Intervention Review

Growth monitoring in children

  1. Ratana Panpanich1,*,
  2. Paul Garner2

Editorial Group: Cochrane Developmental, Psychosocial and Learning Problems Group

Published Online: 25 OCT 1999

Assessed as up-to-date: 31 JAN 2006

DOI: 10.1002/14651858.CD001443


How to Cite

Panpanich R, Garner P. Growth monitoring in children. Cochrane Database of Systematic Reviews 1999, Issue 4. Art. No.: CD001443. DOI: 10.1002/14651858.CD001443.

Author Information

  1. 1

    Faculty of Medicine, Community Medicine, Chiang Mai, North, Thailand

  2. 2

    Liverpool School of Tropical Medicine, International Health Group, Liverpool, Merseyside, UK

*Ratana Panpanich, Community Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Chiang Mai, North, 50200, Thailand. rpanpani@mail.med.cmu.ac.th.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 25 OCT 1999

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Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

Growth monitoring is widely accepted and strongly supported by health professionals, and is a standard component of community paediatric services throughout the world. We sought to evaluate research evidence of its impact. This requires definition, consideration of the setting, and discussion of the intended effects of this activity. In this review, we define growth monitoring as the regular recording of a child's weight, coupled with some specified remedial actions if the weight is abnormal in some way. Although the causes of growth faltering and the responses to it may be region specific, the process is the same, and we consider here growth monitoring in both the deprived and richer populations of the world.

Objectives

Growth monitoring consists of routine measurements to detect abnormal growth, combined with some action when this is detected. As primary care workers worldwide invest time in this activity, we sought evidence of its benefits and harms. The review objectives are to evaluate the effects of routine growth monitoring on:

1. The child, in relation to preventing death, illness or malnutrition; and referrals for medical care, medical specialist assessment or professional social support follow-up.

2. The mother, in relation to nutritional knowledge, anxiety or reassurance about the child's health, and satisfaction with services.

Search methods

Cochrane Controlled Trials Register; MEDLINE; EMBASE; CINAHL; World Health Organization and World Bank publications; specialists in this area; citations in existing reviews and identified studies.

Selection criteria

Randomised or quasi-randomised trials comparing routine growth monitoring (regular monitoring of growth, plotting on a chart, combined with referral or intervention when growth is abnormal) with no growth monitoring.

Data collection and analysis

Trial quality was assessed, and data abstracted by both reviewers.

Main results

Two studies included, both conducted in developing countries. In one, the nutritional status at 30 months in 500 children showed no difference between those allocated to growth monitoring and those not. The other study examined whether counselling improved mothers' knowledge of the growth chart, and reported better test scores at four months.

Authors' conclusions

Given the level of investment in growth monitoring worldwide, it is surprising there is so little research evaluating its potential benefits and harms.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Growth monitoring in children

Growth monitoring is widely accepted and strongly supported by health professionals, and is a standard component of community paediatric services throughout the world.

In this review, we define growth monitoring as the regular recording of a child's weight, coupled with some specified remedial actions if the weight is abnormal in some way. Although the causes of growth faltering and the responses to it may be region specific, the process is the same, and we consider here growth monitoring in both the deprived and richer populations of the world.Two studies were included, both conducted in developing countries. In one, the nutritional status at 30 months in 500 children showed no difference between those allocated to growth monitoring and those not. The other study examined whether counselling improved mothers' knowledge of the growth chart, and reported better test scores at four months.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

孩童的生長發育監測

孩童的生長發育監測,為世界各地的社區兒童健康服務上的標準項目之一,並被健康專業人士廣泛的接受並支持。我們試圖找出評估其功效的相關研究之證據。這包括了監測活動的定義、裝置設備、以及預期功效之討論。在這個回顧中,生長發育監測被定義為,規律地紀錄孩童的體重,如果體重不標準的話,再合併相關特定的治療矯正。雖然造成生長發育遲滯的原因和反應處理方式,在不同區域都有其特異性,監測過程都是相類似的,而世界上不論貧困或富裕的居民都被我們納入考量。

目標

生長的監測包括例行性的測量以發現異常,並在發現時採取某些對應措施。當世界各地的基層健康工作者投入相當時間在這些工作上頭時,我們企圖找出其益處和危害的證據。這篇回顧的目標在於,評估例行性的生長監測在下列幾點的功效:1.對孩童而言,是關於預防死亡、疾病或營養不良;以及轉診以獲得醫療照護、醫療專科人員評估或專業社會支持的進一步追蹤,2.對母親而言,是營養相關的知識、對孩童健康的焦慮或安心程度,以及對健康設施服務的滿意度。

搜尋策略

搜尋範圍包括:Cochrane Controlled Trials Register,MEDLINE,EMBASE,CINAHL等資料庫;世界衛生組織 (World Health Organization) 和世界銀行 (World Bank) 的出版物;這個領域的專家;現有的回顧和相關研究的引證。

選擇標準

為比較「例行性的生長評估」 (包括對生長的規則監測、病歷紀錄、和異常時的轉介及介入) 與「沒有生長評估」兩者之隨機試驗 (randomised trials) 或半隨機試驗 (quasirandomised trials) 。

資料收集與分析

由2位回顧者來評估試驗品質,和選取所需資料。

主要結論

有2篇論文被蒐納入回顧當中。這2個研究均在發展中國家完成。其中1篇指出,30個月之後,500個孩童的營養狀況,不論有無接受生長監測,是沒有差異的。另外1篇指出,有得到諮詢的組別,其母親對生長記錄表的知識,在4個月後的測驗分數,比無諮詢者來得好。

作者結論

相對於世界各地對於生長監測所投入的程度而言,只有這麼少的文獻來評估其潛在益處和危害,令人驚訝。

翻譯人

本摘要由成功大學附設醫院紀美宏翻譯。

此翻譯計畫由臺灣國家衛生研究院 (National Health Research Institutes, Taiwan) 統籌。

總結

共識仍待確認。