Risk factors for failure to thrive among infants at a hospital in North India: a case-control study.

IF 1.8 4区 医学 Q2 PEDIATRICS
Durgesh Kumar, Shambhavi Mishra, Dinesh Kumar, Atul Singh, Ganesh Kumar Verma
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引用次数: 0

Abstract

Failure to thrive (FTT) is a commonly used term in pediatric clinical practice, referring to a significant deviation from normal growth patterns. It can have multiple adverse effects on a child, including developmental delays, intellectual deficits, and insecure attachment. Inadequate nutritional intake is the most frequent underlying cause. This study aims to identify the risk factors contributing to FTT in infants in a rural North Indian setting. A case-control study was conducted on infants aged 2-12 months admitted to the pediatric ward of Uttar Pradesh University of Medical Sciences, Saifai, Etawah, India. Detailed histories, clinical examinations, and relevant laboratory investigations were performed for all enrolled patients. Among the 456 study participants, 152 infants (33.33%) were diagnosed with FTT. The majority of cases (92.1%) were from rural areas. Multivariate regression analysis identified key independent risk factors for FTT, including rural residence, incomplete or lack of immunization, absence of exclusive breastfeeding, and lack of timely complementary feeding. This study underscores the significant role of rural residency, inadequate immunization, absence of exclusive breastfeeding, and delayed complementary feeding in increasing the risk of FTT among infants aged 2-12 months in rural North India. Early identification of these risk factors, timely diagnosis, and appropriate interventions are crucial for improving child health outcomes. It will also help in the efficient allocation of healthcare resources.

印度北部一家医院婴儿发育不良的危险因素:一项病例对照研究
茁壮成长失败(FTT)是儿科临床实践中常用的术语,指的是明显偏离正常生长模式。它会对孩子产生多种不良影响,包括发育迟缓、智力缺陷和不安全的依恋。营养摄入不足是最常见的潜在原因。本研究旨在确定在印度北部农村地区婴儿中导致FTT的危险因素。对印度埃塔瓦塞法伊北方邦医科大学儿科病房收治的2-12个月婴儿进行了一项病例对照研究。对所有入组患者进行详细的病史、临床检查和相关的实验室调查。在456名研究参与者中,152名婴儿(33.33%)被诊断为FTT。绝大多数病例(92.1%)来自农村地区。多因素回归分析确定了FTT的主要独立危险因素,包括农村居住、免疫接种不完整或缺乏、缺乏纯母乳喂养和缺乏及时的补充喂养。这项研究强调了农村居住、免疫接种不足、缺乏纯母乳喂养和延迟补充喂养在增加印度北部农村2-12个月婴儿FTT风险方面的重要作用。及早发现这些风险因素,及时诊断并采取适当干预措施,对于改善儿童健康结果至关重要。这也将有助于有效分配医疗资源。
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来源期刊
Journal of Tropical Pediatrics
Journal of Tropical Pediatrics 医学-热带医学
CiteScore
4.00
自引率
0.00%
发文量
97
审稿时长
6-12 weeks
期刊介绍: The Journal of Tropical Pediatrics provides a link between theory and practice in the field. Papers report key results of clinical and community research, and considerations of programme development. More general descriptive pieces are included when they have application to work preceeding elsewhere. The journal also presents review articles, book reviews and, occasionally, short monographs and selections of important papers delivered at relevant conferences.
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