Growth and development and their environmental and biological determinants.

Autor:	da Rocha Neves K; Postgraduate Program in Health, Society and Environment (SaSA), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Unaí, MG, Brazil., de Souza Morais RL; Postgraduate Program in Health, Society and Environment (SaSA), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Unaí, MG, Brazil. Electronic address: rosanesmorais@gmail.com., Teixeira RA; Postgraduate Program in Health, Society and Environment (SaSA), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Unaí, MG, Brazil., Pinto PA; Postgraduate Program in Health, Society and Environment (SaSA), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Unaí, MG, Brazil.
Jazyk:	angličtina
Zdroj:	Jornal de pediatria [J Pediatr (Rio J)] 2016 May-Jun; Vol. 92 (3), pp. 241-50. Date of Electronic Publication: 2016 Jan 06.
DOI:	10.1016/j.jped.2015.08.007
Abstrakt:	Objective: To investigate child growth, cognitive/language development, and their environmental and biological determinants. Methods: This was a cross-sectional, predictive correlation study with all 92 children aged 24-36 months who attended the municipal early childhood education network in a town in the Vale do Jequitinhonha region, in 2011. The socioeconomic profile was determined using the questionnaire of the Associação Brasileira de Empresas de Pesquisa. The socio-demographicand maternal and child health profiles were created through a self-prepared questionnaire. The height-for-age indicator was selected to represent growth. Cognitive/language development was assessed through the Bayley Scale of Infant and Toddler Development. The quality of educational environments was assessed by Infant/Toddler Environment Scale; the home environment was assessed by the Home Observation for Measurement of the Environment. The neighborhood quality was determined by a self-prepared questionnaire. A multivariate linear regression analysis was performed. Results: Families were predominantly from socioeconomic class D, with low parental education. The prevalence of stunted growth was 14.1%; cognitive and language development were below average at 28.6% and 28.3%, respectively. Educational institutions were classified as inadequate, and 69.6% of homes were classified as presenting a risk for development. Factors such as access to parks and pharmacies and perceived security received the worst score regarding neighborhood environment. Biological variables showed a greater association with growth and environmental variables with development. Conclusion: The results showed a high prevalence of stunting and below-average results for cognitive/language development among the participating children. Both environmental and biological factors were related to growth and development. However, biological variables showed a greater association with growth, whereas environmental variables were associated with development. (Copyright © 2015 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.)
Databáze:	MEDLINE
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