Prevalence Of Malnutrition Among Pre-School Children Of Nine Indian States

Introduction: In developing countries, undernutrition is a major health concern among children. Besides this, the coexistence of undernutrition and overnutrition, which is referred to as double burden of malnutrition is well observed among children. This paper investigates the total prevalence of malnutrition (undernutrition+overnutrtion) among preschool childrenObjective: of Empowered Action Group (EAG) states in India using the secondary data, which was extracted from Clinical, Anthropometric and Biochemical (CAB) Survey. A total of 92444 (43655 females; 48789 males) under 5 years preschool children wereMaterials and Methods: included from 165 districts of EAG states and Assam in India. To assess the nutritional status, Z scores for weight-for-height (WHZ), height-for- age (HAZ), weight-for-age (WAZ) were calculated by following WHO standards using AnthroPlus software. Double burden of malnutrition was evaluated using categorical components of rCIAF (revised Composite Index Anthropometric Failure). The overall prevalence of UF andResults: OF were 50.48% (47.34% female; 53.29% male) and 3.76% (3.95% females and 3.60% males), respectively. The highest prevalence of UF was observed in Madhya Pradesh (54.47%). Sex-specific highest prevalence in females and males were observed in Jharkhand (51.76%) and Madhya Pradesh (58.91%). The outcomes from this study may help the policymakers in ameliorating the problem of malnutrition.

Infant and young child feeding knowledge and practices among mothers of under-5 children in Nadia district, West Bengal: a cross-sectional study

Background: Age-appropriate infant and young child feeding (IYCF) practice (exclusive breastfeeding till 6 months and adequate diet in a child aged 6-24 months i.e. age-appropriate number of food groups in sufficient amount and age-appropriate number of meals per day) and maintenance of hygiene are of paramount importance to promote child growth and survival. Despite several guidelines, IYCF remains an unsolved issue in the background of the significantly high proportion of malnutrition as well as under-five mortalities globally as well as in India. The current study aimed to assess the knowledge and practices related to IYCF among mothers and to find out the predictors of the same in a rural area of West Bengal. Methods: A community-based cross-sectional study was conducted among 351 mothers of under-five children in Nadia district, west Bengal with the help of a pre-designed and pre-tested semi-structured schedule. Multi-stage random sampling was done. Data were entered into MS Excel and analysed in the SPSS 21.0 version. Results: The study found that the majority (49.3% and 74.5% respectively) had an average knowledge and practice score related to infant and young child feeding. Bivariate analyses revealed that the mothers having educational levels more than higher-secondary had higher odds of good IYCF knowledge; also those who had experienced "ASHA’s home visit within one month" had higher odds of good IYCF practice. Conclusions: Adequate and consistent implementation of existing government policies can bridge the gap of knowledge and thereby practice of infant and young child feeding.

Prevalence and Factors Associated with Protein Energy Malnutrition among Pre School Children in Rural Areas

Children, particularly those in rural areas, are among the most vulnerable to malnutrition, a silent emergency recognized by organizations such as the United Nations Children's Fund (UNICEF). This study delves into the complexities of undernutrition, specifically Protein Energy Malnutrition (PEM), among pre-school children aged 3-6 years in rural regions. The research aims to estimate the prevalence of PEM, identify associated factors, and analyze various feeding practices contributing to malnutrition. Data collection was conducted through survey methods, encompassing 3-6-year-old children, revealing alarming statistics. Findings from 20 article papers underscored that 27.96% of pre-school children were underweight, with 6.71% severely underweight. Notably, 42.78% of children lacking energy-dense foods, as per Recommended Dietary Allowance (RDA), experienced malnutrition. Additionally, more than one-third of children suffered from underweight due to PEM. The study highlights the elevated risk of malnutrition among children with low birth weights, shorter interpregnancy intervals, higher birth orders, and inadequate breastfeeding and immunization practices. These insights underscore the urgent need for targeted interventions to address the multifaceted challenges contributing to PEM among rural pre-school children.

Prácticas de lactancia, alimentación complementaria y estado nutricional mediante indicadores antropométricos y bioquímicos en preescolares. Comparación con los indicadores nacionales de salud / Breastfeeding practices, complementary feeding and nutritional status through anthropometric and biochemical indicators among preschoolers. A comparison with national health indicators

RESUMEN Objetivo: Conocer y comparar las prácticas de lactancia materna, alimentación complementaria y el estado nutricional de los preescolares que acudieron a diversos centros de desarrollo infantil de un municipio de la Ciudad de México. Materiales y métodos: Diseño transversal analítico, que analizó una muestra de 444 preescolares a quienes se les tomaron medidas antropométricas y determinación de hemoglobina; por otro lado, se obtuvo información de las madres respecto de las prácticas de lactancia y alimentación complementaria. Se dividió a los niños en dos grupos de edades (13 a 59 meses y 13 a 80 meses). Resultados: El promedio de edad fue 48,4 meses, el 90 % recibió lactancia materna por un tiempo promedio de 7,7 meses y el 63 % inició su alimentación complementaria antes de los seis meses. Se encontró correlación lineal en talla-edad (r = 0,88) y peso-edad (r = 0,72). Respecto a la estatura, el 6,5 % tuvo talla baja para la edad. Según el estado nutricional por el índice de masa corporal para la edad (IMC/E), el 3,8 % tuvo peso bajo; el 66,0 %, peso adecuado; el 22,4 %, sobrepeso, y el 7,8 %, obesidad. La distribución de estas categorías fue homogénea respecto al sexo (p = 0,90). Por otro lado, el 13,0 % fueron clasificados con riesgo de desnutrición en base el perímetro braquial. Las niñas presentaron mayor porcentaje de grasa corporal (GC) (p = 0,008) y grasa total (GT) (p = 0,01); el 4 % presentó anemia, la cual fue mayor en niñas (p = 0,02). Existió un incremento proporcional de peso anual entre las categorías de edad en un promedio de 2,3 kg, excepto en la categoría de mayores a seis años que fue 11,36 kg. Conclusiones: La malnutrición es un problema creciente de salud pública. La edad preescolar es la etapa idónea para realizar intervenciones que estimulen y promuevan buenos hábitos alimenticios y actividad física. La lactancia materna exclusiva prolongada durante al menos seis meses es la alimentación ideal del recién nacido y del lactante y, en definitiva, es imperante hacer a un lado el consumo de sucedáneos de leche materna y no adelantar la alimentación complementaria antes de este periodo.

