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The effect of day care attendance on infant and toddler's growth
Pnina Zmiri1, Lisa Rubin, Hanna Akons
1Meyer Children's Hospital, Rambam Medical Center, Technion, Haifa, Israel.
Insights
Day care attendance before 18 months was linked to reduced height in infants. This study highlights the need to monitor growth velocity in children starting daycare.
Area of Science:
- Pediatrics
- Child Development
- Growth Monitoring
Background:
- Early day care enrollment is common.
- Growth patterns in infants attending daycare require further investigation.
Purpose of the Study:
- To investigate the association between day care attendance and changes in infant height, weight, and weight/height ratio over six months.
Main Methods:
- Retrieved data from three maternal and child health care centers.
- Collected lifestyle, daycare, and demographic information via parent questionnaires.
- Compared growth parameters in infants enrolled in daycare before 18 months versus later enrollment.
Main Results:
- Infants enrolled in daycare before 18 months showed significantly shorter stature at 3 and 6 months compared to controls.
- No significant differences in weight or weight/height ratio were observed between groups.
- Mean height percentiles decreased more notably in the early daycare group over time.
Conclusions:
- Early daycare enrollment may be associated with reduced height velocity in infants.
- Potential mechanisms include stress-induced growth hormone suppression.
- Monitoring infant growth velocity is crucial upon daycare introduction.
Aim:
We aimed to study the association between day care attendance and changes in the height, weight and weight/height ratio over a 6-month period.
Methods:
Data were retrieved from three maternal and child health care centres. Parents were asked to fill a short questionnaire regarding the infant/toddler life style, the day care facilities and the family demographic information.
Results:
One hundred and seventy infants participated in the study. The research group consisted of 85 infants that had placed in day care centre prior to the age of 18 months. The control group consisted of 85 infants who had placed in day care at a later age. The research group had significantly shorter stature 3 months after day care enrolment (mean height percentiles of 56.9 versus 66.3, respectively, p = 0.024,). This trend was more pronounced after 6 months (mean height percentiles of 52.3 versus 63.7, p = 0.022). We could not, however, demonstrate a concomitant significant deceleration in weight or weight/height percentiles.
Conclusions:
The explanation for this rather dramatic finding remains speculative. Possible mechanisms are stress-related growth hormone suppression. Our findings reinforce the importance of monitoring infant/toddler weight and height growth velocities, especially when he/she is introduced to day care.
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