Height Of Children Research Articles

Exposure to air pollution and cardiovascular risk in young children - a pilot project.

To examine relationships between traffic-related air pollution (TRAP) and markers of pre-clinical cardiovascular risk in young children. We studied a cohort of healthy children ages 2-5 recruited from pediatric primary care sites (n = 122). We obtained child weight, height, blood pressure and hair nicotine levels. A blood sample was obtained for biomarkers of systemic inflammation, oxidation, and prevalence of circulating endothelial progenitor cells. This manuscript represents a secondary analysis. TRAP exposure (particulate levels, nitrogen dioxide, nitrogen oxides, and proximity to major roadways) was assessed using national air pollution data based on child's census tract of residence. TRAP exposure had significant positive associations with prevalence of two of the three EPC subtypes (CD34 + /CD133 + /CD45- and CD133 + /CD45-) in unadjusted correlations. In a linear regression model, adjusting for sex, age, race, ethnicity, body mass index, parental education, child insurance, and secondhand smoke exposure, one EPC subtype (CD133 + /CD45-) had a positive significant correlation to every TRAP measure. No significant relationships between air pollution and measures of inflammation and oxidation was found. Our findings of the upregulation of EPCs may signal a response to early vascular damage during early childhood due to air pollution exposure. Traffic-related air pollution (TRAP) - known cardiovascular risk factor during adulthood Current pilot study in very young children shows upregulation of cells which protect the endothelial lining of blood vessels (endothelial progenitor cells, EPCs) Upregulation of EPCs aligns with other cardiovascular risks during childhood (obesity, prematurity, type 1 diabetes) Demonstrated with TRAP exposure lower than EPA threshold Response to air pollution may be protective of cardiovascular damage during early childhood.

Cohort differences between preschool development of in vitro fertilization and naturally conceived infants.

To explore the differential cohort situation between preschool development of in vitro fertilization (IVF) and naturally conceived infants. From April 2014 to June 2022, 60 preschool IVFs were selected as the research subjects for follow-up at the pediatric health clinic of hospital's prevention and health department. They were set as the experimental group (Group S), and 60 naturally conceived infants of the same age were selected as the control group (Group Z). Data from both groups were collected through telephone follow-up and other methods. No significant difference showed between the 2 groups in age specific height, age specific weight, Gesell developmental score, Denver developmental screening test screening results, intellectual development index, and motor development index (P > .05). The influence of birth environment factors such as family background and maternal education level on children's height and weight was not significant (P > .05), while maternal education level had a significant impact on children's intellectual development index (P < .05). No significant difference showed in the development of preschool children in IVF compared to naturally conceived children, and the level of parental education has a significant impact on children's mental and motor development.

Final Height in Patients with Congenital Adrenal Hyperplasia

Abstract Background The final adult height of patients with congenital adrenal hyperplasia (CAH) is usually less than the target height (TH). This could be attributed to androgen excess or treatment with steroids. Androgen excess can occur at any age leading to accelerated growth, early epiphyseal closure and compromised final adult height (Webb and Krone, 2015), (Charmandari et al., 2004). Aim evaluate growth and final height in children and adolescents with CAH. Methodology This retrospective study was conducted on 36 patients diagnosed with CAH, data was collected from patients' records within endocrinology clinic, Children's Hospital, Ain Shams University. Result Our patients had a mean final height and final height SDS of (161.68±6.48 cm and -0.41) and (151.03±6.1 cm and -0.67) for males and females respectively. Final adult height was less than target height (mean target heights were 168.8± 3.54 cm and 157.1± 6 cm for males and females respectively). The median target height in our study was 158.4 cm and mean target height SDS corrected to mid-parental target height was -0.43 ± (1.26). The mean daily hydrocortisone was 15.67 (± 3.26 SD) mg/m2 per day with range (9.9 – 24) mg/m2. There was no correlation between final heights and the cumulative doses and mean daily doses of hydrocortisone. There was no correlation between final height SDS in both sexes and age of starting steroid therapy. The bone age of our patients was advanced on average by 2 years compared to chronological age at final height. Conclusion the final height of CAH patients treated with glucocorticoids is lower than the population norms and is lower than what would be predicted based on parental height.

Reading a graph is like reading a paragraph.

