Determination of the frequency of growth retardation in pediatric out patients with growth retardation complaints

Determination of the frequency of growth retardation in pediatric out patients with growth retardation complaints

Aim: Having a healthy child is the most basic concern for parents, and their children being ill or showing signs of illness therefore causes them anxiety. Parents cannot generally be objective in assessing the growth of their own children. Children’s growth must be evaluated solely with appropriate measurements and assessment criteria. The purpose of this study is to investigate the growth of patients with suspected retarded growth presenting to the children’s health and diseases clinic.Material and Methods: One hundred patients presenting with retarded growth to the Adıyaman University Training and Research Hospital children’s health and diseases clinic were included in this study. Patients were evaluated for retarded growth through measurement of weight, height and head circumference.Results: One hundred patients, 49 boys (49%) and 51 girls (51%) presenting with retarded growth were enrolled in the study. Patients’ mean age was 47.62 ± 43.1 (3-192) months. The mean weight was 14.51 ± 7.9 (4.5-46.9) kg and mean height was 95.61 ± 23.14 (57-164) cm. Mean head circumference was 43.97 ± 2.6 (37-49) cm. In our observed population, the following measurements fell below the third percentile: Weight: 4 patients (4%); Weight and Height: 12 patients (12%); and Weight, Height and Head Circumference: 4 Patients (4%).Conclusion: An increasing number of concerned parents does not necessarily indicate any actual problem, or any abnormally high incidence of actual retarded growth and development than that might be expected from the literature. Well child visits must be performed and parents provided sufficient information on normal development.

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  • Aurangzeb B, Whitten KE, Harisson B, Mitchell M, Kepreotes H, Sidler M, et al. Prevalence of malnutrition and risk of undernutrition in hospitalized children. Clin Nutr 2012;31(1):35-40.
  • Santafe Sanchez LR, Sanchez Rodriguez DA, Villegas Galarza AL, Gonzalez-Correa CH. Nutritional status among hospitalized children with mixed diagnoses at a referral teaching hospital in Manizales, Colombia. Nutr Hosp. 2012;27(5):1451-9.
  • Rocha GA, Rocha EJ, Martins CV. The effects of hospitalization on the nutritional status of children. J Pediatr (Rio J) 2006;82:70-4.
  • Kac G, Camacho-Dias P, Silva-Coutihno D, Silveira-Lopes R, Vilas-Boas V, Pinheiro BV. Length of stay is associated with incidence of in-hospital malnutrition in a group of low-income Brazilian children. Salud Publica Mex 2000;42(5):407-12.
  • Daskalou E, Galli-Tsinopoulou A, Karagiozoglou-Lampoudi T, Augoustides-Savvopoulou P. Malnutrition in hospitalized pediatric patients: assessment, prevalence, and association to adverse outcomes. J Am Coll Nutr. 2016;35(4):372-80.
  • Oztürk Y, Büyükgebiz B, Arslan N, Ellidokuz H. Effects of hospital stay on nutritional anthropometric data in Turkish children. J Trop Pediatr 2003;49(3):189-90.
  • Celik SB, Sahin F, Beyazova U, Can H. Sağlıklı çocuk izlem polikliniğinde çocukların büyüme durumu ve etkili etmenler. Türk Ped Arş 2014;49(2):104-10.
  • WHO; Facts for life 2009. Fourth edition. http://www. factsforlifeglobal.org/resources/factsforlife-en-full.pdf (erişim tarihi) 16.01.2017
  • Munthali T, Jacobs C, Sitali L, Dambe R, Michelo C. Mortality and morbidity patterns in under-five children with severe acute malnutrition (SAM) in Zambia: a five-year retrospective review of hospital-based records (2009-2013). Arch Public Health 2015;1;73(1):23.
  • Attia S, Versloot CJ, Voskuijl W, van Vliet SJ, Di Giovanni V, Zhang L. et al. Mortality in children with complicated severe acute malnutrition is related to intestinal and systemic inflammation: an observational cohort study. Am J Clin Nutr 2016;104(5):1441-9.
  • Leske JS. Interventions to decrease family anxiety. Crit Care Nurse 2002;22(6):61-5.
  • Jones C, Reilly C. Parental anxiety in childhood epilepsy: A systematic review. Epilepsia 2016;57(4):529-37.
  • Uguz S, Toros F, İnanc BY, Colakkadioglu O. Zihinsel ve/ veya Bedensel Engelli Çocukların Annelerinin Anksiyete, Depresyon ve Stres Düzeylerinin Belirlenmesi. Klinik Psikiyatri. 2004;7:42-7.
  • Dereli E. Zihinsel Yetersizliği Olan ve Olmayan Okul Öncesi Dönem Çocukların Anne-Babalarının Benlik Saygısı, Kaygı Düzeyleri ve Anne-Baba Tutumlarının Bazı Değişkenler Açısından Karşılaştırılması. JASSS. 2012;5(5):475-91.
  • Neyzi O, Bundak R, Gökçay G, Günöz H, Furman A, Darendeliler F, Baş F. Reference values for weight, height, head circumference, and body mass index in turkish children. J Clin Res Pediatr Endocrinol 2015;7(4)280-93.
  • Keane V. Assesment of Growth. In: Nelson Textbook of Pediatrics. 19th ed. Philadelphia: Elsevier Saunders Inc; 2011. Chapter 13.
  • Avsaroglu S. A research on the anxiety levels of parents who have mentally handicapped children. Journal of Human Sciences. 2012;9(1):533-49.
İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi-Cover
  • ISSN: 1300-1744
  • Yayın Aralığı: Yılda 4 Sayı
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
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