ABSTRACT Objective: To learn about and compare breastfeeding practices, complementary feeding and the nutritional status of preschoolers attending various child development centers in a municipality of Mexico City. Materials and methods: An analytical cross-sectional study which analyzed a sample of 444 preschoolers who underwent anthropometric measurements and hemoglobin determination. Additionally, information on breastfeeding and complementary feeding practices was gathered from mothers. The children were categorized into two age groups (13 to 59 months and 13 to 80 months). Results: The average age was 48.4 months, with 90 % having received breastfeeding for an average of 7.7 months and 63 % having started complementary feeding before six months of age. Significant linear correlations were observed in height-for-age (r = 0.88) and weight-for-age (r = 0.72), and 6.5 % exhibited stunting. According to the nutritional status by body mass index-for-age (BMI-for-age), 3.8 % were classified as underweight, 66.0 % as normal weight, 22.4 % as overweight and 7.8 % as obese. The distribution of these categories was consistent across genders (p = 0.90). Moreover, 13.0 % were classified as at risk of malnutrition based on upper arm circumference. Girls exhibited higher percentages of body fat (BF) (p = 0.008) and total fat (TF) (p = 0.01); 4 % of the children presented anemia, being more prevalent in girls (p = 0.02). There was an average annual weight gain of 2.3 kg across age categories, except for those over six years old, who averaged 11.36 kg. Conclusions: Malnutrition is a growing public health problem. Preschool age is the ideal stage to carry out interventions that stimulate and promote healthy dietary habits and physical activity. Prolonged exclusive breastfeeding for at least six months is crucial for newborns and infants. In conclusion, it is imperative to refrain from using breastmilk substitutes and to delay the introduction of complementary feeding before this period.

Association between early childhood caries and nutritional status in children in a peruvian social program: a cross-sectional study / Asociación entre caries de la primera infancia y estado nutricional en niños de un programa social peruano: un estudio transversal

Introduction: Early childhood caries is still very prevalent, mainly in developing countries, and it is related to the quality of life of children due to early tooth loss. Objective: The study objective was to determine the association between dental caries and its clinical consequences on nutritional status in children of the "Vaso de Leche (Glass of Milk)'' social program, in Puno City, Peru, during the year 2020. Materials and Methods: An observational, descriptive-correlational, cross-sectional study; the sample consisted of 740 children between 1 and 5 years old who met the selection criteria; the clinical consequences of untreated dental caries were evaluated using the PUFA index and the prevalence of caries with def-t; the nutritional status was determined by the weight and height of the child according to protocols (NTS No. 357 - MINSA /2017/ DGIESP); the data were analyzed with the SPSS-v25 program, the association between variables was evaluated with the chi-square test, Mann-Whitney U test and Spearman's Rho test, considering significance at a p-value <0.05. Results: No significant relationship was found when dental caries was evaluated with the nutritional condition (p<0.05). However, when the def-t index values were related to the nutritional condition of the children, a significant difference was found (p<0.05). There was no significant difference with the PUFA index (p>0.05). Conclusions: There is no association between early childhood caries and nutritional status in children aged between 3 and 5 years; however, a significant relationship was found between the values of the def-t index and the nutritional status of the children.

Introducción: La caries infantil temprana sigue siendo muy prevalente, principalmente en los países en desarrollo, y está relacionada con la calidad de vida de los niños debido a la pérdida temprana de dientes Objetivo: El objetivo del estudio fue determinar la asociación entre la caries dental y sus consecuencias clínicas sobre el estado nutricional en niños del programa social "Vaso de Leche", en la ciudad de Puno, Perú, durante el año 2020. Materiales y Métodos: Estudio observacional, estudio descriptivo-correlacional, transversal; la muestra estuvo conformada por 740 niños entre 1 y 5 años que cumplieron con los criterios de selección, se evaluaron las consecuencias clínicas de la caries dental no tratada mediante el índice PUFA y la prevalencia de caries con d-t; el estado nutricional se determinó mediante el peso y talla del niño según protocolos (NTS N°357 MINSA/2017/DGIESP; los datos se analizaron con el programa SPSS-v25, la asociación entre variables se evaluó con el chi); -cuadrado, U de Mann-Whitney y Rho de Spearman, considerando significancia a un valor de p<0,05. Resultado: No se encontró relación significativa cuando se evaluó la caries dental con la condición nutricional (p<0,05). Sin embargo, cuando los valores del índice d-t se relacionaron con la condición nutricional de los niños, se encontró una diferencia significativa (p<0,05). No hubo diferencia significativa con el índice PUFA (p>0,05). Conclusión: No existe asociación entre caries de la primera infancia y el estado nutricional en niños de 3 a 5 años; sin embargo, se encontró una relación significativa entre los valores del índice d-t y el estado nutricional de los niños.

