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Clinical growth charts for pre-school children
Maysoon M Al-Amoud1, Yagob Y Al-Mazrou, Sirrag E El-Gizouli
1Field Epidemiology Training Program, Ministry of Health, Riyadh, Kingdom of Saudi Arabia.
Insights
This study established national growth standards and charts for Saudi children aged 0-5 years. These tools are crucial for monitoring child growth and development across the Kingdom of Saudi Arabia.
Area of Science:
- Pediatrics
- Public Health
- Anthropometry
Background:
- Growth standards are vital for monitoring child development.
- National growth charts are essential for accurate assessment, particularly in diverse populations.
- The Kingdom of Saudi Arabia lacked specific national growth standards for children.
Purpose of the Study:
- To construct national growth standards for Saudi children aged 0-5 years.
- To develop localized growth charts for Saudi children.
- To address the absence of existing national growth monitoring tools in KSA.
Main Methods:
- A cross-sectional study adhering to World Health Organization (WHO) sample size criteria.
- Data collected from 23,821 children (11,913 boys, 11,908 girls) across 5 regions in KSA (1992-1995).
- Measurements included weight, height, and head circumference using standard procedures in 102 randomly selected Primary Health Care centers (PHCCs).
Main Results:
- Significant differences in weight and height for age were observed between Saudi boys and girls.
- Variations in growth measurements were also noted between urban and rural populations.
- Regional differences in growth patterns among boys and girls were statistically significant (p<0.05).
Conclusions:
- The study successfully derived national growth standards for Saudi children.
- These standards facilitated the development of national growth charts.
- The developed growth charts are currently implemented in Saudi health institutes for growth monitoring.
Objective:
Growth standards are indicators for normal growth of the children and growth charts are important tools for their growth monitoring. Children from different populations are different in their growth pattern, it is important to create national standards for the growth of children in each population to develop local growth charts, and since these were not available in the Kingdom of Saudi Arabia (KSA), the aim of this study was to construct national growth standards and to develop growth charts for 0-5-years Saudi children.
Methods:
A cross-sectional study following World Health Organization (WHO) criteria in determining sample size was adopted, where by 24000 children from 5 regions in the KSA were selected during the period 1992 to 1995 to be the desired sample. One hundred and two Primary Health Care centers (PHCCs) were selected randomly from the 5 regions, from where the sample was drawn, and a special questionnaire was designed. Weight, height and head circumference were measured by standard procedures.
Results:
The total number of children examined was 23821 (11913 boys and 11908 girls). Saudi (0-5-years) boys weight and height for age measurements were significantly different from girls. The same difference was found between urban and rural boys and girls and between boys and girls from the different regions of the country (p<0.05).
Conclusion:
These national standards derived from this study were used to develop national growth charts that are currently utilized to monitor growth in all Saudi health institutes.
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