Growth indicators and nutritional supplement evaluation in 6-12 months year old children’s: A perspective from Ilam
More details
Hide details
Department of Public Health, Faculty of Health, Ilam University of Medical Science, Ilam, Iran
Department of Epidemiology, Faculty of Medicine, Ilam University of Medical Science, Ilam, Iran
Online publish date: 2018-02-19
Publish date: 2018-02-19
Electron J Gen Med 2018;15(3):em17
The study of nutritional status and children growth monitoring can play an important role in the diagnosis of developmental disorders in the early stages of life. Accordingly, the purpose of this study was to examine the growth chart and nutrition supplements in children of 6-12 months old in Ilam.

Material and Methods:
This study was performed using data from 200 health records of children aged 6-12 months who referred to Ilam health centers in 2017. The sampling method was multistage cluster sampling. Weight measurement performed in kilograms and height and head circumference measured in cm and all specimen measurements performed in identical conditions. Data analysis carried out using SPSS.21 with a confidence level of 0.5.

Out of 200 cases, 89(44.5%) were male and 111(55.5%) were female. The mean age was 9.44 ± 1.23 months. Among investigated children, 39% (78children) in terms of weight to age index, 18.5% (37children) in terms of height to age index of developmental delay, and 24% (48children) in terms of head circumference to the age had undesirable growth. In addition, 55.5% of children had started baby food in an improper time. In addition, 44.5% were breastfed. The findings demonstrated that there is a significant difference in the weight to age index in terms of gender (p=0.024). Moreover, height and head circumference to age indices had a statistically significant relationship with weight to age index (p<0.05).

Underweight cases in boys were more than girls and chronic malnutrition in girls was higher than boys. Therefore, long-term studies are needed for more accurate evaluations.

1. Ghaffari M, Niknami S, Kazemnejad A, Mirzae E, Ghofranipour F. Designing and validating 10 conceptual scales to prevent HIV among adolescents. Journal of Kermanshah University of Medical Sciences (J Kermanshah Univ Med Sci). 2007;11(1).
2. Hoseinzadeh K, Por Mehr A, Rahmati R, Yosefi H. Comparing the growth of under 2 years old children referring to health centers of‎ Bandar Abbas with NCHS standard curve. Journal of Holistic Nursing and Midwifery. 2005;15(1):39-44.
3. Kholdi N, Ramezankhani A, Zayeri F, Jafari F, Davati A. Risk factor of underweight in less than 2 years old children in Tehran. Research scientific journal of shahid Beheshti University. 2010;75:104-10.
4. Vahabi N, Salehi M, Azarbar A, Zayeri F, Kholdi N. Application of multilevel model for assessing the affected factors on failure to thrive in children less than two years old. Razi Journal of Medical Sciences. 2014;21(124):91-9.
5. Berak M, AzariNamin L, Nemati A, Abbasgholizadeh N, Mirzarahimi M, Sedigh A. Risk factor of failure to thrive in less than 2 years old children Namin. Research Scientific Journal of Ardabil University of Medical Sciences and Health Services. 2004;3(10):13-7.
6. Toutounchi P. The weight to age growth chart in 5 years old children and its risk factors in Tehran, Iran. 2009.
7. De Onis M, Wijnhoven TM, Onyango AW. Worldwide practices in child growth monitoring. The Journal of pediatrics. 2004;144(4):461-5. https://doi.org/10.1016/j.jped....
8. Sheikholeslam R, Naghavi M, Abdollahi Z, Zarati M, Vaseghi S, Sadeghi Ghotbabadi F, et al. Current status and the 10 years trend in the malnutrition indexes of children under 5 years in Iran. Iranian journal of Epidemiology. 2008;4(1):21-8.
9. Vahabi N, Zayeri F, Fazeli Moghadam E, Safari M, Ebrahimzadeh F. Assessing the factors affecting height and weight trends among children under two years of age in Khorramabad: an application of marginal modeling. Iranian Journal of Epidemiology. 2015;11(3):52-61.
10. Esmaeili M, Esmaeili M. Head circumference in Iranian infants. Iranian Journal of Neonatology IJN. 2015;6(1):28-32.
11. Bener A, Ehlayel M, Alsowaidi S, Sabbah A. Role of breast feeding in primary prevention of asthma and allergic diseases in a traditional society. Eur Ann Allergy Clin Immunol. 2007;39(10):337-43.
12. Vohr BR, Poindexter BB, Dusick AM, McKinley LT, Wright LL, Langer JC, et al. Beneficial effects of breast milk in the neonatal intensive care unit on the developmental outcome of extremely low birth weight infants at 18 months of age. Pediatrics. 2006;118(1):e115-e23. https://doi.org/10.1542/peds.2....
13. Ghaed Mohamamdi Z, Zafarmand MH, Heydary G, Anaraki A, Dehghan A. Determination of effective factors in breast feeding continuity for infants less than 1 year old in urban area of Bushehr Province. ISMJ. 2004;7(1):79-87.
14. Hatami A, Talebi Toti Z. Patterns of breastfeeding in infants. Journal of hayat. 2007;13(2):71-6.
15. Khabazkhoob M, Fotouhi A, Majdi M, Moradi A, Javaherforoshzadeh A, Haeri Kermani Z, et al. Prevalence of exclusive breastfeeding in Health Center Mashhad, 2007. Iranian Journal of Epidemiology. 2008;3(3):45-53.
16. Naimi E, Malekzadeh J, Rezaei M, Khalesi N, Mousavi A, Poormahmodi A. Assessment of Iron supplementation program in 6-24 months old children of Yasuj 2006. Journal of Health Administration. 2006;8(22):41-6.
17. Charkazi A, Esmaeili A, Maqsoudlo D. Knowledge and Practice on Supplementary Iron-Drop Taking Among Mothers of 8-24 Months Infants Attending to Gorgan Health Centers, 2009. 2010.
18. Saeidi M, Vakili R, Khakshour A, Taghizadeh Moghaddam H, Zarif B, Nateghi S, et al. Iron and Multivitamin Supplements in Children and its Association with Growth rate. International Journal of Pediatrics. 2013;1(1):13-7.
19. Gholami A, Salari Lak S, Ghareaghaji Asl R, Moosavi Jahromi L. Study of prevalence and related factors of non-consumption and irregular consumption of iron drop in infants aged 7-24 months Urmia city 2008. URMIA MEDICAL JOURNAL. 2012;23(1):41-6.
20. Mohammadhossini S, Hosseini N, Moghimi M, Fouladi M. Knowledge and practice of mothers, regarding the supplementary nutrition of breast-fed infants, Yasuj, Iran. Iranian Journal of Neonatology IJN. 2014;4(4):28-33.