Nasolabial anthropometry using 3D computed tomography scan reconstruction: baseline study for nasolabial correction in Indonesian children with cleft lip and palate / Antropometría nasolabial mediante reconstrucción con tomografía computarizada 3D: estudio de referencia para la corrección nasolabial en niños Indonesios con fisura labiopalatina

Background: The normal nasolabial structure of infants and chil-dren from East Asian, specifically Indonesian, descent groups has been less explored in the literature. This anthropometric study is used as a guide in lip repair in patients with clefts. This retrospective study used archived CT images from the Indonesian population. Materials and Methods: Computed tomography records of children under 5 years of age were extracted from a provincial hospital. The images were then filtered based on the inclusion and exclusion criteria and then the 2D slices were reconstructed using the open source software Invesalius. Twenty-five variable nasolabial parameters of the nasolabial structure were then measured in the 3D rendering mode. Images with craniofacial dysmorphism or cannulas that passed over the nasolabial structure were excluded. Results were summarized using descriptive statistics. Results: Fourteen of 128 CT images were included in this study. The samples were divided into two age groups: 0-12 months and 25-54 months. There were moderate to strong, positive correlations between age and all nasolabial variables, which were statistically significant (p<0.05) except for nasal length, nares circumference, columella width, superior philtrum width, philtrum column height, and cutaneous upper lip height. Conclusions: This study described anthropometric measurements of normal nasolabial structures as a reference point for lip correction surgery. However, to obtain more accurate anthropometric guidelines, further studies with larger sample sizes are desirable. Although surgical repair of the lip is usually performed within the first year of life, some cases of surgery are performed after infancy.

Antecedentes: La estructura nasolabial normal de bebés y niños de grupos de ascendencia de Asia oriental, específicamente de Indonesia, ha sido menos explorada en la literatura. Este estudio antropométrico se utiliza como guía en la reparación del labio en pacientes con fisuras. Este estudio retrospectivo utilizó imágenes de tomografía computarizada archivadas de la población indonesia. Materiales y Métodos: Se extrajeron los registros de tomografía computarizada de niños menores de 5 años de un hospital provincial. Luego, las imágenes se filtraron según los criterios de inclusión y exclusión y luego se reconstruyeron los cortes 2D utilizando el software de código abierto Invesalius. Luego se midieron veinticinco parámetros nasolabiales variables de la estructura nasolabial en el modo renderizado 3D. Se excluyeron imágenes con dismórfica craneofacial y cánula que pasa sobre la estructura nasolabial. Los resultados se resumen mediante estadística descriptiva. Resultado: En este estudio se incluyeron catorce de 128 imágenes de TC. Las muestras se dividieron en dos grupos de edad: 0-12 meses y 25-54 meses. Hubo una correlación positiva de moderada a fuerte entre la edad y todas las variables nasolabiales, que fueron estadísticamente significativas (p<0,05) excepto la longitud nasal, la circunferencia de las narinas, el ancho de la columela, el ancho del filtrum superior, la altura de la columna del filtrum y la altura cutánea del labio superior. Conclusión: Este estudio describió las medidas antropométricas de estructuras nasolabiales normales como base para la cirugía de corrección de labios. Sin embargo, para obtener directrices antropométricas más precisas, son deseables más estudios con tamaños de muestra más grandes. Aunque la reparación quirúrgica del labio normalmente se realiza dentro del primer año de vida, en algunos casos la cirugía se realiza después de la infancia.

A study on nutritional status of preschool children and knowledge with special references to breastfeeding practice in urban area

Background: The nutritional status of preschool children is a critical indicator of their overall health and development. Breastfeeding provides best start of life to babies as well as improves the health of mothers and babies. Objectives were to assess the nutritional status of preschool children and to Investigate the impact of breastfeeding practices on children’s nutritional outcomes and breastfeeding practices of their mothers. Methods: This cross-sectional study was conducted in an urban slum area and involved a sample of preschool children aged 3 to 6 years. Complete enumeration of children of 3-6 years age group was done. Nutritional status was assessed through anthropometric measurements, including height, weight and mid upper arm circumference. Data on breastfeeding practices were collected through structured interviews. Data was analysed using MS excel and chi-square statistical tests was applied. Results: There were 334 study participants of which 7.5% had stunting and 62.87% were underweight. It was found that 18.56% had history of low birth weight. 90.12% were exclusively breastfed and breastfeeding was continued up to 2 years for 28.14% and more than 2 years for 71.86% children. It was also found that history of low birth weight of children is significantly associated with malnourishment (p?0.05). Conclusions: The study revealed that a substantial proportion of preschool children in the urban area were experiencing malnutrition. The breastfeeding practices were fair among the mothers of the children. Targeted education and awareness programs to enhance the nutrition can improve the overall health of preschool children in the urban setting.

Mid Upper Arm Circumference Based Nutritional Assessment and its Determinants Among ICDS Beneficiaries.