Vision provides rapid processing for some tasks, but encounters strong constraints from others. Although many tasks encounter a capacity limit of processing four visual objects at once, some evidence suggests far lower limits for processing relationships among objects. What is our capacity limit for relational processing? If it is indeed limited, then people may miss important relationships between data values in a graph. To test this question, we asked people to explore graphs of trivially simple 2 × 2 data sets and found that half of the viewers missed surprising and improbable relationships (e.g., a child's height decreasing over time). These relationships were spotted easily in a control condition, which implicitly directed viewers to prioritize inspecting the key relationships. Thus, a severe limit on relational processing, combined with a cascade of other capacity-limited operations (e.g., linking values to semantic content), makes understanding a graph more like slowly reading a paragraph then immediately recognizing an image. These results also highlight the practical importance of "data storytelling" techniques, where communicators design graphs that help their audience prioritize the most important relationships in data. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Counseling Regarding Stunting Prevention in Toddlers

Stunting is a serious challenge because it can hinder a child's growth and development. This condition is triggered by malnutrition, repeated infections, and lack of adequate psychosocial stimulation, and is characterized by the child's height being below the appropriate standard. The main causes of stunting are poor parenting patterns, unhealthy eating patterns for pregnant and breastfeeding mothers, lack of nutritional and protein intake, and children's high vulnerability to disease. This community service activity was carried out in Sidoharjo Village – I Pasar Miring, Pagar Merbau District, Deli Serdang Regency with a total of 26 participants. The aim of this activity is to provide education regarding stunting prevention in Sidoharjo Village – I Pasar Miring. The main target of this counseling is mothers who have children under five. Implementation of this activity involves collaboration with village officials and village midwives. The method used was presentation of material through lectures and giving leaflets. The material presented includes the concept of stunting, its causes, symptoms, and how to prevent it, including information regarding the contents of my plate. The results of this activity show an increase in participants' understanding of stunting, its causes, symptoms and how to prevent it. In addition, there is increased awareness in dealing with the symptoms of stunting, with the hope of reducing the risk of stunting in children. It is hoped that in the future, activities like this will continue to be carried out so that stunting in toddlers can be avoided.

Overweight and obesity prevalence: a pilot implementation of the ‟COSI" methodology in the Republic of Srpska.

Childhood obesity has become a worldwide public health concern over the past decade, counting Bosnia and Herzegovina (BiH). The Childhood Obesity Surveillance Initiative (COSI) was established by the World Health Organization (WHO) to address the lack of standardized surveillance data on childhood obesity. However, BiH and its entity, Republic of Srpska (RS), are failing inclusion in such initiative, which hinders efforts to monitor and address the issue. Henceforth, the objective of this nationally funded study was to gather and analyse data on the prevalence of overweight and obesity among primary-school children in RS by implementing the COSI methodology. Weight, height, and BMI of first, second, and third grade children (aged 6-8), from 11 schools (N = 2,030) in the RS region was analysed according to the standardized COSI protocol. The prevalence rates of overall overweight (OW) and obesity (OB) observed were 14.37% (OW 9.09%, OB 5.21%). No gender-related differences were noted (boys 14.36%, girls 14.88%). These findings highlight a concerning trend of increasing overweight and obesity prevalence with age among primary-school children in the RS.

THE EFFECTS OF SOCIAL ASSISTANCE PROGRAMS ON STUNTING PREVALENCE RATES IN INDONESIA

Background: Social assistance, such as Non-Cash Food Assistance (BPNT) and the Family Hope Program (PKH), is among the instruments used to eradicate stunting in the short and long term. Therefore, it is important to ensure that individuals effectively use it. Aims: This study aimed to review the effect of social assistance on stunting prevalence rates in Indonesia. Methods: This research employs a quantitative approach, utilizing numerical measurements and statistical analysis. The data is secondary and sourced from the Central Bureau of Statistics and the Ministry of Finance. The specific method applied is the generalized method of moments (GMM) dynamic panel regression. The research sample encompasses panel data from 34 provinces from 2015 to 2021. This study utilizes the indicator of very short height for children less than five years of age as a proxy for stunting. Furthermore, low height in children is adopted as a measure of stunting. Furthermore, this study adopted a measure of low height in children to indicate stunting. Results: The results showed that social assistance negatively affected stunting, supported by various other indicators such as the proportion of proper sanitation, the average length of schooling, protein consumption, and drinking water sources. Meanwhile, excessive calorie consumption increases stunting in a certain period. Conclusion: In this condition, government social assistance was urgently needed since access to the lowest decile households increased stunting rates. The practical implications for policy derived from these findings involve optimizing the efficiency of social assistance initiatives, emphasizing the significance of addressing environmental factors in programs aimed at preventing stunting, integrating health and nutrition initiatives, and implementing educational campaigns within communities to raise awareness about calorie consumption. Keywords: child health, social assistance, stunting, toddlers

