Low head circumference during early childhood and its predictors in a semi-urban settlement of Vellore, Southern India
Abstract Background Stunting in developing countries continues to be a major public health problem. Measuring head circumference (HC) during clinical anthropometric assessment can help predict stunting. The aim of this study was to assess burden and determine the predictors of low HC (<− 2 SD) at...
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doaj-e5c0fba391cc4a2bbc72a8e1a009d4a52020-11-25T03:16:52ZengBMCBMC Pediatrics1471-24312019-06-0119111110.1186/s12887-019-1553-0Low head circumference during early childhood and its predictors in a semi-urban settlement of Vellore, Southern IndiaKulandaipalayam Natarajan Sindhu0Prashanth Ramamurthy1Karthikeyan Ramanujam2Ankita Henry3Joseph Dian Bondu4Sushil Mathew John5Sudhir Babji6Beena Koshy7Anuradha Bose8Gagandeep Kang9Venkata Raghava Mohan10Division of Gastrointestinal Sciences, Christian Medical CollegeRural Unit for Health and Social Affairs, Christian Medical CollegeDivision of Gastrointestinal Sciences, Christian Medical CollegeDivision of Gastrointestinal Sciences, Christian Medical CollegeDepartment of Clinical Biochemistry, Christian Medical CollegeLow Cost Effective Care Unit, Christian Medical CollegeDivision of Gastrointestinal Sciences, Christian Medical CollegeDevelopmental Pediatric Unit, Christian Medical CollegeDepartment of Community Health, Christian Medical CollegeDivision of Gastrointestinal Sciences, Christian Medical CollegeDepartment of Community Health, Christian Medical CollegeAbstract Background Stunting in developing countries continues to be a major public health problem. Measuring head circumference (HC) during clinical anthropometric assessment can help predict stunting. The aim of this study was to assess burden and determine the predictors of low HC (<− 2 SD) at birth and during first 2 years of life in a semi- urban settlement of Vellore. Methods The study uses baseline data and serial HC measurements from the birth cohort of MAL-ED study, where 228 children from Vellore completed follow-up between March 2010 to February 2014. Analysis of baseline, maternal and paternal characteristics, micro-nutrient status and cognition with HC measurements was performed using STATA version 13.0 software. Results The mean HC (±SD) at 1st, 12th and 24th month were 33.37 (1.29) cm, 42.76 (1.23) cm and 44.9 (1.22) cm respectively. A third of the infants (75/228) had HC less than − 2 SD at first month of life, and on follow-up, 50% of the cohort had HC ≤ -2 SD both at 12th and 24th month. Low HC measurements at all three time-points were observed for 21.6% (46/222) infants. Low HC was significantly associated with stunting in 37.3% (OR = 10.8), 57.3% (OR = 3.1) and 44.4% (OR = 2.6) children at 1st, 12th and 24th month respectively. Bivariate analysis of low HC (<− 2 SD) at 12th month showed a statistically significant association with lower socioeconomic status, low paternal and maternal HC and low maternal IQ. Multivariable logistic regression analysis showed maternal (AOR = 0.759, 95% CI = 0.604 to 0.954) and paternal (AOR = 0.734, 95% CI = 0.581 to 0.930) HC to be significantly associated with HC attained by the infant at the end of 12 months. Conclusions One-third of the children in our cohort had low head circumference (HC) at birth, with one-fifth recording low HC at all time-points until 2 years of age. Low HC was significantly associated with stunting. Paternal and maternal HC predicted HC in children. HC measurement, often less used, can be a simple tool that can be additionally used by clinicians as well as parents/caregivers to monitor child growth.http://link.springer.com/article/10.1186/s12887-019-1553-0Head circumference measurementMaternal head circumferencePaternal head circumferenceGrowthNutritionIndia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kulandaipalayam Natarajan Sindhu Prashanth Ramamurthy Karthikeyan Ramanujam Ankita Henry Joseph Dian Bondu Sushil Mathew John Sudhir Babji Beena Koshy Anuradha Bose Gagandeep Kang Venkata Raghava Mohan |
