The Turkish Journal of Pediatrics 2012 , Vol 54 , Num 1
A Study of Growth Failure and its Related Factors in Children from 0 to 2 Years in Tehran, Iran
1Department of Health and Social Medicine, Shahed University Faculty of Medicine, and 2Proteomics Research Center, Faculty of Paramedical Sciences, 3Department of Biostatistics, Faculty of Paramedical Sciences, and 4Department of Health, Faculty of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran Kholdi N, Zayeri F, Bagheban AA, Khodakarim S, Ramezankhani A. A study of growth failure and its related factors in children from 0 to 2 years in Tehran, Iran. Turk J Pediatr 2012; 54: 38-44.

In this study, we aimed to estimate the prevalence of growth failure and identify the risk factors for this health problem in infants under two years old in Tehran, Iran. Using a cluster sampling method, 2182 infants’ health files were randomly selected from eight health centers in Tehran. Growth failure was defined as a decrease in a child’s weight (minimum 50 grams) at each attendance compared to the previous evaluation. The prevalence rate was between 0.05% and 6.2% at the different measurements. The regression analysis revealed that the presence of diarrhea [odds ratio (OR): 4.01, 95% confidence interval (CI): (3.50, 4.60)], respiratory infections [OR: 4.95, 95%CI: (4.40, 5.57)] and urinary tract infections [OR: 6.35, 95%CI: (3.97, 10.18)], as well as discontinuation of breast-feeding [OR: 10.91, 95%CI: (7.82, 15.23)], teething [OR: 4.14, 95%CI: (3.61, 4.75)] and complementary feeding [OR: 9.58, 95%CI: (6.48, 14.18)] were the significant risk factors for growth failure. Generally, our study showed a high prevalence of growth failure in infants less than two years in Tehran. More efforts are needed for promoting the knowledge level of mothers and healthcare providers to control this health problem in Iran. Keywords : growth failure, infants under two years old, malnutrition, infectious disease.

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