Early Life Surgency, but not Effortful Control or Negative Affectivity, Is a Mediating Variable Between Maternal Pre-Pregnancy Body Mass Index and Childhood Obesity Risk.

Maternal gestational obesity is related to risk of obesity in the child. This risk may be in part mediated by altered child temperament, which can affect mother-child interactions, including feeding and soothing behaviors that affect obesity risk. Our objective was to examine the association between maternal pre-pregnancy BMI and child zBMI and determine if child temperament, specifically positive Affectivity/Surgency, mediates this association. Using conditional process modeling, we analyzed data from 408 mother-child dyads enrolled in the Alberta Pregnancy Outcomes and Nutrition (APrON) study. Child temperament was assessed at 3 years of age via a parent report measure, the Child Behavior Questionnaire (CBQ), and child zBMI was calculated from in-person measurements of child height and weight at 4-5 years of age. Bivariate correlations showed that there was a significant positive correlation between zBMI and Surgency (r=0.11, p=0.03), and zBMI was also correlated with maternal pre-pregnancy BMI (r=0.12, p=0.02). Multivariable regression revealed that maternal pre-pregnancy BMI (adjusted β=0.15, 95% confidence interval [CI]; 0.00-0.05, p=0.02) and Surgency scores (adjusted β=0.14, 95% CI; 0.02-0.28, p=0.03) were associated with higher child zBMI at 4-5 years of age. Mediation analysis showed that Surgency mediated the association between pre-pregnancy BMI and child zBMI. Our models controlled for maternal gestational weight gain, gestational diabetes, socioeconomic status, maternal anxiety and depression, and gestational age at birth. Overall, maternal pre-pregnancy BMI was positively associated with child zBMI, and this association was mediated by higher child Surgency scores.

PERUBAHAN PENGETAHUAN IBU SEBELUM DAN SESUDAH MEMBACA MEDIA LEAFLET TENTANG STUNTING PADA IBU ANAK BALITA STUNTING

ABSTRACT Stunting is a condition where a child experiences growth disorders, so that his height does not correspond to his age due to chronic nutritional problems, namely long-lasting malnutrition. Health promotion through the media is one of the efforts made to convey health information messages to mothers of toddlers. One of the most effective ways to convey information about nutrition to mothers of stunted toddlers is by distributing leaflets, which can increase mothers' awareness about nutrition and help them overcome the problem of malnutrition that continues in their stunted children. The aim of this study was to find out how the knowledge of mothers of toddlers suffering from stunting changed before and after receiving the leaflet intervention. Stunting is a condition where a child experiences growth disorders, so that the child's height does not correspond to his age, due to chronic nutritional problems, namely lack of nutritional intake for a long time. Health promotion through the media is one of the efforts made to display health information messages that want to be conveyed to mothers of toddlers, such as leaflets which are the easiest to help with the nutrition education process which is easier to understand in increasing the knowledge of mothers of stunting toddlers. Distributing leaflet media can increase health knowledge and nutritional awareness among mothers to overcome chronic malnutrition in children who are stunted. The aim of this research was to look at changes in the knowledge of mothers of stunting toddlers before and after the leaflet intervention. This research used a "One-group pretest and posttest" design conducted at the Padang City Air Children's Health Center, research time from 25 October 2023 to 15 January 2024. The sample consisted of 27 people. Sampling used the Simple Random Sampling technique via the Random Number Application. Normality test and bivariate analysis used the Kolmogorov-Smirnov Paired t-test (p&lt;0.05). The research results showed that the average value of knowledge before reading the media leaflet showed a p-value/sig = 0.000 &lt;α = 0.05. The conclusion of this study was that there was an increase in knowledge before and after the leaflet intervention. Keywords : Stunting, Media Leaflets

Testing a Biobehavioral Model of Chronic Stress and Weight Gain in Young Children (Family Stress Study): Protocol and Baseline Demographics for a Prospective Observational Study.

