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Family and infant characteristics in relation to age at walking in Turkey.

机译:与在土耳其行走时的年龄有关的家庭和婴儿特征。

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摘要

The purpose of this study was to assess the onset of independent ambulation relative to possible relationships with maternal and infant characteristics. In a cross-sectional study, the health files of 1,553 Turkish children aged 12-23 months were selected by the multistage sampling method in the Nomenclature of Territorial Units for Statistics (NUTS) regions coded as low, medium and high malnutrition levels in Turkey. Children were selected from health centers by systematic sampling technique in each region. Kaplan-Meier analysis and estimated mean values were used for data description; log-rank test and the Cox multivariable regression analysis were applied for data analysis. Maternal education level, occupation, region of residence, gestational iron supplementation, child's gender, child's nutritional status, and presence of anemia in the infant during the survey period demonstrated significant relationships with walking unassisted in the univariate analysis. However, multivariable analysis showed that high maternal education, absence of parental consanguinity and appropriate weight-for-age Z score were positively associated with earlier age of walking. These findings showed the importance of improvement in girls' education, prevention of postnatal growth retardation and improvement in diet quality for children's gross motor development. In addition, counseling programs should be given to decrease the rate of parental consanguinity.
机译:这项研究的目的是评估与母亲和婴儿特征可能的关系有关的独立行走的发生。在一项横断面研究中,通过多阶段抽样方法,在土耳其统计为低,中和高营养不良水平的地区统计单位(NUTS)区域命名法中,选择了1553名12-23个月大的土耳其儿童的健康档案。通过每个地区的系统采样技术从卫生中心选择儿童。 Kaplan-Meier分析和估计平均值用于数据描述;对数秩检验和Cox多变量回归分析用于数据分析。在调查期间,孕产妇的教育水平,职业,居住地区,妊娠铁的补充,孩子的性别,孩子的营养状况以及婴儿贫血的发生与单因素分析中的无助行走关系密切。但是,多变量分析表明,较高的母亲教育程度,父母的近亲血统缺乏和适当的年龄比体重Z评分与较早的步行年龄呈正相关。这些发现表明,改善女孩的教育,预防产后发育迟缓和改善饮食质量对儿童总体运动发育的重要性。此外,应提供咨询计划以降低父母的血亲率。

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