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Mild intellectual disability in children in Lahore, Pakistan: aetiology and risk factors
1Department of Paediatrics, Maternity and Children's Hospital, Al-Qassim, Saudi Arabia. drmyaqoob56@hotmail.com
Insights
Mild intellectual disability (ID) in Pakistani children is linked to prenatal factors like small for gestational age and postnatal issues such as malnutrition and social deprivation. Maternal illiteracy and small head circumference at birth are significant risk factors.
Area of Science:
- Pediatrics
- Child Development
- Public Health
Background:
- Understanding the causes of intellectual disability (ID) in children is crucial for effective intervention and support.
- A precise etiological diagnosis aids in determining prognosis and tailoring necessary services for affected children.
Purpose of the Study:
- To investigate the etiology and risk factors associated with mild intellectual disability in a cohort of children.
- To identify key contributing factors in both prenatal and postnatal periods.
Main Methods:
- A longitudinal study was conducted on a cohort of 40 children aged 6-10 years.
- The study focused on four population groups in and around Lahore, Pakistan, examining mild ID.
- Risk factors and etiology were assessed within this cohort.
Main Results:
- The prevalence of mild ID was found to be 6.2% in the studied population.
- Prenatal factors, including small for gestational age and multifactorial inheritance, were implicated in 22% of cases.
- Postnatal causes, primarily social deprivation and malnutrition, accounted for 28% of cases, with 50% remaining unexplained.
Conclusions:
- Mild ID shows a clear association with prenatal and postnatal malnutrition and social deprivation.
- Maternal illiteracy and a small head circumference at birth emerged as significant independent risk factors for mild ID in children.
Background:
One of the main objectives of studying intellectual disability (ID) in children is to explore its causes. A specific aetiological diagnosis is important in determining the prognosis, nature and extent of services needed to support affected children.
Methods:
Aetiology and risk factors in mild ID were studied in a cohort of longitudinally followed children (6-10 years of age, n = 40) in four population groups in and around Lahore, Pakistan.
Results:
The overall prevalence of mild ID was 6.2%. In 22% of the cases the onset of mild ID was prenatal with small for gestational age and multifactorial inheritance as the main underlying factors. During the postnatal period (28% of the cases), social deprivation and malnutrition were the major causes of ID. In a substantial proportion of the cases (50%), the cause of ID could not be traced.
Conclusion:
The present study indicates a clear relationship of mild ID with prenatal and postnatal malnutrition and social deprivation. Two independent variables, maternal illiteracy and small head circumference at birth, showed a clear association with the development of mild mental disability among children in the study population.
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