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Growth charts for children with Down's syndrome in Saudi Arabia: birth to 5 years
1Department of Paediatrics, College of Medicine, Riyadh, Saudi Arabia.
Insights
Growth charts for Saudi children with Down syndrome (DS) reveal distinct growth patterns, including short stature and weight changes. These charts aid in assessing growth for children with DS in Saudi Arabia.
Area of Science:
- Pediatrics
- Genetics
- Anthropometry
Background:
- Down syndrome (DS) is associated with growth abnormalities.
- Establishing age-appropriate growth references is crucial for monitoring children with DS.
- Previous growth data for Saudi children with DS is limited.
Purpose of the Study:
- To construct growth charts for Saudi children under 5 years with Down syndrome.
- To compare the growth patterns of Saudi children with DS to normal Saudi children and international references.
Main Methods:
- A prospective cross-sectional survey of anthropometric data (weight, height, head circumference) was conducted in 2001.
- 785 Saudi children with DS and 989 normal Saudi children were studied.
- Data was compared to US National Center for Health Statistics/Center for Disease Control reference data.
Main Results:
- Children with DS exhibited significantly different growth patterns compared to normal children, characterized by short stature.
- A high proportion of underweight children with DS was observed in the first two years, shifting towards overweight by age 3.
- 54.5% of children with DS had head circumference below -2 SD for age and sex.
Conclusions:
- The study confirms a genetic effect of Down syndrome on growth patterns.
- The developed growth charts are essential for assessing growth in Saudi children with DS.
- These charts should be used alongside those for normal children for comprehensive growth monitoring.
Abstract:
The objective was to construct growth charts for Saudi children under 5 years of age with Down's syndrome (DS). A prospective cross-sectional survey of anthropometrics standards (weight, height, head circumference and weight for height) of Saudi children with DS, excluding those with associated pathology, and a group of normal children seen at King Khalid University Hospital, Riyadh, Saudi Arabia, during 2001 were studied. Both groups were compared to a reference population of American children documented by the National Center for Health Statistics/Center for Disease Control. A total of 785 children with DS and 989 normal children were studied. Growth charts for the different parameters in both sexes at each age were used to estimate seven centiles. The growth pattern for children with DS differed significantly from normal children and was characterised by short stature at most ages. Data indicated a high proportion of underweight children with DS in the first two years of life, but a clear tendency to be overweight by the age of 3 years; 54.5% of children with DS had a head circumference below -2 SD for age and sex. The results of this study accord with others indicating a genetic effect of DS on growth, and support the use of growth charts in conjunction with charts for normal children for assessing growth in DS in Saudi Arabia.
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