Document Type : Original Article


1 Department of Community Medicine,

2 School of Medicine

3 Departments of Health Education and Health Promotion

4 Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran


Background: Studies have shown that the growth status of the children with working mothers
is about 2 standard deviations lower than that of the children of housewife mothers. It seems
that absence of mothers in the second stage of nutritional evolution (attachment), which is
a very sensitive stage, has an important role in initiating and continuation of an appropriate
supplemental feeding. Materials and Methods: In this cross-sectional study, 50 children
of working mothers and 50 children of housewife mothers were selected by non-probable
consecutive sampling method. Growth charts of the children in the two studied groups were
assessed within seven age groups. Knowledge and attitude of the mothers regarding nutritional
evolution stages in the two studied groups were assessed Obtained data were analyzed using
Software SPSS18 and statistical tests such as chi-square, t-test, and Mann–Whitney test.
Results: Growth monitoring charts of the infants with housewife mothers were better than those of
infants with working mothers in three out of seven age groups (12–18, 18–24, and 24–30 months)
(P=0.02). Mean of knowledge and performance of the mothers about nutritional evolution stages
was not significant in the two studied groups (P>0.05). Conclusion: This study showed that
growth status of children with housewife mothers in their second year of life was better than that
of children with working mothers. Awareness and knowledge of the mothers about nutritional
evolution stages and education of mothers about appropriate behaviors in each stage helped
them to recognize the children’s needs and did their best for their children.


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