Study of morbidity pattern of children up to age of five years with special reference to osseous development
DOI:
https://doi.org/10.18203/2349-3291.ijcp20180539Keywords:
Morbidity, Mortality pattern, Nutritional status, Osseous development, Respiratory tract infection, Under five childrenAbstract
Background: The first few years of life are the most crucial period as this age is known for accelerated growth and development and any adverse influences during this period may result in severe limitations in their development which warrants regular monitoring.
Methods: The present study had been conducted to find out the total growth profile in relation to skeletal age, nutritional status and the disease pattern so as to give a clear idea of total growth profile in the age group of 3 months to 5 years. The cases were evaluated after proper history taking, clinical examination and conventional anthropometric measurements. The patients were divided in three different age groups as 3 months to 1 year, ≥1 to 3 years, and ≥3 to 5 years. Bone age was determined in all 52 cases by taking proper radiographs of both wrists and hands.
Results: It was observed that 16 (30.77%) were normal, 11 (21.15%) were in both grade I and II, 10 (19.23%), 4 (7.7) were grade III and IV respectively among 52 children. The mean weight was 7.06±1.65, 9.33±1.92 and 11.18±2.90 in the age groups of 3 months to 1 year, 1-3 years and 3-5 years respectively. The length/heights were 68.55±5.54, 79.44±7.54 and 91.97±10.15 in the age group of 3 months to 1 year, 1-3 years and 3-5 years respectively.
Conclusions: This study gave a true reflection of total growth of a child which comprised of anthropometrical measurement and skeletal development as the distribution of sex and racial distribution were not a factor. There was a statistical significant result in different three groups in regard to weight, length/height, head and chest circumference.
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References
Rao PDCV, Puri RK. Morbidity pattern seen in the urban paediatric centre Pondicherry. Indian J Pediatr. 1973;40(310):396-402.
Udani PM. Morbidity and mortality. Indian J Child Health. 1962;11:239.
Gulati PV. An epidemiological study of morbidity pattern. Indian Pediatr. 1977;14(2):93-7.
Chaudhuri A, Chaudhuri KC. Studies on the morbidity pattern of children in an urban community. Indian J Pediat. 1962;29:145.
Manchanda SS, Sachdev KK. Morbidity and mortality in children in North India. IBID. 1962;11:680.
Mehta SM, Parekh P, Khan MA, Singh SD, Rawat M, Mathur PS. A study of radiological changes in protein calorie malnutrition. Indian Pediatr. 1980;17(3):241-5.
Dhamija SC, Agarwal KN, Gupta SK, Katiyar GP. Evaluation of hand and foot ossification centres for assessment of bone age. Indian Pediatr. 1976;13(3):201-8.
Puri RK, Khanna KK. Skeletal changes in protein calorie malnutrition. Indian Pediatr. 1976;13(11):833-6.
Jelliffe DB. Diseases of children in the subtropics and tropics. Hodder and Stoughton Educational. 3rd Edition. 1978.
Vogt EC, Vickers VS. Osseous growth and development. Radiol. 1938;31(4):441-4.
Singh RN, Hemrajani KH, Jindal PL, Kochar S. Morbidity and mortality in paediatric age group in Western Rajasthan. Arch Child Heath. 1971;13:101.
Agarwal KN, Agarwal OK, Benakappa DG, Gupta SM, Khanduja PC, Khatua SP, et al. Growth Performance of affluent children (Under-fives): Growth standard for Indian children, Scientific Report-11, Nutrition Foundation of India. 1991.
Agarwal DK, Upadhyay SK, Tripathi AM, Agarwal KN. Nutritional status, physical work capacity and mental function in school children. Scientific Report No. 6. New Delhi: Nutrition Foundation of India; 1987.
Datta B, Krishnan ND, Mane RSIS, Rajlila. Longitudinal study on morbidity and mortality pattern of children in Delhi during the 1st two years of life. Review of 1000 children. Indian J Med Res. 1967;55:504.
Prasad R, Kumar R, Dayal RS. Physical growth and development from one to five years. Indian Pediatr 1971;8:1015-119.
Banik DND. Semi-longitudinal growth evaluation of children from birth to 14 years in different socio-economic groups. Indian Pediatr. 1982;19:353-9.
Limaye C, Chauhan CN, Lakhani SM, Phadke MV. Optimal growth standard from Poona. Indian Pediatr. 1974;11:673-6.
Shinde R, Parekh PG, Kaul KK. A study of some selected anthropometric parameter in upper class pre-school children of Jabalpur. Indian Pediatr. 1980;17:45-53.
Growth and physical development of Indian infants and children. Technical Report 18 ICMR publication, New Delhi; 1984:59.
Ghai OP, Sandhu KK. Study of physical growth of Indian children in Delhi. Indian J Pediatr. 1986;35:91.
Mathur YC, Bhakthavatsala K, Prahalad RN. Study of growth pattern in preschool children of low socioeconomic status in a rural area near Hyderabad. Indian Pediatr. 1972;9:411-4.
Hamill PVV, Jhonson CL, Roche AF. Physical growth: National centre for health statistics percentiles. Am J Clin Nutr. 1979;32:607-29.
Katiyar GP, Sehgal D, Khare BB, Agarwal DK, Tripathi AM, Agarwal KN. Physical growth characteristics of upper socio-economic adolescent boys of Varanasi. Indian Pediatr. 1985;22:915-22.
ICMR. Growth and physical development of Indian infants and children, Indian Council of Medical Research Technical Report Series No. 18, New Delhi: ICMR; 1972.