Authors

Abstract

BACKGROUND AND AIMS: Attention to the development of children as the future generation that
leads to the upbringing of productive human resources is an important subject. Development has
dimensions that a child should acquire the skills related to them in proper age. Otherwise, he may be
affected by developmental delays. There are different factors influencing children’s developmental
delays and this study is carried out to evaluate the developmental conditions of 1‑year‑old children
in the Isfahan and its effective factors.
MATERIALS AND METHODS: In a historical cohort, 725 children born in 2013 were selected using
multi‑stage random sampling from health centers licensed by Isfahan Medical University and followed
up to 1‑year and their related specifications were extracted from ages and stages questionnaire
and their families’ files. SPSS 20 software and Pearson and Spearman correlation coefficients,
independent t‑tests, ANOVA, multiple linear regression and analysis of covariance were used for
analyzing the data.
RESULTS: The minimum and maximum scores of development were observed in the personal‑social
domain (52.38 ± 9.1) and fine motor (56.06 ± 5.9), respectively. The results showed that the child
spacing has direct relation with development in fine motor domain (r = 0.2, P < 0.001), personal‑social
development (r = 0.197, P = 0.001), and problem solving domain (r = 0.18, P = 0.002). The score
for the development in gross motor skills had a direct correlation with the weight at birth (r = 0.129,
P < 0.001). Breastfeeding also improved personal‑social development (P = 0.024). Sex (P = 0.024)
and living place with communication skills also showed significant relations (P < 0.001).
CONCLUSION: The factors such as the child’s sex, feeding in the first 6 months of age, living in
urban or rural areas are effective in delayed development. Considering these factors to prevent
adverse effects of the elements and rapid identification of children with delayed development as well
as timely therapeutic interventions are essential in the health care system.

Keywords

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