Abstract: In community-based studies, mid-upper arm circumference (MUAC) appears to be a superior predictor of childhood under nutrition than many other anthropometric indicators. This study aimed to evaluate the nutritional status of children aged 2-5 years using mid-upper arm circumference (MUAC) cut-off values recommended by the World Health Organization in 2007. The present study was a cross-sectional study carried out in randomly selected 44 ICDS canters in Maynaguri Block, Jalpaiguri District, West Bengal, India. Children aged 24 – 60 months (Boys - 499 and Girls - 522) from three (Rajbanshi, Nama Shudra, Nashya Seikh) ethnic communities. Significant age variation was found among boys (F = 14.777; p< 0.001) and girls (9.465; p< 0.001). The overall percentage of moderate and severe undernourished girls (moderate – 25.67%; severe – 5.75%) is higher than the boys (moderate – 24.85 %; severe – 5.41%). Chi-square analysis shows a statistically significant relationship of under nutrition with age, birth weight, ethnicity, birth order, number of siblings, bath place, fuel of cooking, income level and Asia-specific maternal BMI level. Comparison with international studies reveals that the prevalence of under nutrition in the present study is higher than the children of Malaysia, Cameroon, Nepal, Nigeria and Pakistan. In the context of India, the present study reported a higher prevalence of under nutrition than the children of Midnapur South 24 Pargana of West Bengal, children of Odisha and Bihar.

Factores asociados a anemia ferropénica en lactantes y preescolares / Factors associated with iron deficiency anemia in infants and preschoolers

Introducción: La anemia se define como una afección en la cual el número de glóbulos rojos o la concentración de hemoglobina dentro de estos se encuentran por debajo del límite inferior, 11 gr/dl para menores entre 6 a 59 meses. La OMS calcula que a nivel mundial la anemia presenta una prevalencia del 42% en los niños menores de 5 años. Objetivos: Realizar una revisión panorámica de diversas publicaciones científicas acerca de los factores asociados a la anemia ferropénica en preescolares. Materiales y métodos: La revisión se realizó a través de la búsqueda electrónica de diversos artículos científicos relacionados con el tema. Se utilizó la pregunta PEO: ¿Cuáles son los factores asociados a anemia ferropénica en lactantes y preescolares? Se seleccionaron los artículos publicados desde el 2017 hasta el 2022. Resultados: De los 48 artículos encontrados en la revisión, 33 fueron descartados por no cumplir con nuestros criterios de selección, quedando 15 artículos para esta revisión. Basado en 12 artículos revisados, se halló que los factores que se asocian a anemia en menores de 5 años eran por problemas socioeconómicos, déficit de micronutrientes altos en hierro en dieta, madre con antecedente de anemia, la edad materna, falta de educación, entre otros. Conclusión: Los factores predisponentes para la presencia de anemia ferropénica en los menores de 5 años más importantes fueron los relacionados con la edad materna, el nivel socioeconómico y educativo de la madre que conllevan el déficit de hierro del menor.

Introduction: Anemia is defined as a condition in which the number of red blood cells or the hemoglobin concentration within red blood cells is below the lower limit, 11 g/dL for children aged 6-59 months. The WHO estimates that worldwide anemia has a prevalence of 42% in children under 5 years of age. Objectives: To perform an overview review of various scientific publications on the factors associated with iron deficiency anemia in preschoolers. Materials and methods: The review was carried out through an electronic search of various scientific articles related to the subject. The PEO question was used: What are the factors associated with iron deficiency anemia in infants and preschoolers? Articles published from 2017 to 2022 were selected. Results: Of the 48 articles found in the review, 33 were discarded for not meeting our selection criteria, leaving 15 articles for this review. Based on 12 articles reviewed, it was found that the factors associated with anemia in children under 5 years of age were socioeconomic problems, deficiency of micronutrients high in iron in the diet, mothers with a history of anemia, maternal age, lack of education, among others. Conclusion: The most important predisposing factors for the presence of iron deficiency anemia in children under 5 years of age were those related to maternal age, socioeconomic and educational level of the mother that lead to iron deficiency in the child.

Promoção e prevenção da saúde audiovisual na infância: uma visão holística / Promotion and prevention of audiovisual health in childhood: a holistic view

Características que permeiam promoção e prevenção da saúde audiovisual podem exercer influencias comunicativas na infância por meio de maturação de habilidades ao qual está inserido. Assim, visão e audição exercem um papel crucial quanto ao desenvolvimento cognitivo infantil, sendo o tão logo o diagnóstico precoce realizado no que tange alterações oculares e auditivas identificadas contribuindo para minimizar comprometimentos no desenvolvimento infantil. Objetivo: Identificar por meio da literatura a relação entre promoção e prevenção da saúde audiovisual e o impacto na qualidade de vida das crianças na faixa etária de 0 a 11 anos, especificando a função dos profissionais de saúde, pais, responsáveis e professores. Método: Trata-se de uma Revisão da literatura, realizada entre fevereiro a junho de 2023 incluindo artigos científicos, selecionados e publicados de 2013 a 2023, em português, inglês e espanhol nas bases de dados: Pubmed, Biblioteca Virtual de Saúde (BVS), Scientific Electronic Library Online (SciELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Web of Science, Conselho Federal de Enfermagem (COFEN), Ministério da Saúde, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), biblioteca digital da instituição Universidade nove de Julho por meio dos descritores em inglês e português, saúde ocular, saúde auditiva, criança, pré-escolar e desenvolvimento infantil. Resultados: Após aplicação dos critérios de inclusão/exclusão perfizeram o montante de 77 artigos e após análise criteriosa por pares foram elegíveis 33 artigos que fizeram parte do contingente de artigos para a pesquisa. Conclusão: Constatou-se que a partir do momento onde são realizadas as orientações necessárias e exames periódicos ocorre uma diminuição no surgimento de alterações oculares ou auditivas; tratando-se de disfunções audiovisuais já diagnosticadas, medidas de tratamento melhoram não apenas a qualidade de vida bem como o desenvolvimento cognitivo, a título de exemplo temos o aparelho auditivo, prótese auricular, óculos ou lente de contato, ensino e aprendizagem com libras e braile.(AU)