Chronic stress is an important risk factor in the development of obesity. While research suggests chronic stress is linked to excess weight gain in children, the biological or behavioral mechanisms are poorly understood. The objectives of the Family Stress Study are to examine behavioral and biological pathways through which chronic stress exposure (including stress from COVID-19) may be associated with adiposity in young children, and to determine if factors such as child sex, caregiver-child relationship quality, caregiver education, and caregiver self-regulation moderate the association between chronic stress and child adiposity. The Family Stress Study is a prospective cohort study of families recruited from 2 Canadian sites: the University of Guelph in Guelph, Ontario, and McMaster University in Hamilton, Ontario. Participants will be observed for 2 years and were eligible to participate if they had at least one child (aged 2-6 years) and no plans to move from the area within the next 3 years. Study questionnaires and measures were completed remotely at baseline and will be assessed using the same methods at 1- and 2-year follow-ups. At each time point, caregivers measure and report their child's height, weight, and waist circumference, collect a hair sample for cortisol analysis, and fit their child with an activity monitor to assess the child's physical activity and sleep. Caregivers also complete a web-based health and behaviors survey with questions about family demographics, family stress, their own weight-related behaviors, and their child's mental health, as well as a 1-day dietary assessment for their child. Enrollment for this study was completed in December 2021. The final second-year follow-up was completed in April 2024. This study's sample includes 359 families (359 children, 359 female caregivers, and 179 male caregivers). The children's mean (SD) age is 3.9 years (1.2 years) and 51% (n=182) are female. Approximately 74% (n=263) of children and 80% (n=431) of caregivers identify as White. Approximately 34% (n=184) of caregivers have a college diploma or less and nearly 93% (n=499) are married or cohabiting with a partner. Nearly half (n=172, 47%) of the families have an annual household income ≥CAD $100,000 (an average exchange rate of 1 CAD=0.737626 USD applies). Data cleaning and analysis are ongoing as of manuscript publication. Despite public health restrictions from COVID-19, the Family Stress Study was successful in recruiting and using remote data collection to successfully engage families in this study. The results from this study will help identify the direction and relative contributions of the biological and behavioral pathways linking chronic stress and adiposity. These findings will aid in the development of effective interventions designed to modify these pathways and reduce obesity risk in children. ClinicalTrials.gov NCT05534711; https://clinicaltrials.gov/study/NCT05534711. DERR1-10.2196/48549.

Pre-school children single inhalation anesthetic exposure and neuro-psychological development: a prospective study and Mendelian randomization analysis.

For children who are unable to cooperate due to severe dental anxiety (DA), dental treatment of childhood caries under Dental General Anesthesia (DGA) is a safe and high-quality treatment method. This study aims to evaluate the impact on neurocognitive functions and the growth and development of children 2 years after dental procedure based on previous research, and further establish a causal relationship between general anesthesia (GA) and changes in children's neurocognitive functions by incorporating Mendelian Randomization (MR) analysis. Data were collected and analyzed from 340 cases of S-ECC procedures of preschool children conducted in 2019. This involved comparing the neurocognitive outcomes 2 years post-operation of preschool children receiving dental procedures under general anesthesia or local anesthesia. Physical development indicators such as height, weight, and body mass index (BMI) of children were also compared at baseline, half a year post-operation, and 2 years post-operation. We performed a Mendelian randomization analysis on the causal relationship between children's cognitive development and general anesthesia, drawing on a large-scale meta-analysis of GWAS for anesthesia, including multiple general anesthesia datasets. Outcome data were obtained for 111 children in the general anesthesia group and 121 children in the local anesthesia group. The mean FSIQ score for the general anesthesia group was 106.77 (SD 6.96), while the mean score for the local anesthesia group was 106.36 (SD 5.88). FSIQ scores were equivalent between the two groups. The incidence of malnutrition in children in the general anesthesia group was 27.93% (p < 0.001) before surgery and decreased to 15.32% (p > 0.05) after 2 years, which was not different from the general population. The IVW method suggested that the causal estimate (p = 0.99 > 0.05, OR = 1.04, 95% CI = 5.98 × 10-4-1.82 × 103) was not statistically significant for disease prevalence. This indicates no genetic cause-and-effect relationship between anesthesia and childhood intelligence. There were no adverse outcomes in neurocognitive development in 2 years after severe early childhood caries (S-ECC) procedure under total sevoflurane-inhalation in preschool children. The malnutrition condition in children can be improved after S-ECC procedure under general anesthesia. Limited MR evidence does not support a correlation between genetic susceptibility to anesthesia and an increased risk for intelligence in children.

