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Published on: June 20, 2020
Prevalence of Developmental Delay in Apparently Normal Preschool Children in Isfahan,Central Iran
Omid Yaghini1, Roya Kelishadi1, Mojtaba Keikha2
1Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran ; Child Growth and Development Research Center, Research Institute for Primordial Prevention of Noncommunicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Developmental delay screening is crucial for children entering kindergarten. A significant percentage of apparently healthy children showed delays in various developmental domains, highlighting the need for early detection.
Area of Science:
- Pediatric Medicine
- Developmental Psychology
Background:
- Early detection of developmental delays is critical in pediatric care.
- Kindergarten entry is a key point for assessing child development.
Purpose of the Study:
- To estimate the prevalence of developmental delay in seemingly normal children at kindergarten entry.
- To identify specific developmental domains affected by delays.
Main Methods:
- A cross-sectional study was conducted in 2013 in Isfahan, Iran.
- The Persian version of the Ages and Stages Questionnaires (ASQ) was used.
- 680 children aged 4-60 months entering kindergarten were evaluated.
Main Results:
- 11.8% of children screened positive for delay in at least one domain.
- Specific delays were observed in problem-solving (5%), fine motor (4.9%), and gross motor (3.2%) skills.
- Communication (1.2%) and personal-social (2.2%) domains also showed delays.
Conclusions:
- A notable proportion of children entering kindergarten exhibit developmental delays, even if appearing normal.
- Screening tools like the ASQ are effective in identifying these delays.
- Early identification enables timely intervention for children with developmental delays.
Objective:
Developmental delay screening is essential in pediatric medicine. The purpose of this study was to estimate the developmental delay in apparently normal children at entry to kindergarten.
Materials & Methods:
In this cross- sectional study conducted in 2013, the developmental status of a sample of children who entered to kindergarten at the age of 4-60 months were evaluated by the Persian version of ages and stages questionnaires (ASQ) in Isfahan county, central Iran.
Results:
Totally 680 children were enrolled, 11.8% of them were suspected to delayed in at least one domain and 1.3% and 1.2% in two and three domains, respectively. Developmental delay was in the following items: 5% in problem solving; 4.9% in fine motor; 3.2% in gross motor, 2.2% and 1.2% in personal - social and communication domains, respectively.
Conclusion:
Considerable proportions of apparently normal children who are entering kindergarten had developmental delay, which could be detected by evaluation with appropriate screening tools.
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