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Background Motor behavior is an essential aspect of child development, and usually assessed in terms of age of achievement of motor milestone. The early detection of infants experiencing subtle delays in motor maturation can allow early intervention in developmental problems. Intervention can be more effective if delays are identified early. In order to facilitate the identification of early delays, the Center of Nutrition and Foods Research and
Development in Bogor has designed a simple tool to monitor the child (aged 3 to 18 months) motor development.
Objective To develop an observable of normal gross motor maturation for use to detect deviance or motor delay.
Methods A total of 2100 healthy children, aged 3-18 months, from high socio-economic group, in urban and suburban areas, were studied. Body length, weight and motor development were measured on all children. Gross motor development was measured 17 pre selected milestones: lie, sit, crawl, creep, stand Mth assistance, walk with assistance, stand alone, walk alone, and run.
Results There were no differences between males and females in the comparison of attainment motor maturation therefore a sex combined curve was developed.
Conclusion The curve of normal motor milestone development can be used as a tool to evaluate motor development over time, and/or as a child development card for use in primary health care.
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2. Meeks Gardner JM, Grantham-McGregor S, Chang SM, Powell CA. Dietary intake of observed activity of stunted and non stunted children in Kingston, Jamaica. Part II: Observed activity. Eur J Clin Nutr. 1990;44,585-93.
3. Pollitt E, Gonnan KS. Long tenn developmental implication of motor maturation and physical activity in a nutritionally at risk population. In: Schurch B, Scrimshaw NS, editors. Activity, energy expenditure and energy requirements of infants and children. Lausanne, Sv.itzerland: IDECG, 1989; p. 279-95.
4. Lasky RE, Klein RE, Yarbrough C, Engle P, Lechtig A, Martorell R. The relationship between physical growth and infant behavioural development in rural Guatemala. Child Dev. 1981;52;220-26.
5. Powell CA, Grantham-McGregor S. The ecology of nutritional status and development in young children in Kingstone, Jamaica. Am J Clin Nutr. 1985;4:1322-31.
6. GranthamMcGregor S, Meeks Gardner JM, Walker S, Powell CA. The relationship between undernutrition, activity levels and development in young children. In: Schurch B, Scrimshaw NS, editors. Activity, energy expenditure and energy requirements of infants and children. Lausanne, Switmland, !DECO, 1989; p. 361-83.
7. Pollitt E, Husaini MA, Harahap H, Halati S, Nugraheni A, Sherlock AO. Stunting and delayed motor development in rural West Java. Am J Hum BioI. 2004;84,89-97.
8. Shafir T, Angulo-Barroso. Effects of iron deficiency over time. Hum Mov Sci. 2006;25:821-36.
9. Chavez A, Martinez C. Behavioral measurements of activity in children and their relation to food intake in poor communities. In: Pollitt E, Amante P, editors. Energy intake and activity: current topics in nutrition and disease. VoL 11. New York, Alan R Liss Inc, 1984; p. 303-21.
10. Pollitt, Oh S. Early supplementary feeding, child development, and health policy. Food Nutr Bull. 1994;15,208-14.
11. Jelliffe DB. The Assessment of the nutritional status of community. Geneva: WHO Monograph 53; 1967.
12. Hamill PVV, Johnson CL, Reed RB, Archer AF. NCHS growth curves for children from birth to 18 years.V ital Health Stat 11. 1977;165j-iv, 1-74.
13. Frankenburg WK, Dodds JB. Denver developmental screening test. Colorado: University of Colorado Medical Center, 1969.
14. Bayley N. Bayley scales of infant development. New York: Psychological Corporation, 1969.
15. Jahari AB, Saco-Pollitt C, Husaini lvtA, Pollitt E. Effects of an energy and micronutrient supplement on motor development and motor activity in undernourished children in Indonesia. Eur) Clin Nutr. 2004;54,S74-S9.
16. McGraw ME. The neuromuscular maturation of the human infant. New York and London: Hafner Publishing Company, Columbia University Press, 1945; p. 105-18.
17. Harahap H, Jahari AB, Husaini MA, Saco-Pollitt C, Pollitt E. Effects of an energy and micronutrient supplement on iron deficiency anemia, development in undernourished children. Eur J Clin Nutr. 2000;54:S114-S9.
18. Capute A), Shapiro FK, Palmer FB, Rose A, Achtel RC. Normal gross motor development: the influence of race, sex and socioeconomic status. Dev Med Child NeuroL 1985;27:,635-43.
19. BPS (Bureau of National Statistics). Welfare Indicators (SUSENAS Data), 2007. 20. WHO Multicentre Growth Reference Study Group. Assessment of sex differences and heterogeneity in motor milestone attainment among populations in the WHO Centre Growth Reference Study. Acta Paediatr. 2006;Suppl 450:66-75.
21. Hokoma T, Sushi KM, N asako N. Iron deficiency child development. AP)PH. 2006;17:19-21.
22. Malina RM. Physical activity and motor development/ perfonnance in population nutritionally at risk. In: Pollitt E, Amante P, editors. Energy intake and activity. Current topics in nutrition and disease. Vol. 11. New York: Alan RUss Inc, 1984; p. 285-302.
23. De Onis M, Garza C, Victoria CG, Onyango AW, Frongilo EA, Martinez, J.T he WHO multiple growth reference study: planning, study design and methodology. Food Nutr BulL 2004;25:S15-26.
24. Wijnhoven TMA, de Onis M, Onyango A W, Wang T, Bjoerneboe GEA, Bhandari N, Lartey A, Rhasidi B. Assessment of gross motor development in the WHO multicentre growth reference study. Food Nutr Bull. 2004;25:S37 -45.
25. Gesell A.T he ontogenesis of infant behavior.I n: Carmichael L, editor. Manual of child psychology. New York: Wiley, 1946; p.295-331.
26. Piper MC, Darrah J. Motor assessment of the developing infant. Philadelphia: WB Saunders Company, 1994.