Characteristics that permeate audiovisual health promotion and prevention can exert communicative influences in childhood through the maturation of skills to which it is inserted. Thus, vision and hearing play a crucial role in children's cognitive development, and as soon as the early diagnosis is made with regard to ocular and auditory alterations identified, contributing to minimize impairments in child development. Objective: To identify, through the literature, the relationship between audiovisual health promotion and prevention and the impact on the quality of life of children aged 0 to 11 years, specifying the role of health professionals, parents, guardians and teachers. Method: This is a literature review, carried out between February and June 2023, including scientific articles, selected and published from 2013 to 2023, in Portuguese, English and Spanish in the following databases: Pubmed, Virtual Health Library (VHL), Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), Web of Science, Federal Council of Nursing (COFEN), Ministry of Health, Coordination for the Improvement of Higher Education Personnel (CAPES), digital library of the institution Universidade nove de Julho through the descriptors in English and Portuguese, eye health, hearing health, child, preschool and child development. Results: After applying the inclusion/exclusion criteria, a total of 77 articles were totaled and, after careful peer review, 33 articles were eligible to be included in the contingent of articles for the research. Conclusion: It was found that from the moment the necessary orientations and periodic examinations are carried out, there is a decrease in the appearance of ocular or auditory alterations; In the case of audiovisual dysfunctions already diagnosed, treatment measures improve not only the quality of life but also cognitive development, for example we have hearing aids, ear prostheses, glasses or contact lenses, teaching and learning with Libras and Braille. (AU)

Las características que permean la promoción y prevención de la salud audiovisual pueden ejercer influencias comunicativas en la infancia a través de la maduración de las habilidades a las que se inserta. Así, la visión y la audición juegan un papel crucial en el desarrollo cognitivo de los niños, y desde el momento en que se realiza el diagnóstico precoz con respecto a las alteraciones oculares y auditivas identificadas, contribuyen a minimizar las deficiencias en el desarrollo infantil. Objetivo: Identificar, a través de la literatura, la relación entre la promoción y prevención de la salud audiovisual y el impacto en la calidad de vida de los niños de 0 a 11 años, especificando el papel de los profesionales de la salud, padres, tutores y docentes. Método: Se trata de una revisión bibliográfica, realizada entre febrero y junio de 2023, que incluye artículos científicos, seleccionados y publicados entre 2013 y 2023, en portugués, inglés y español en las siguientes bases de datos: Pubmed, Biblioteca Virtual en Salud (BVS), Biblioteca Científica Electrónica Online (SciELO), Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), Web of Science, Consejo Federal de Enfermería (COFEN), Ministerio de Salud, Coordinación para el Perfeccionamiento del Personal de Nivel Superior (CAPES), biblioteca digital de la institución Universidade nove de Julho a través de los descriptores en inglés y portugués, salud ocular, salud auditiva, infantil, preescolar y desarrollo infantil. Resultados: Después de aplicar los criterios de inclusión/exclusión, se totalizaron un total de 77 artículos y, después de una cuidadosa revisión por pares, 33 artículos fueron elegibles para ser incluidos en el contingente de artículos para la investigación. Conclusión: Se encontró que desde el momento en que se realizan las orientaciones necesarias y los exámenes periódicos, se produce una disminución en la aparición de alteraciones oculares o auditivas; En el caso de las disfunciones audiovisuales ya diagnosticadas, las medidas de tratamiento mejoran no solo la calidad de vida sino también el desarrollo cognitivo, por ejemplo tenemos audífonos, prótesis auditivas, gafas o lentes de contacto, enseñando y aprendiendo con Libras y Braille. (AU)

Application of continuous nursing based on EMS management mode in preschool children with wheezing diseases / 上海交通大学学报（医学版）

Objective·To explore the effect of continuous nursing based on EMS[environment management(E),medicine direction(M)and self monitoring(S)]management mode on the preschool children with asthmatic diseases.Methods·A total of 67 children aged 0 to 6 years with asthmatic diseases admitted to the Department of Respiratory Medicine,Shanghai Children's Hospital,Shanghai Jiao Tong University School of Medicine from December 2019 to November 2020 were selected and divided into observation group(33 cases)and control group(34 cases)according to the random number table method,with 3 cases lost,and finally 32 cases in each group.The observation group received continuous nursing care based on EMS management mode,while the control group received routine care and discharge follow-up through the telephone.The children in the two groups were followed up at 1,3,and 6 months after discharge to evaluate the results of Test for Respiratory and Asthma Control in Kids(TRACK)and wheezing recurrence;Medication Adherence Report Scale for Asthma(MARS-A)and Nursing Job Satisfaction Questionnaire were used to evaluate medication adherence and nursing job satisfaction 6 months after discharge.Results·There was no significant difference in demographic characteristics and clinical baseline characteristics between the two groups.Repeated measures analysis of variance showed that effects of time,groups and the interaction of groups×time on the total score of TRACK were statistically significant.The total scores of TRACK in the observation group were significantly higher than those in the control group at 1,3,and 6 months after discharge(P=0.000).The total scores of TRACK in the two groups gradually increased with time(P=0.000).The recurrence rates of wheezing in the observation group were 25.0%,18.7%,and 9.4%at 1,3,and 6 months after discharge,which were significantly lower than those in the control group(50.0%,43.7%,and 31.3%,respectively,P<0.05).Generalized estimating equation analysis showed that there was a statistically significant difference between the two groups(P=0.013),and the intervention effect of the observation group was better than that of the control group(OR=0.292).The MARS-A score of the observation group was 4.519±0.395 at 6 months after discharge,which was significantly higher than that of the control group(3.994±0.739,P=0.001).The nursing job satisfaction of the observation group was significantly higher than that of the control group(P=0.000).There was a moderate positive correlation between the MARS-A score and the nursing job satisfaction(r=0.389,P=0.001).Conclusion·Continuous nursing based on EMS management mode can significantly improve the medication compliance and wheezing control level of the preschool children with asthmatic diseases,significantly reduce the recurrence rate of wheezing,and improve the nursing satisfaction.