The Influence of Maternal Factors on the Incidence of Stunting in Toddlers: A Narrative Review

Stunting, a severe challenge in the global public health domain, significantly impacts efforts to improve children's quality of life worldwide. The World Health Organization (WHO) defines stunting as a growth disorder in children's height, based on the height-for-age index with a Z-score of less than -2 standard deviation. This study aims to determine the influence of maternal factors on the incidence of stunting in toddlers. It is a narrative literature review. We studied national and international articles published in ScienceDirect, Google Scholar, and PubMed databases within the past ten years (2014 -2024). The keywords used to search for these articles were stunting and maternal factors. Based on the literature review, eight maternal factors contributed to the incidence of stunting in toddlers: maternal education, maternal knowledge, parenting style, maternal nutritional status, anemia during pregnancy, maternal height, maternal age, and birth spacing. There is evidence that improving these factors is essential for preventing stunting. Keywords: Stunting; Maternal Factors; Toddlers

The impact of maternal intrahepatic cholestasis during pregnancy on the growth trajectory of offspring: a population-based nested case‒control cohort study

BackgroundIntrahepatic cholestasis of pregnancy (ICP) is associated with an increased risk of adverse fetal outcomes, yet its influence on offspring growth remains unclear. Our study dynamically tracks growth rates in children from ICP and healthy mothers and investigates the link between maternal liver function and developmental abnormalities in offspring.MethodOur case‒control study involved 97 women with ICP and 152 with uncomplicated pregnancies nested in a cohort of their offspring, including 50 from the ICP group and 87 from the uncomplicated pregnancy group. We collected pediatric growth and development data, with a maximum follow-up duration of 36 months. Stratified analyses of children's height, weight, and head circumference were conducted, and Spearman's rank correlation was applied to examine the relationships between maternal serological markers and pediatric growth metrics.ResultMaternal liver and renal functions, along with serum lipid profiles, significantly differed between the ICP and normal groups. In the ICP group, the offspring showed elevated alanine aminotransferase (ALT), direct bilirubin (DBIT), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and apolipoprotein B (APOB) levels. Notably, the length-for-age z score (LAZ), weight-for-age z score (WAZ), and head circumference-for-age z score (HCZ) were lower in ICP offspring compared with those from normal pregnancies within the 1- to 12-month age range (P < 0.05). However, no significant differences in LAZ, weight-for-length z score (WLZ), BMI-for-age z score (BAZ), or HCZ were observed between groups in the 13- to 36-month age range. Maternal maximum lactate dehydrogenase (LDH) and total bile acids (TBA) levels during pregnancy were inversely correlated with LAZ and WAZ in the first year. Furthermore, offspring of mothers with ICP exhibited a greater incidence of stunting (24% vs. 6.9%, P = 0.004) and abnormal HCZ (14% vs. 3.7%, P = 0.034).ConclusionsGrowth disparities in offspring of ICP-affected pregnancies were most significant within the 1- to 12-month age range. During this period, maximum maternal LDH and TBA levels were negatively correlated with LAZ and WAZ values of offspring. The observation of similar growth rates between ICP and control group offspring from 13 to 36 months suggested catch-up growth in the ICP group.

Open Defecation, Livestock Ownership, and Child Nutritional Status in India.

