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Determinants of failure to thrive (FTT) among infants aged 6-24 months: a case-control study
H Habibzadeh1, H Jafarizadeh2, A Didarloo3
1School of Nursing and Midwifery, Urmia University of Medical Sciences, Serow Highway, Nazlou, Urmia, Iran;
Insights
Maternal education, breastfeeding duration, birth weight, and family income are key risk factors for failure to thrive (FTT) in infants. Birth order can be a protective factor, guiding interventions for child growth.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Failure to thrive (FTT) poses a significant global health challenge, particularly in developing regions.
- Untreated FTT can lead to severe, long-term health consequences for children.
- Identifying risk factors is crucial for effective FTT prevention and management.
Purpose of the Study:
- To investigate the specific risk factors associated with FTT in infants under two years of age.
- To provide data from Urmia, Northwest Iran, to inform local and broader public health strategies.
- To identify modifiable factors for targeted interventions.
Main Methods:
- A case-control study involving 445 infants (180 cases, 265 controls) aged 6-24 months.
- Data collected via questionnaires on sociodemographic, infant demographic, and nutrition-related variables.
- Statistical analysis included chi-square tests and logistic regression to determine risk factor significance.
Main Results:
- Maternal education level, breastfeeding duration, infant birth weight, and family monthly income were identified as significant risk factors for FTT.
- Higher maternal education, longer breastfeeding, higher birth weight, and increased family income correlated with reduced FTT risk.
- Infant birth order was found to be a protective factor against FTT.
Conclusions:
- Study findings offer valuable insights for healthcare providers to develop targeted interventions for FTT.
- Educating mothers and caretakers on nutrition and growth is essential for preventing FTT and associated health issues.
- Addressing socioeconomic and nutritional determinants can significantly improve infant health outcomes.
Introduction:
Failure to thrive (FTT) in children is one of the most important health issues around the world, especially in developing countries. Lack of success in identifying and controlling this health problem may lead to dangerous health consequences for children. The aim of this research was to explore the risk factors for this health problem in infants under two years of age in Urmia, Northwest of Iran.
Methods:
This case-control study was carried out on 445 infants of 6 to 24 months (180 as cases, and 265 as controls) in Urmia, Northwest of Iran, during 2013. The study samples were selected from six health centers, using the purposeful sampling method. To collect data, a questionnaire including items regarding sociodemographics of the children's families, and demographic and nutrition-related variables of infants was utilized. To analysis data and determine the real effect of the aforementioned factors on growth status of infants, a chi-square test and logistic regression analysis were applied.
Results:
The regression analysis revealed that education level of infants' mothers [AOR = 1.421, 95% CI (1.172, 1.724)], duration of breastfeeding [AOR = 1.859, 95% CI (1.212, 2.852)], birth weight of infants [AOR = 2.777, 95% CI (1.276, 7.166)], family's monthly income [AOR = 1.492, 95% CI (1.117, 2.230)] were correlated with FTT as significant risk factors (P < 0.05). Birth order of infants [AOR = .741, 95% CI ( .573- .958)], however, appeared to be a protective factor for child growth (P < 0.05).
Discussion:
The findings of the study may help health care providers in designing and implementing appropriate interventions for improving children's health. In addition, taking into account the importance of healthy growth of children, educating mothers/caretakers would seem beneficial in preventing dangerous diseases in children.
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