Status quo of screen exposure and its determinants in 3- to 6-year-old children in Minhang district, Shanghai / 中国儿童保健杂志

【Objective】 To investigate the screen exposure status in 3- to 6-year-old children in Minhang district and to analyze its determinants, so as to provide a basis for scientific intervention of screen exposure in children. 【Methods】 A total of 1 035 children aged 3 to 6 years were selected from 30 classes in 10 kindergartens in Minhang district by multi-stage cluster sampling in October 2022. An online questionnaire survey was conducted by their parents. Screen exposure was difined as spending more than one hour on video products per day. Multivariate Logistic regression model was adopted to analyze the determinants of children screen exposure. 【Results】 Among 1 035 children, 730 experienced screen exposure (70.53%). The average time of daily screen exposure was (1.67±0.98)h. The daily screen exposure time of children aged 3, 4, 5 and 6 years at weekends was (1.77±1.13), (1.76±1.04), (1.98±1.10)h and(2.08±1.22)h, respectively, and the difference was statistically significant (F=3.98, P2hours/day (OR=2.10, 95%CI:1.35 - 3.27) when accompanying children, parents supporting children using video products(OR=1.59, 95%CI:1.17 - 2.15), children using video products before bedtime(OR=1.94, 95%CI:1.32 - 2.86), and unsupervised use of video products for children(OR=1.94, 95%CI:1.36 - 2.77) were independent risk factors for children′s screen exposure(P<0.05). Father′s education level of bachelor(OR=0.61,95%CI:0.43 - 0.89), master and above(OR=0.49, 95%CI:0.34 - 0.73) was a protective factor for children′s screen exposure(P<0.05). 【Conclusions】 Attention should be paid to the problem of screen exposure of 3 -to 6 - year-old children. Targeted efforts should be made to popularize the knowledge of the harm of early screen exposure to children among caregivers, caregivers are advocated for the rule formulation of screen behavior, scientifically regulate children′s screen exposure behaviors, and increase parent-child communication, so as to reduce the adverse effects of screen exposure on children′s health.

Reference values for inspiratory muscle related indexes of preschool children in Nanjing / 中国儿童保健杂志

【Objective】 To generate reference values for inspiratory muscle of preschool children in Nanjing, so as to provide a reference index for evaluating children′s lung function and exercise performance. 【Methods】 A total of 236 preschool children were selected from the main urban area of Nanjing by stratified cluster sampling.The inspiratory muscles were evaluated by breath link respiratory function evaluation system to obtain the maximum inspiratory pressure (MIP) and inspiratory peak flow rate.Pearson analysis was used to determine the correlation of MIP and inspiratory peak flow rate with gender, age, height and weight.Multiple linear stepwise regression analysis was used to obtain the formula of MIP and inspiratory peak flow rate. 【Results】 Differences in MIP and peak inspiratory flow rate were not significant between boys and girls (P>0.05), but were statistically significant among different age groups and showed an increasing trend with age (F=13.660, 33.581, P<0.001).MIP and peak inspiratory flow rate were positively correlated with children′s age, height and weight (P<0.001).The regression model, proved to be statistically significant(F=12.913、22.398, P<0.08), indicated that height was the best predictor of MIP and age was the best predictor of inspiratory peak flow rate. 【Conclusions】 This study is the first study on the predicted value of inspiratory muscle in preschool children in China.The predicted value formula can provide a reference for clinical inspiratory muscle evaluation.

Characteristics of sensory integration in static balance of 4 - to 5-year-old children / 中国儿童保健杂志

【Objective】 To analyze the sensory integration characteristics of 4- to 5-year-old preschool children while maintaining static balance, in order to provide reference for promoting the development of motor development. 【Methods】 A total of 128 preschool children were randomly selected in this study from a public kindergarten in Suzhou. Wearable sensor were worn at the center of mass(COM) position for four tests: T1 standing with eyes open, T2 standing with eyes closed, T3 standing with eyes open on a sponge pad, and T4 standing with eyes closed on a sponge pad. The angular velocity modulus(ω) of COM shaking was extracted, the Romberg quotient(RQ), vestibular Romberg quotient(VRQ), and the rate of increase in body stability when integrating different sensations were calculated. The contribution weights and sensory integration characteristics of visual, proprioceptive, and vestibular sensations to static balance were analyzed. Independent sample t-test was used to analyze the differences between different gender and age groups. 【Results】 The RQ was 1.20, and the VRQ was 1.58. The contribution rates of visual, proprioceptive, and vestibular senses to body balance were approximately 9.28%, 28.19% and 62.53%, respectively. The difference in the rate of increase in body stability between integrated vision and integrated proprioception with normal vestibular perception was statistically significant(P0.05) and the difference in half year old age was not statistically significant(P>0.05). 【Conclusions】 When preschool children aged 4 - 5 maintain static balance, the contribution of vestibular integration proprioception to body stability is greater than that of vestibular integrate vision. The contribution of vestibular and visual integrate proprioception to body stability is greater than that of vestibular and proprioception integrate vision. The sensory integration characteristics between boys and girls, as well as half year old children, are basically the same.