South Asian children are among the most severely malnourished worldwide. One prominent hypothesis is that open defecation in the local area exposes children to human fecal pathogens that can cause diarrhea and malnutrition. Much of the existing research uses district-level measures of open defecation, which could mask important local-area variation. A second hypothesis is that animal fecal matter is a major source of exposure. This analysis tested these dual hypotheses using census data collected from 949 villages in Tamil Nadu, India, and a survey conducted in a random sample of 5,000 households in the same area. The final analytic sample consisted of 2,561 children aged 0-10 years. We estimated the association between the measures of village- and household-level open defecation, household livestock ownership, and child height-for-age Z-scores in a regression framework, controlling for potential confounders. Results revealed that village- and household-level open defecations are negatively associated with child height. There was an estimated difference of approximately 0.5 height-for-age Z-score between children living in villages with no open defecation and children in villages where all households practiced open defecation (P = 0.001) and a 0.2 Z-score difference between children living in households that practiced open defecation and those living in households that did not (P = 0.001). Livestock ownership was not associated with child height. Overall, the findings provide evidence on the centrality of open defecation in explaining persistent child malnutrition in India and the higher risk of exposure to human fecal pathogens compared with animal feces in the south Indian context.

Developmental outcomes of children born through ICSI versus conventional IVF (cIVF) in couples with non-male factor infertility.

In non-male factor infertile couples, are there any differences in the developmental outcomes between children born through ICSI and conventional IVF (cIVF)? In this preliminary study, ICSI and cIVF seem to have a comparable effect on developmental outcomes after 12 months in children born to non-male factor infertile couples. ICSI, an invasive technique, has raised concerns about potential developmental abnormalities in children. Limited data are available regarding the developmental outcomes of ICSI-conceived infants born to non-male factor infertile couples. This prospective cohort study involved a follow-up of all children aged 12 months or older who were born from pregnancies resulting from either ICSI or cIVF as part of a previous randomized controlled trial (RCT) (NCT03428919). In the original RCT, 1064 women were randomly assigned to the ICSI or cIVF groups (532 women for each group). Follow-up was conducted with 155 couples (195 children) in the ICSI group and 141 couples (185 children) in the cIVF group. The Vietnamese version of the Ages & Stages Third Edition Questionnaires (ASQ-3) and the Development Red Flags questionnaires were completed by the participants. A total of 141 (90.1%) women (177 children) in the ICSI group and 113 (80.1%) women (145 children) in the cIVF group returned fully completed questionnaires. The primary outcomes were the developmental outcomes based on responses to the ASQ-3 and the Red Flags questionnaire. The mean age of children at follow-up was 19.5 ± 5.0 months in the ICSI group and 19.3 ± 5.5 months in the cIVF group. The mean height and weight of children in both groups were similar. The overall proportion of children with any abnormal ASQ-3 score did not differ significantly between the ICSI and cIVF groups (16.9% vs 13.1%, P = 0.34). The proportion of children with Red Flag signs was also comparable between the two groups (6.2% vs 9.2%, P = 0.36, ICSI vs cIVF, respectively). Despite a reasonably high follow-up response rate, there is a potential risk of sampling bias, and overall, the number of children with developmental abnormalities was very small. The study relied solely on questionnaires as screening tools, rather than incorporating additional behavioral observations or physical developmental tests; this may have affected the statistical power and the significance of between-group comparisons. The current findings contribute to the existing evidence and support the comparative safety of ICSI and cIVF regarding early childhood development. However, more extensive and prolonged follow-up data for these children are needed to draw definitive conclusions. No external funding was received for this study, and no authors reported conflicting interests. NCT04866524 (clinicaltrials.gov).

EPS10.06 Highly-effective CFTR modulation is associated with greater height and peak lung function in children with cystic fibrosis

EPS10.06 Highly-effective CFTR modulation is associated with greater height and peak lung function in children with cystic fibrosis

Penyuluhan Mengenai Pemberian MP-ASI Tinggi Protein Hewani Untuk Pencegahan Stunting

Stunting is a condition of failure to thrive in children under five (for babies under five years of age) which is caused by chronic malnutrition so that the child is too short for his age. Stunting causes children to not reach their maximum height and disrupts brain development which will affect cognitive abilities. One in five children in Indonesia is reported to be stunted. The long-term impact of stunting will cause children to have difficulty receiving lessons, decreased learning achievement, decreased work productivity, low income and minimal participation in community activities. The cause of stunting in toddlers is often the result of many factors related to poverty, including poor diet, health, hygiene and the environment. The current effort being made is to provide education about high protein foods. The education provided aims to enable mothers of toddlers to play a role in providing a healthy, high-protein menu so that it can prevent the incidence of stunting. This community service is carried out with the aim of increasing the knowledge and understanding of mothers of toddlers regarding providing MP-ASI high in animal protein to prevent stunting. It is hoped that after participating in this service activity, mothers of toddlers will be able to provide MP-ASI high in animal protein for toddlers to support their children's height growth.

