUG subjects had a higher father's height, mother's height, mid-parental height, and current BMI (p<0.05 for all). The non-CUG subjects had a higher percentage of fathers being near-short stature (height<10th percentile; 33.3 vs. 12.7%; p=0.008) and mothers being near-short stature (39.3 vs. 13.9%; p<0.001). Conclusion Korean subjects born SGA had a higher risk of current short stature. This population-based nationwide survey also showed that both father's and mother's short stature are risk factors of not only SGA birth but also non-CUG in their children.

Retrospective evaluation of determinants of young children growth status in a tertiary care hospital

Amaç: Büyüme ve gelişmenin en hızlı olduğu 0–5 yaş arası dönem, sağlıklı gelişimi olumsuz etkileyen çok sayıda etmene karşı oldukça duyarlı bir dönemdir. Bu çalışmada 5 yaş altındaki hastaların beslenme öyküleri, büyüme parametrelerini belirlemek ve bu parametreleri etkileyebilecek faktörlerin tespiti amaçlandı. Gereç ve Yöntemler: Çalışmaya Aralık 2011-Mayıs 2012 ayları arasında yatırılarak tedavi edilen 5 yaş altındaki çocuklar dahil edildi. Bulgular: Çalışmaya ortanca yaşları 8 ay (1-59 ay) olan 344 hasta (%54,7erkek) dahil edildi. Doğum sonrası hastaların %97,1’i anne sütü ile beslenmeye başlanmışken, çalışma sırasında bir yaştan büyük olanların %18’i 1 yıldan kısa süre emzirilmişti. Hastaların 6. ayda tek başına anne sütü ile beslenme oranı %30,8’di. Hastaların annelerinin eğitim durumu ve ailelerin aylık gelir düzeyleri Türkiye ortalamasından düşük bulundu. Anne-baba yaşı, ebeveyn eğitim düzeyi ve ailenin aylık geliri ile kilo ve boy persantilleri arasında ilişki saptanmadı. Anne yaşı ve annenin eğitim düzeyi ile tek başına anne sütü ile beslenme süresi arasında ilişki bulunmazken, ailenin aylık geliri arttıkça tek başına anne sütü alım süresini uzadığı tespit edildi (p&amp;lt;0.05). Anne yaşı, annenin eğitim düzeyi ve ailenin aylık geliri ile toplam anne sütü ile beslenme süresi arasında ilişki saptanmadı. Hastaların tek başına anne sütü alımı süreleri arttıkça kilo ve boy persantillerinin istatistiksel olarak arttığı tespit edilirken (p&amp;lt;0.05) toplam anne sütü alım süresi ile kilo ve boy persantil değerleri arasında ilişki bulunmadı. Sonuç: Ülkemizde erkek ve kadın arasındaki eğitime katılım farklılığı halen devam etmektedir. Ailenin aylık geliri tek başına anne sütü ile beslenme süresi üzerine etkilidir. Anne sütü alım süresi büyüme parametreleri üzerine en etkili faktördür

Growth Parameters in Children with Congenital Acyanotic Heart Disease before and after Cardiac Catheterization at Sohag University Hospital

Background and objectives: Growth failure is common among children with congenital heart disease (CHD). This study aimed at the assessment of the effect of therapeutic cardiac catheterization on the growth status of children with CHD.Patients and Method: This was a prospective observational study conducted at pediatric cardiac catheterization unit-Sohag university hospital, from October-2016 to September-2017, on children with congenital acyanotic heart diseases who were admitted for therapeutic cardiac catheterization. We assessed the growth parameters as a weight for age Z-score (WAZ), height for age Z-score (HAZ), body mass index and upper arm circumference before catheterization, at one month, three months and six months after catheterization. The growth status was considered normal when WAZ and HAZ were from -2 SD, underweight if WAZ was ≤ -2 SD and stunting if HAZ was ≤ -2 SD. Results: One-hundred and two children with congenital acyanotic heart diseases were included. The mean age was 3.95 ±3.11 years. Sixty participants(58.8%) were females. Before catheterization,70 patients (68.6%) had normal growth status, 20 patients (19.6%) had underweight and 19 patients (18.6%) had stunting. The prevalence of underweight significantly diminished to3.92% (p < 0.001) at the 6th month after catheterization. However, no significant differences in the prevalence of stunting were found during the follow-up period.Conclusion: Therapeutic cardiac catheterization had a significantly positive impact on weight gain shortly after catheterization. However, improvement in the height could not be detected in the first 6 months after catheterization and longer follow-up periods are required.

The effects of Tui Na massage on the growth status of children under five years of age with KMS T status (low weight gain)

Nutritional problem in urban area is generally caused by food absorption disorder which can be treated by Tui Na massage. This article was aimed to investigate the effect of Tui Na massage on the growth status of children less than five years of age with KMS T status (low weight gain in Indonesia medical record). This quasiexperimental study was conducted by implementing pre-and-posttest design with control group. This study involved 26 children less than five years of age with KMS T as research samples chosen by simple random sampling technique. The results of analysis using paired t-test on the effect before and after Tui Na massage showed p=0.019 &lt; α=0.05, while independent t-test in control and treatment group obtained p=0.065 &gt; α=0.05. It shows that Tui Na massage affects the growth status of children under five years of age. Based on those results, midwives are expected to be able to perform Tui Na massage as an effort to develop the growth status of children under five years of age.

Benefit of supplementation with LYM-X-SORBTM, an absorbable structured lipid, in improving fat absorption, essential fatty acids and growth status in children with CF and PI with varying degrees of fat malabsorption

Benefit of supplementation with LYM-X-SORBTM, an absorbable structured lipid, in improving fat absorption, essential fatty acids and growth status in children with CF and PI with varying degrees of fat malabsorption