Epidemiological survey and influencing factors of overweight and obesity among preschool children in Suzhou / 中国儿童保健杂志

【Objective】 To investigate the prevalence and influencing factors of overweight and obesity among preschool children in Suzhou. 【Methods】 A stratified cluster random sampling method was used to select 24 452 children aged 3 - 6 years in different districts of Suzhou from December 2021 to June 2022. Then the prevalence rate of overweight and obesity was determined by physical measurements. A case-control study was conducted with a questionnaire survey of 3 786 children(1 893 in the obesity group and 1 893 in the control group) to analyze the factors influencing preschool obesity. 【Results】 1) The overall detection rates of overweight among preschool children in Suzhou was 14.8%(boys 14.6%, girls 15.0%). The overall detection rates of obesity was 7.9%(boys 8.7%, girls 7.1%), with a statistically significant difference between boys and girls(χ2=19.828, P<0.01). 2) There was statistically significant difference in the detection rates of obesity among different age groups(χ2=98.415, P<0.01), with the lowest rate in the 3 - 4 years old group(5.8%) and the highest rate in the 6 - 7 years old group(11.8%). 3) The overall detection rates of mild, moderate and severe obesity was 4.8%, 2.6% and 0.5%, respectively. The proportion of moderate and severe obesity significantly increased with age(χ2=57.275, P<0.01). 4) Risk factors for preschool obesity included birth weight >4 000g, cesarean section, parental overweight/obesity, strong appetite of children, eating speed <10min/meal, high frequency of fried food consumption(>1time/week), eating while watching television, sedentary behavior >2h/d, insufficient exercise endurance, screen time >1h/d, and late bedtime(after 21∶30)(P<0.05). Protective factors for preschool obesity included larger breakfast consumption, fruits and vegetables as regular snacks, and physical activity after meals(P<0.05). 5) Factors influencing the degree of preschool obesity included paternal overweight(OR=1.33, 95%CI:1.06 - 1.65), paternal obesity(OR=1.91, 95%CI:1.46 - 2.49), maternal overweight(OR=1.25, 95%CI:1.01 - 1.54), maternal obesity(OR=1.94, 95%CI:1.40 - 2.69), low education level of father(junior high school or below)(OR=1.57, 95%CI:1.25 - 1.96), strong appetite of children(OR=1.72, 95%CI:1.41 - 2.11), eating speed <10min/meal(OR=1.29, 95%CI:1.05 - 1.57), sedentary behavior >2h/d(OR=1.51, 95%CI:1.24 - 1.85), insufficient exercise endurance(OR=1.56, 95%CI:1.12 - 2.19), and screen time>1h/d(OR=1.42, 95%CI:1.16 - 1.75). 【Conclusions】 The detection rates of overweight and obesity among preschool children in Suzhou are relatively high, and the detection rate and severity of obesity increase with age. In addition to genetic factors, preschool obesity are also associated with pregnancy and birth history, as well as unhealthy lifestyle after birth.

Effect of intervention on the perception of body weight among parents of preschool children / 中国儿童保健杂志

【Objective】 To explore the effect of health education intervention measures on improving parents′ perception of their children′s weight, so as to provide scientific basis for intervention in preschool obese children. 【Methods】 Children from 7 kindergartens in Luohu district were randomly selected in this study in October 2020, and were divided into intervention group and control group. The intervention group consisted of 1 318 children and parents from 3 kindergartens, and the control group consisted of 1 546 children and parents from 4 kindergartens. Parents in the intervention group received combination of online and offline health education intervention measures for 2 months, while parents in the control group received no intervention measures. Logistic regression analysis was used to evaluate the effect of parents′ perception of their children′s weight in intervention group and control group. 【Results】 After controlling for imbalanced variables such as parents′ education level, total monthly family income, and parents′ perception of their children′s weight, there was a statistically significant difference in the improvement of parents′ perception of their children′s weight status between two groups after intervention(OR=2.175, 95%CI: 1.536 - 3.080, P0.05). Regardless of whether the child′s weight status was normal or not, parents in the intervention group showed better improvement in their perception of their children′s weight status than the control group(OR=1.558, 6.111, 95%CI:1.025 - 2.368, 2.811 - 13.287, P<0.05). 【Conclusion】 Health education measures can improve the perception bias of parents towards their preschool children′s weight, and the intervention effect varies among children of different genders and weight states.

Hotspots and trends of nutrition research in global preschool children from 2012 to 2022 based on Citespace visual analysis / 中国儿童保健杂志

【Objective】 To review the scientific research advances in the field of preschool children′s nutrition from 2012 to 2022, in order to provide reference for relevant policy formulation and further scientific exploration in this area. 【Methods】 High-quality literature published both domestically and internationally between 2012 and 2022 was retrieved through Web of Science (WOS) and China National Knowledge Infrastructure (CNKI) database. Excel and CiteSpace software were applied to visualize the research hotspots and frontier trends. 【Results】 A total of 1 816 English articles and 110 Chinese articles were included in the analysis. The cooperation network density of research institutions and authors was found to be low. Excluding the search terms, the top three English keywords were vitamin A (0.74), intervention (0.67), obesity prevention (0.55); the top three Chinese keywords were "anemia" (0.41), "obesity" (0.38), and "nutritional status" (0.18). In Chinese and English clusters, "anemia" and "physical activity" ranked first, respectively. The latest burst words identified were "dietary pattern" and "diet quality". 【Conclusions】 The number of English literature published in the field of preschool children′s nutrition is increasing, but it has shown a downward trend in the past three years in China. There are few studies in this field in China. The research hotspots primarily focus on the nutritional status of preschool children, with less attention paid to intervention research and methodological exploration. Further research in the field of preschool children′s nutrition in China may need to focus on the external determinants of preschool children′s nutrition, such as parental education, diet and food supply.

