The cross sectional survey as the descriptive epidemiological method was carried out in children under 5 years and mother having children under 5 years in the Tapan and Thai an commune, Ha giang province, My thuan commune, Nam dinh province and Thach ha commune, Ha tinh province. The results have shown that the malnutrition rate is 52%, undersize:61,8% and thin: 4%. The highest malnutrition rates and thins and undersize found in children with ages of 13-18 months. The malnutrition rate was different from one to another. The risks of the malnutrition were: mother have not passed the examination of the primary school; mother with more than 2 children and mother over 35 age; the incorrect evaluation of the nutrition status of children and the children usually suffer the diseases or are suffering the diarrhea or respiratory disease.
Malnutrition ; Feeding and Eating Disorders of Childhood

A retrospective 46 stunting and 47 children without stunting when they were at 18-30 months in 1994 and who were at 7-8 ages in 2000 at a commune of Hatay province was carried out to evaluate the relation between the perception ability and stimulate environment of families. The results have shown that the perception score of children with stunting was lower 7 than this of children without stunting and practical score of children with stunting was lower 5 than this of children without stunting. The perception level of pupil related with the stimulate environment of families
Malnutrition ; Feeding and Eating Disorders of Childhood ; pulpil

We have studied about weight in 199,770 children aged 1-60 months in 100% the localities of Hanoi, there are 59,093 children suffer from malnutrition (29.58%). Malnutrition rates of rural children (34.77%) are significantly higher than those of urban children (21.85%). Age groups 12-57 months suffer from malnutrition the more the higher (23.3-40.5%). Malnutrition rates is Socson district are very high (59.28%). On the contrary in Hoankiem district there are only 14.5% malnutrition
Malnutrition ; Feeding and Eating Disorders of Childhood ; child

We selected 93 primary school children aged 7-8 years old living in a rural commune in which 46 children were classified as stunting and 47 children were not stunting during their period of under 5 years old. The anthropometric data and other socio-economic data of children and their family in two groups were collected. The results show that there is a catch-up growth in group of children with early stunting. However, their mean height was shorter than group without early stunting. HAZbefore is determinant factor for HAZ present. We found also that the birth weight is a positive factor that influences on both HAZ in two points of observation (in period of under 5 and in present time of study). We concluded that early stunting has the negative impact on physical growth in later age. Prevention of early stunting is very important action toward long-term nutritional benefits of children.
Malnutrition ; Nutrition Disorders ; Feeding and Eating Disorders of Childhood ; child

The study involved 6 communes of Nam Dinh, Ha Tinh, Ha Giang, Lam Dong, and Tra Vinh provinces. The first field survey (M0) was conducted at December 1997 and the second survey was conducted after 2-year intervention (M2). Subjects of surveys were the children who were under 5 years of old and the mothers whose under 5-year children at baseline. Data was analyzed by EPI.6 program. It was found that there was dramatic improvement in pregnant woman and nursing mother health care knowledge and practice. The quality of antenatal care was improved. Rate of mother who had errors in feeding their infants has decreased. Malnutrition rate was reduced from 51.8% at M0 to 34.4% at M2. Rate of stunted children decreased from 55.8% at M0 to 43.4% at M2. Rate of wasting children was reduced from 8.8% at M0 to 4.7% at M2.
Malnutrition ; Feeding and Eating Disorders of Childhood ; child ; prevention & control

OBJECTIVETo explore the clinical characteristics and speech therapy of 62 children with lingua-apical articulation disorder.

METHODSPeabody Picture Vocabulary Test (PPVT), Gesell development scales (Gesell), Wechsler Intelligence Scale for Preschool Children (WPPSI) and speech test were performed for 62 children at the ages of 3 to 8 years with lingua-apical articulation disorder. PPVT was used to measure receptive vocabulary skills. GESELL and WPPSI were utilized to represent cognitive and non-verbal ability. The speech test was adopted to assess the speech development. The children received speech therapy and auxiliary oral-motor functional training once or twice a week. Firstly the target sound was identified according to the speech development milestone, then the method of speech localization was used to clarify the correct articulation placement and manner. It was needed to change food character and administer oral-motor functional training for children with oral motor dysfunction.

