DYNAMICS OF PHYSICAL DEVELOPMENT OF CHILDREN, DEPENDING ON THE APPLIED TECHNOLOGY OF CARE

N.S. Sultanova

Republican centre for reproductive health, Republic of Uzbekistan

Physical development of children is an informative indicator reflecting the nation's health and total reflection of changes in the socio-biological and other conditions that occur in society. Can significantly reduce the morbidity and mortality is the physical development of children and babies is one of the leading characteristics of reproductive health [1]. Infants and young children are prone to delay the growth mainly due to malnutrition, but not unimportant role play how to care [2].

Indicators of poor nutritional status may serve as an early warning that a child in danger [3]. The most widely used with anthropometric measures. The measured parameters of weight and height in children under 5 years can be compared to rates of weight and height of children of this age-matched healthy population base. Basic healthy population, a population made up of WHO and the Centers for Disease Control and Prevention in Atlanta. Early detection of abnormalities in the physical development of children, causes and their timely removal improves the performance of the gene pool of the population [1, 3].

The aim of our study was to examine the dynamics of physical development of children, depending on the used methods of care.

Material and methods. Weights, growth and body mass index [BMI] were studied in 395 children from birth to 5 years of age, of whom 351 children were exclusively breastfed, while 325 children were being introduced the principles of care, 26 the traditional ways of care, and 44 children received mixed feeding, with 16 of them children were being introduced the principles of care, 28 the traditional methods of care. Introduced under the care meant: Do not use nipple-pacifiers, diapers, powders, oil solutions, sanitary napkins, soap and detergents for the care of the skin, without a fixed upper and lower extremities, frequent daily use of the bath with full immersion of children with herbs (chamomile, series, saline sodium chloride) at a water temperature of 36.6 to 37 º C. Traditional care included - fixation of limbs, the use of nipple-pacifiers, diapers, powders, oil solutions, sanitary napkins, soap and detergents for the care of the skin, fixing the upper and lower extremities [occasionally or always] and rare or no use of the bath with full immersion of children with herbs at a water temperature of 36.6 to 37º C.

Results. The dynamics of the BMI for children from 0 to 60 months we have studied in differentiated exclusively breast-fed and mixed depending on the used care in order to study the direct influence of the principles of care for the physical development of children (Figures 1 and 2).

Note: The solid black line - introduces care, dashed line - traditional care.

Fig. 1. The dynamics of body mass index in children who received exclusive breastfeeding from 0 to 60 months depending on the applicable principles of care.

Fig. 2. The dynamics of body mass index of children who received mixed feeding from 0 to 60 months depending on the applicable principles of care.

The results of this study showed that BMI in children who received exclusive breastfeeding and implemented care were comparable with the average BMI, characteristic of the age in the population, even during some periods of exceeding. Children who receive the traditional ways of care had a BMI below the average values characteristic of a given population, but BMI did not extend beyond two standard deviations. As seen in figure adaptive process in non-traditional care was much smoother than traditional care, especially in the early period of development.

When studying the growth of mass-index in children who received mixed feeding (Fig. 2) revealed that the BMI values were very low compared with children from other groups in the application being implemented care BMI values were at the lower boundary of the two standard deviations from the mid- statistical significance, and the application of traditional care in some age periods even lower.

Low BMI can express the value of the consequences of prolonged exposure to malnutrition and to point to chronic malnutrition in children who lack essential nutrients, but it can also be linked to lack of appropriate care and multiple infections.

Resume. The results show how the principles of child care make a significant contribution to children's physical development. Our data are comparable to the experience of specialists from different countries, children who have received adequate and efficient care, rarely get sick, have better indicators of age-related physical development are more resistant to adverse environmental effects.

References:

1. Абольян Л.В. Основные итоги охраны и поддержки грудного вскармливания в Российской Федерации // Вестник врача общей практики. – 2004. –№2. – С. 5-10.

2. Ваганов П.Д. Физическое развитие детей до 1 года.//Мед.науч. и учебно-метод. журн. – 2004. – №22. – С. 30-38.

3. Вельтищев Ю.Е. Рост ребенка: закономерности, нормальные вариации, нарушения и их коррекция // Росс. вестник перинатол. и педиатрии. – 1998. – 77 с.