Correlation of body mass index with family status and feeding conditions among preschool children in Jingzhou City / 中国儿童保健杂志

【Objective】 To investigate the distribution of body mass index(BMI) among preschool children in Jingzhou City and its correlation with family conditions and feeding practices, so as to provide scientific basis for the health management of overweight and obesity in children. 【Methods】 In August 2022, a cross-sectional study was conducted in Jingzhou City using stratified cluster random sampling. Data on the height, weight, family conditions and feeding practices of children aged 3 - 6 years attending kindergartens were collected. Then BMI was calculated, and multivariate linear regression analysis was performed for data analysis. 【Results】 A total of 14 237 preschool children were surveyed. The overall average BMI was (16.40±3.40) kg/m2. Among them, the porpotion of children whose BMI were in lower, lower-middle, middle, upper-middle and upper range was 0.05%, 1.95%, 86.49%, 4.83% and 6.67%, respectively. Multivariate linear regression analysis revealed that factors such as cesarean birth(β=0.17), paternal smoking(β=0.13), maternal smoking(β=0.39), being female(β=-0.22), total pre-tax family income(β=-0.13), private kindergartens (β=0.22) and a diet pattern primarily consisting of fried chicken, burgers, fries, carbonated drinks, and fruit juices (β=0.46) were linearly correlated with children′s BMI(P<0.05). 【Conclusions】 Overweight and obesity are prevalent among preschool children in Jingzhou City, with a higher proportion of BMI in the upper-middle and upper ranges. Parents and society should collaborate and take appropriate measures to ensure the healthy growth of children.

Association between screen time and psychological behaviors of preschool children in Lanzhou City / 中国儿童保健杂志

【Objective】 To analyze the associations between different types of video screen time and psychological behaviors of preschool children, in order to provide evidence for promoting the development of children′s mental health. 【Methods】 From February to March 2023, a total of 1 361 parents of children aged 3 - 6 years from 6 kindergartens of Lanzhou were surveyed by cluster sampling method.Parents were surveyed to obtain information about the video use, and the children′s Strengths and Difficulties questionnaire (parent version) was used to assess children′s psychological and behavioral problems. 【Results】 The rate of daily screen time exceeding standard was 36.96% (503/1 361).The screen time was mainly spent in watching TV cartoons, followed by educational APP.The detection rate of abnormal total difficulty score was 11.61% (158/1 361), and the abnormalities of peer communication (32.26%) and prosocial behavior (12.34%) were the most prominent.After adjusting for related factors by multiple Logistic regression analysis, total screen time≥2h/d (OR=1.802) was found to be a risk factor for abnormal total difficulty score; watching TV cartoons≥2h/d was a risk factor for abnormal total difficulty score (OR=2.409) and peer communication (OR=2.222); playing games≥1h/d was a risk factor for abnormal total difficulty score, emotional symptoms, conduct problems, hyperactive behavior, and abnormalities of peer communication, the differences were all statistically significant (P<0.05).However, educational APP screen time<1h/d was a protective factor for abnormal total difficulty score(OR=0.615) and prosocial behavior (OR=0.549), but educational APP screen time≥2h/d was a risk factor for conduct problems (OR=2.302), the differences were all statistically significant (P<0.05). 【Conclusions】 The screen time of preschool children in Lanzhou cannot be ignored, and there is a significant correlation between overuse and children′s psychological and behavioral problems.Parents and schools should attach importance to the parent-child and peer interaction of preschool children and strengthen the intervention of preschool children′s video behavior.

Relationship between lifestyle and mental health in preschool children / 中国儿童保健杂志

【Objective】 To explore lifestyle patterns among Chinese preschool school children by latent class analysis, and to analyze its associations with behavior problems from person-centered perspective, in order to provide theoretical reference for improving children′s mental health. 【Methods】 A questionnaire survey was conducted among parents of children aged 3 - 6 years old in five kindergartens in Xuzhou city by cluster sampling from April to May 2021.The survey content included the demographic characteristics, rearing environment, life behaviors and behavior problems, which was measured by Strengths and Difficulties Questionnaire(SDQ). Latent class analysis was used to explore latent lifestyle patterns.Unadjusted and adjusted Logistic regression analysis was used to test the associations between latent lifestyle patterns and behavior problems. 【Results】 The sample size was 1 190, including 618 (51.9%) boys.Latent class analysis for 7 life behaviors showed that three latent class model was the best one: low-risk group (206, 17.3%), medium-risk group (721, 60.6%) and high-risk group (263, 22.1%).After controlling demographic factors, adjusted Logistic regression model showed that compared to low-risk group, children in high-risk group had more risks of developing hyperactivity (OR=2.129, 95%CI: 1.230 - 3.685), peer problems (OR=2.051, 95%CI: 1.316 - 3.197), and total difficulties (OR=2.081, 95%CI: 1.290 - 3.356). 【Conclusions】 Improper dietary balance and irrational structure of daily activities substantially escalate the risk of emotional and behavioral issues in preschool-age children.Helping preschool children form a healthy lifestyle pattern is conducive to preventing behavioral problems.