spellingShingle |
Kulandaipalayam Natarajan Sindhu Prashanth Ramamurthy Karthikeyan Ramanujam Ankita Henry Joseph Dian Bondu Sushil Mathew John Sudhir Babji Beena Koshy Anuradha Bose Gagandeep Kang Venkata Raghava Mohan Low head circumference during early childhood and its predictors in a semi-urban settlement of Vellore, Southern India BMC Pediatrics Head circumference measurement Maternal head circumference Paternal head circumference Growth Nutrition India |
author_facet |
Kulandaipalayam Natarajan Sindhu Prashanth Ramamurthy Karthikeyan Ramanujam Ankita Henry Joseph Dian Bondu Sushil Mathew John Sudhir Babji Beena Koshy Anuradha Bose Gagandeep Kang Venkata Raghava Mohan |
author_sort |
Kulandaipalayam Natarajan Sindhu |
title |
Low head circumference during early childhood and its predictors in a semi-urban settlement of Vellore, Southern India |
title_short |
Low head circumference during early childhood and its predictors in a semi-urban settlement of Vellore, Southern India |
title_full |
Low head circumference during early childhood and its predictors in a semi-urban settlement of Vellore, Southern India |
title_fullStr |
Low head circumference during early childhood and its predictors in a semi-urban settlement of Vellore, Southern India |
title_full_unstemmed |
Low head circumference during early childhood and its predictors in a semi-urban settlement of Vellore, Southern India |
title_sort |
low head circumference during early childhood and its predictors in a semi-urban settlement of vellore, southern india |
publisher |
BMC |
series |
BMC Pediatrics |
issn |
1471-2431 |
publishDate |
2019-06-01 |
description |
Abstract Background Stunting in developing countries continues to be a major public health problem. Measuring head circumference (HC) during clinical anthropometric assessment can help predict stunting. The aim of this study was to assess burden and determine the predictors of low HC (<− 2 SD) at birth and during first 2 years of life in a semi- urban settlement of Vellore. Methods The study uses baseline data and serial HC measurements from the birth cohort of MAL-ED study, where 228 children from Vellore completed follow-up between March 2010 to February 2014. Analysis of baseline, maternal and paternal characteristics, micro-nutrient status and cognition with HC measurements was performed using STATA version 13.0 software. Results The mean HC (±SD) at 1st, 12th and 24th month were 33.37 (1.29) cm, 42.76 (1.23) cm and 44.9 (1.22) cm respectively. A third of the infants (75/228) had HC less than − 2 SD at first month of life, and on follow-up, 50% of the cohort had HC ≤ -2 SD both at 12th and 24th month. Low HC measurements at all three time-points were observed for 21.6% (46/222) infants. Low HC was significantly associated with stunting in 37.3% (OR = 10.8), 57.3% (OR = 3.1) and 44.4% (OR = 2.6) children at 1st, 12th and 24th month respectively. Bivariate analysis of low HC (<− 2 SD) at 12th month showed a statistically significant association with lower socioeconomic status, low paternal and maternal HC and low maternal IQ. Multivariable logistic regression analysis showed maternal (AOR = 0.759, 95% CI = 0.604 to 0.954) and paternal (AOR = 0.734, 95% CI = 0.581 to 0.930) HC to be significantly associated with HC attained by the infant at the end of 12 months. Conclusions One-third of the children in our cohort had low head circumference (HC) at birth, with one-fifth recording low HC at all time-points until 2 years of age. Low HC was significantly associated with stunting. Paternal and maternal HC predicted HC in children. HC measurement, often less used, can be a simple tool that can be additionally used by clinicians as well as parents/caregivers to monitor child growth. |
topic |
Head circumference measurement Maternal head circumference Paternal head circumference Growth Nutrition India |
url |
http://link.springer.com/article/10.1186/s12887-019-1553-0 |
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