The Turkish Journal of Pediatrics
2012 , Vol 54 , Num 3
Family and Infant Characteristics in Relation to Age at Walking in Turkey
1Social Pediatrics Unit, Departments of Pediatrics, Hacettepe University Faculty of Medicine, and 2Ministry of Health,
Directorate of Mother and Child Health and Family Planning, Ankara, Turkey
The purpose of this study was to assess the onset of independent ambulation
relative to possible relationships with maternal and infant characteristics. In
a cross-sectional study, the health files of 1,553 Turkish children aged 12-23
months were selected by the multistage sampling method in the Nomenclature
of Territorial Units for Statistics (NUTS) regions coded as low, medium and
high malnutrition levels in Turkey. Children were selected from health centers
by systematic sampling technique in each region. Kaplan-Meier analysis and
estimated mean values were used for data description; log-rank test and
the Cox multivariable regression analysis were applied for data analysis.
Maternal education level, occupation, region of residence, gestational iron
supplementation, child’s gender, child’s nutritional status, and presence
of anemia in the infant during the survey period demonstrated significant
relationships with walking unassisted in the univariate analysis. However,
multivariable analysis showed that high maternal education, absence of
parental consanguinity and appropriate weight-for-age Z score were positively
associated with earlier age of walking. These findings showed the importance
of improvement in girls’ education, prevention of postnatal growth retardation
and improvement in diet quality for children’s gross motor development.
In addition, counseling programs should be given to decrease the rate of
parental consanguinity.
Keywords :
walking age, consanguinity, growth, girls’ education.