RESULTSThe 62 cases with the apical articulation disorder were classified into four groups. The combined pattern of the articulation disorder was the most common (40 cases, 64.5%), the next was apico-dental disorder (15 cases, 24.2%). The third was palatal disorder (4 cases, 6.5%) and the last one was the linguo-alveolar disorder (3 cases, 4.8%). The substitution errors of velar were the most common (95.2%), the next was omission errors (30.6%) and the last was absence of aspiration (12.9%). Oral motor dysfunction was found in some children with problems such as disordered joint movement of tongue and head, unstable jaw, weak tongue strength and poor coordination of tongue movement. Some children had feeding problems such as preference of eating soft food, keeping food in mouths, eating slowly, and poor chewing. After 5 to 18 times of therapy, the effective rate of speech therapy reached 82.3%.

CONCLUSIONThe lingua-apical articulation disorders can be classified into four groups. The combined pattern of the articulation errors is the most common one. Most of the apical sounds are replaced by velar sounds. The speech localization method is very useful in the therapy of apical articulation disorder. For children with feeding problems and oral motor dysfunction, it is needed to improve food texture and administer oral motor skill training.

Articulation Disorders ; classification ; complications ; therapy ; Child ; Child Development ; Child, Preschool ; Feeding and Eating Disorders of Childhood ; complications ; therapy ; Humans ; Intelligence Tests ; Language Tests ; Motor Skills Disorders ; therapy ; Speech Therapy

OBJECTIVES: The aim of this study was to determine whether intervention using a multidisciplinary approach affects maternal mental health, parenting stress, and sense of parenting competence in children with feeding disorder and failure to thrive (FTT). METHODS: Children with feeding disorder and FTT were randomized to the intervention group (N=11) or control group (N=8). We administered the Korean standardization of Parent Temperament Questionnaire for Children (K-PTQ) in both groups before intervention, and the Korean version of the Parenting Stress Index-Short Form (K-PSI-SF), Korean version of the Parenting Sense of Competence (K-PSOC), Korean version of the Beck's Depression Inventory (K-BDI), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Mood Disorder Questionnaire (K-MDQ) in both groups before and after the intervention. RESULTS: In the intervention group, the K-BDI (p=.068), K-BAI (p=.068), and K-MDQ (p=.066) scores tended to show a decline, the K-PSI-SF scores for stress related to child learning showed a significant decline, and the K-PSOC scores for sense of parenting competence showed significant improvement. However, no significant changes were observed in the control group. CONCLUSION: Use of a multidisciplinary approach improved maternal mental health, parenting stress, and sense of competence. Comparison of these results with those of normal control will be necessary in a future study.
Anxiety ; Child* ; Depression ; Failure to Thrive* ; Feeding and Eating Disorders of Childhood ; Humans ; Learning ; Mental Competency ; Mental Health ; Mood Disorders ; Mothers* ; Parenting ; Parents ; Stress, Psychological ; Temperament ; Surveys and Questionnaires

OBJECTIVEThis study was undertaken to investigate the clinical features of oral motor dysfunction and feeding problems as well as the nutritional status of children with cerebral palsy (CP).

METHODSFifty-nine CP children, 39 boys and 20 girls, mean age 31 months (20 to 72 months), were recruited. Their parents were interviewed for high risk factors and feeding history. Each case was assessed for oral motor and feeding problems based on oral motor and feeding skill score; for nutritional status by measurement of weight, height; neurologically for type of cerebral palsy and for developmental age by Gesell's developmental scale. Equal number of age and sex matched controls were included for comparison of nutritional status, oral motor and feeding skill score.

RESULTSAmong 59 patients, 51 cases had oral motor dysfunction and 55 cases had feeding problems including all athtosis, spastic tetraplegia, and 16 had spastic diplegia. The scores of both the mean oral motor function and feeding skill of CP children were significantly lower than those of the controls (P < 0.001). Main food of children with cerebral palsy consisted of liquid and semisolid diet. Body weight and height below the 25th percentile were found in 13 cases and 19 cases, respectively.

CONCLUSIONSThe majority of the children with cerebral palsy had oral motor dysfunction and feeding problems which appeared in early age and disturbed the growth and nutritional status. Thorough assessment for oral motor function, feeding problems and nutritional status of CP children is indicated in order to start timely rehabilitation and nutritional interventions which can significantly improve their nutritional status and quality of life.

Cerebral Palsy ; complications ; physiopathology ; Child ; Child, Preschool ; Feeding and Eating Disorders of Childhood ; etiology ; physiopathology ; Female ; Humans ; Infant ; Male ; Mouth ; physiopathology ; Mouth Diseases ; etiology ; physiopathology ; Muscular Diseases ; etiology ; physiopathology ; Nutritional Status