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Updated: May 18, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Correlation between anthropometric indices at birth and developmental delay in children aged 4-60 months in Isfahan,
S Amir Ali Akbari1, S Montazeri, F Torabi
1Department of Midwifery, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Low birth weight and male gender significantly correlate with developmental delay in children. This finding highlights the importance of monitoring these factors for early intervention in high-risk infants.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Increased survival rates in high-risk infants necessitate research into their long-term development.
- Developmental and behavioral problems are common in these children, alongside infection and trauma.
- This study investigates early life factors influencing child development outcomes.
Purpose of the Study:
- To examine the correlation between anthropometric indices at birth and developmental delay.
- To identify predictive factors for developmental delay in young children.
- To inform early detection and intervention strategies for developmental issues.
Main Methods:
- A descriptive, correlational study involving 401 children aged 4-60 months.
- Data collected via multistage sampling from health service centers.
- Anthropometric data from health records and developmental status assessed using the Ages and Stages Questionnaire.
Main Results:
- No significant correlation found between birth height or head circumference and developmental delay.
- Children with developmental delay had significantly lower birth weights (odds ratio 4).
- Male gender was also identified as a factor associated with developmental delay.
Conclusions:
- Low birth weight is a strong predictor of developmental delay in children.
- Male gender is another significant factor associated with developmental delay.
- These findings emphasize the importance of birth weight and gender in assessing developmental risks.
Background:
Advances in medical knowledge and treatment modalities have resulted in an increased survival rate for high-risk infants. This increased number of survivors enables study of the future development of these children. Other than infection and trauma, developmental and behavioral problems are the most common medical problems among such children. This study sought correlations between anthropometric indices at birth and developmental delay in children aged 4-60 months who visited health service centers affiliated with the Isfahan University of Medical Sciences in 2010.
Methods:
In this descriptive, correlational study, 401 children aged 4-60 months and visiting health service centers were selected using a multistage method. Anthropometric indices at birth were collected from their health care records, and developmental status was measured using the Ages and Stages Questionnaire, the validity (0.84) and reliability (0.94) of which were obtained from a previous study.
Results:
The mean age of the children in the normal group was 17.33 ± 13.18 months and that in the developmental delay group was 29.92 ± 19.19 months. Most children in the normal group were female (56%) and in the developmental delay group were male (55.2%). No correlation was found between height and head circumference at birth and developmental delay. However, the birth weight of children with developmental delay was four times lower than that of children with normal development (P = 0.004, odds ratio 4).
Conclusion:
Birth weight and male gender were factors that strongly correlated with developmental delay in this study.
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