Motor Development in Malnourished Children in Indonesia
Abstract
Severe protein-energy malnutrition during infancy is closely related to physical growth and mental development. Very few reports mention the effects on motor development of mildly to moderately malnourished infants. Our study was conducted to clarify the relationship between malnutrition and motor development during infancy. We examined 1,065 children at Posyandu (Integrated Service Posts) in North Sumatera, Indonesia. Motor development, such as sitting and walking, was significantly more delayed in malnourished children than in well-nourished children. Parachute reaction showed no significant differences between well-nourished and malnourished children. Parachute reaction is a very simple technique and can differentiate between children with cerebral-palsy and malnourished children unable to walk. It might be one of the most appropriate technologies for use at the primary care level.
References
Chase HP, Martin HP. Undernutrition and child development: New Engl J Med 1970;282:933-9.
Stein Z, Susser M, Saenger G, Marolla F. Nutrition and mental performance. Science 1972; 178:708-13.
Galler JR, Ramsey FC, Salt P, Archer E. Long-term effects of early Kwashiorkor compared with marasmus. J Pediatr Gastroenterol Nutr 1987; 6:841-6.
Winick M, Meyer KK, Harris RC. Malnutrition and environmental enrichment by early adoption. Science 1975; 190:1173-5.
Beardslee WR, Wolff PH, Hurwitz I, Parikh B, Shwachman H. The effects of infantile malnutrition on behavioral development. Am J Clio Nutr 1982; 35:1437-41.
Lloyd-still JD, Hurwitz I, Wolff PH, Shwachman H. Intellectual development after severe malnutrition during an infancy. Pediatrics 1974; 54:306-11.
Evans DE, Moodie AD, Hansen JDL. Kwashiorokor and intellectual development. S Afr Med J 1971; 45:1413-26.
Bogin B, Mac Vean RB. The relationship of socioeconomic status and sex to body size, skeletal maturation, and cognitive status of Guatemala City Schoolchildren. Child Dev 1983; 54:115-28.
Sigman M, Neumann C, Baksh M, Bwibo N, Me Donald MA. Relationship between nutrition and development in Kenyan toddlers. J Pediatr 1989; 115:357-64.
Super CM. Environmental effects on motor development. Dev Med Child Neurol 1976;18:561-7.
Reyes MR, Valdecanas CM, Reyes OL, Reyes TM. The effects of malnutrition on the motor, perceptual, and cognitive functions of Filipino Children. Int Disabil Stud 1990;12:131-6.
Benefice E. Physical activity and anthropometric and functional characteristics of mildly malnourished Senegalese children. Ann Trop Paediatr 1992; 12:55-66.
Touwen B. Neurological development in infancy. London: William Heineman Medical Books, 1976;76-7.
Yahya S, Roesin R. Indonesia-Implementation of the health-for-all strategy. In: WHO, Achieving health for all by the year 2000. Geneva: WHO, 1990; 133-50.
Waterlow JC. The presentation and use of height and weight data for comparing the nutritional status of groups of children under the age of 10 years. Bulletin WHO 1977;55:489-98.
WHO. Measuring and monitoring growth and nutrition. In; WHO, Guidelines for training community health workers in nutrition; 2nd ed. Geneva: WHO, 1986;29-48.
Torun B, Viteri FE. Protein-energy Malnutrition. In; Tropical and Geographical Medicine. McGraw-Hill Book, New York: 1984;984-97.
Weisz JR, Sigman M, Weiss B, Mosk J. Parent reports on behavioral and emotional problems among children on Kenya, Thailand and The United States. Child Dev 1993; 64:98-109.
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Accepted 2017-07-06
Published 2017-07-11