Critique articles of child health surveillance

1. Child health surveillance
ABDUL RAHMAN RAMDZAN
1

2. Trends in
anthropometric
measures among
US children 6 –
23 months,
1976-2014
Utilization of
growth
monitoring &
promotion
services &
associated
factors
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3.  Title:
 What : Trends in Anthropometric Measures
 Where : US
 When : 1976-2014
 Who : US children 6-23 months
 How : Not stated
 The title did mention about the study period and location but didn’t
mention the study design
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4.  Journal: American Academy of Pediatrics
 Appropriate journal for this article
 Authors affiliations
 The authors are qualified and from appropriate departments/field for
research
4

5. Structured abstract
◦ Background
◦ Methods
◦ Results
◦ Conclusion
The abstract did
general picture of
the study
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6. Introduction
 Research Problem – Acceptable
 Research gap – mention
 Justification – clear
 Objective – Clearly stated
 Introduction did mention of
benefit of surveillance of
children’s growth, research gap
and explain the justification in
details
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7. Methodology
 Study location:
US
 Study Design:
Cross sectional
 Sample population: US
population
 Study Period:
1976-2014
 Instrument:
Survey
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8. Methodology
 Response rates:
76 - 90
 Consent:
parent
 Ethics: National center
for health statistic
research ethics
 Inclusion & exclusion
 Operational
definition
 Classification
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9. Methodology
 Trends of growth:
z score using WHO
2006 growth
standards
 Early childhood
weight gain:
change in relative
birth weight &
absolute change
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10. Results
 Descriptive Analysis
 Bivariate Analysis
 Result in forms of words,
tables, graph and illustration
form but not redundant
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11. Results
11

12. 12

13. Results
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14. Discussion
 Among 6- to 23-month-old US children, there were no significant changes in
the mean values for anthropometric indicators, with the exception of a
decreasing trend for the percentage of children with high length-for-age.
 Greater relative weight gain during infancy has been found to be associated
with childhood fat mass, central adiposity and an increased risk for obesity in
childhood and adulthood as well as associated poor health outcomes
downstream.
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15. Discussion
 Over the study period, infant feeding practices changed with an
increased percentage of children reported to have ever been
breastfed.
 These changes could have implications for early childhood growth.
 However, this study does not present sufficient evidence to support
the role of breastfeeding in preventing rapid weight gain or obesity.
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16. limitation
 NHANES does not provide longitudinal data for individual children.
 Unable to provide a summary measure of nutrition that accounts for
breastfeeding duration, timing of introduction of solid foods and
other important variations relevant to growth patterns.
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17. Conclusion & recommendation
 Limitation
mentioned in the
discussion
 Conclusion is
written in
discussion.
17

18. References
 Number of reference is 47 with ranging of date published some are
recent in 2015, some are range within about 10 years ago
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19. Utilization of growth
monitoring and
promotion services
and
associated factors
among under two
years of age children
IN
SOUTHERN ETHIOPIA
19

20.  To address the proportion of GMP & associated factors among under
2yo
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21. Results
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22. Results
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23. Results
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24. Thank you
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