The Importance of Food Security at The Family Level in Preventing Stunting in Indonesia

Stunting is a condition where a child's height does not match the child's age. Stunting is used as an indicator of a child's growth process that is not good. Stunting is also used as an indicator of the achievements of a country's development process as outlined in the sustainable development goals (SDGs). Mojosongo Village is one of the sub-districts in Banjarsari District, Surakarta, Central Java. One of the sub-districts with still high stunting rates in Surakarta City. Handling of stunting in the City of Surakarta is carried out through several areas including economic, environmental, educational, facilities and infrastructure, and monitoring in the health sector. Based on the identification carried out, it was discovered that factor causing stunting is food availability at the family level or what is usually called food security. To support food security at the family level, one thing parents can do is provide food that is varied, nutritious and affordable for children. Efforts that can be made are by providing a varied menu as a complementary food for breast milk (MP-ASI). Fulfilling nutrition at the family level requires increasing family skills in providing healthy food, so it is necessary to provide training on MP-ASI processing for health cadres or parents. The training was carried out using lecture and direct practice methods and was attended by 46 participants consisting of health cadres in Mojosongo Village, UPPKB, and also parents. There are 4 high-protein processed ingredients provided, namely cheese potato sticks, milk corn pudding, macaroni schotel, and also soa noodles. Training participants, especially health cadres, gain knowledge and skills that are useful for preparing additional food (Pemberian Makanan Tambahan, PMT) for families of stunting sufferers.

Software and equations using segmental measures to estimate height in children and adolescents with cerebral palsy considering the level of gross motor function

In children with Cerebral palsy (CP) bone deformities create a difficulty in the collection of height measures by direct methods. Body segments are an alternative to study for anthropometric evaluation in children with CP. Motor compromise affects growth in these children. To our knowledge, no equations have been developed to estimate height that consider the level of involvement of children with CP. The aim was to develop equations to estimate height using segmental measures for children with cerebral palsy (CP). This was a cross-sectional study. The sample consisted of children and adolescents with CP of both sexes from 2 to 19 years old from five cities in Argentina. Children whose height and knee-heel height (KH) could be measured were included. Height, KH, and clinical covariables were collected. Linear regression models with height as the dependent variable and KH as predictors adjusted for significant covariates were developed and compared for R2, adjusted R2, and the root mean square of the error. 242 children and adolescents (mean age 9±4 years) with a confirmed diagnosis of CP were included. The interaction between height and other variables such KH, sex, GMFCS, and age was analyzed. Two equations were developed to estimate height according to GMFCS level (GMFCS Level I-III: H =1.5 × KH(cm)+2.28 × age(years)+ 51; GMFCS Level IV-V: H =2.13 × KH (cm)+ 0.91 × age(years)+37). The concordance correlation coefficient between estimated and observed height was 0.95 (95%CI [0.94; 0.96]). Height in children and adolescents with CP can be predicted using KH, GMFCS, and age. The equations and software can estimate height when this cannot be obtained directly.

Heightism, growth hormone treatment, and social functioning: a holistic approach to a persistent clinical challenge.

Use of recombinant human growth hormone (rhGH) treatment to increase height in children with non-growth hormone deficient short stature is becoming more common. Yet, the evidence to support the notion that augmenting height directly leads to increased well being, specifically psychosocial well being, is inconsistent, with high-quality evidence lacking. Review of recent studies demonstrates that the association between height augmentation and psychosocial well being is complex. The direct contribution of height to well being may be less than the current model of clinical care of short stature assumes. Rather, the new studies provide evidence to support a role for psychosocial factors, including height-related beliefs, social support, and coping skills, in promoting psychosocial well being, specifically quality of life and self-esteem. Clinical care of short stature would benefit from incorporating a holistic model of care that considers psychosocial interventions in addition to, or instead of, rhGH treatment.