Head circumference in Iranian infants

Document Type: Original Article

Authors

1 Associate professor of pediatrics

2 Resident of Pediatrics

3 Associate Professor of neonatology, Neonatal Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

4 assistant profssor of pediatric

Abstract

Introduction: Head circumference (HC) measurement is one of the important parameter for diagnosis of neurological, developmental disorders and dysmorphic syndromes. Recognition of different disorders requires an understanding of normal variation for HC size, in particular, in infancy period with most rapid growth of the brain.
Because of international and interracial standard chart differences about anthropometric indices, some differences from local to local, generation to generation and changes in ethnic mix of population and socioeconomic factors, periodic revolution of HC size is suggested.
The aims of our study were presenting local HC standard for an Iranian infant population and comparison with the American national center of health statistics (NCHS) charts accepted by WHO.
Methods: 1003 subjects aged from birth to 24 months apparently healthy normal children enrolled randomly in this cross sectional study. HC size were measured and recorded. Tables and graphs were depicted by Excel Microsoft Office 2007. We use two tailed t-student test for statistical analysis.
Results: The mean of HC size in boys was larger than girls. The curves were followed a similar pattern to NCHS based on a visual comparison. Overall our subjects in both sexes at birth time had smaller HC size than NCHS. In other ages our children had larger HC size than those of NCHS.
Conclusion: Because of international and interracial difference of HC size. We recommend in each area of the world, local anthropometric indices are constructed and used clinically. In addition more extensive and longitudinally design comprehensive studies is suggested.

Keywords

References

  1. Hoey HMCV, Cox LA. Head circumference standards for Irish children. Acta Paediatr Scand. 1990; 79(2):162-7.
  2. Karabiber H, Durmaz Y, Yakinci C, Kutlu O, Gumusalan Y, Yologlu S, et al. Head circumference measurement of urban children aged between 6 and 12 in Malatya, Turkey. Brain & Development. 2001; 23(8): 801–4
  3. Nilsson D, Svensson J, Korkmaz BA, Nelvig H, Tisell M. Decreased head circumference in shunt-treated compared with healthy children. J Neurosurg Pediatr. 2013;12(5):483-90.
  4. Ayatollahi SMT, Shayan Z. Head Circumference Standards for School Children of Shiraz, Iran. J Trop Pediatr. 2006; 52(6): 406-10
  5. Morgan C, McGowan P, Herwitker S, Hart AE, Turner MA. Postnatal head growth in preterm infants: a randomized controlled parenteral nutrition study. Pediatrics. 2014; 133(1):e120-8.
  6. Pedersen M, von Stedingk H, Botsivali M, Agramunt S, Alexander J, Brunborg G, Chatzi L, et al. Birth weight, head circumference, and prenatal exposure to acrylamide from maternal diet: the European prospective mother-child study (NewGeneris). Environ Health Perspect. 2012; 120(12):1739-45.
  7. Ortega-García JA, Gutierrez-Churango JE, Sánchez-Sauco MF, Martínez-Aroca M, Delgado-Marín JL, Sánchez-Solis M, et al. Head circumference at birth and exposure to tobacco, alcohol and illegal drugs during early pregnancy. Childs Nerv Syst. 2012; 28(3):433-9.
  8. Ilves P, Lintrop M, Talvik I, Muug K, Maipuu L, Metsvaht T. Low cerebral blood flow velocity and head circumference in infants with severe hypoxic ischemic encephalopathy and poor outcome. Acta Paediatr. 2009; 98(3):459-65.
  9. Ishikawa T, Furuyama M, Ishikawa M, Ogawa J, Wada Y. Growth in head circumference from birth to fifteen years of age in Japan. Acta Paediatr Scand. 1987; 76(5):824-8.
10. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, et al. CDC growth charts: United States. Adv Data. 2000; 8(314):1-27.

11. Palti H, Peritz E, Flug D, Gitlin M, Adler B. Comparison of head circumference in an Israeli child population with United States and British standards. Ann Hum Biol. 1983; 10(2):195-8.

12. Chen ST. Growth of head circumference of Malaysian infants and pre-school children. J Singapore Paediatr Soc. 1990; 32(3-4):81-6.

13. Werner B, Bodin L. Head circumference from birth to age 48 months for infants in Sweden. Acta Paediatr. 2006; 95(12):1601-7.

14. Tsuzaki S, Matsuo N, Saito M, Osano M. The head circumference growth curve for Japanese children between 0–4 years of age: comparison with Caucasian children and correlation with stature. Ann Hum Biol. 1990; 17(4): 297-303.

15. Malina RM, Habicht JP, Martorell R, Lechtig A, Yarbrough C, Klein RE. Head and chest circumferences in rural Guatemalan Ladino children, birth to seven years of age. Am J Clinl Nutr. I 975; 28(9):106 1-70.

16. Vazirian S, Sedighnezhad A. Update of Growth Percentiles for Children of an Iranian Population. Arch Iranian Med 2003; 6(3):163-9.

17. Ayatollahi SM. Reference charts for arm, chest and head circumferences of south Iranian infants. J Trop Pediatr. 2001; 47(6):376-8.

18. Feigelman S. Growth, development and behavior. In: Kleigman RM, Behrman RE, Jenson HB, Stanton BF, editors. Nelson Textbook of Pediatrics. 19th ed. Philadelphia: Saunders; 2011. P. 48-54

19. Pomeroy E, Wells JC, Stanojevic S, Jaime Miranda J, Cole TJ, Stock JT. Birth month associations with height, head circumference, and limb lengths among peruvian children. Am J Phys Anthropol. 2014; 154(1):115-24.

20. Brantsæter AL, Birgisdottir BE, Meltzer HM, Kvalem HE, Alexander J, Magnus P, et al. Maternal seafood consumption and infant birth weight, length and head circumference in the Norwegian Mother and Child Cohort Study. Br J Nutr. 2012; 107(3):436-44.

21. Xu T, Zhang ZX, Han SM, Hu HT, Xiao XH, Gong XM, et al. Relationship between birth head circumference and adulthood quality of life in Chinese people. J Paediatr Child Health. 2010; 46(11):642-6.

22. Leviton A, Kuban K, Allred EN, Hecht JL, Onderdonk A, O'Shea TM, et al. Antenatal antecedents of a small head circumference at age 24-months post-term equivalent in a sample of infants born before the 28th post-menstrual week. Early Hum Dev. 2010; 86(8):515-21.

23. Dale J, Maurer PK. Abnormal head. In: Ziai M, editor. Bedside pediatrics: diagnostic evaluation of the child. Boston: Little, Brown; 1983.P.17-31.

24. De Onis M, Garza C, Onyango AW, Rolland-Cachera MF; le Comité de nutrition de la Société française de pédiatrie. WHO growth standards for infants and young children. Arch Pediatr. 2009; 16(1):47-53.

25. Daymont C, Hwang WT, Feudtner C, Rubin D. Head-circumference distribution in a large primary care network differs from CDC and WHO curves. Pediatrics. 2010; 126(4):e836-42.

26. Júlíusson PB, Roelants M, Nordal E, Furevik L, Eide GE, Moster D, et al. Growth references for 0-19 year-old Norwegian children for length/height, weight, body mass index and head circumference. Ann Hum Biol. 2013; 40(3):220-7.

27. Sullivan K, Trowbridge F, Gorstein J, Pradilla A. Growth references. Lancet. 1991; 337(8754):1420–1.

28. Goldstein H, Tanner JM. Ecological considerations in the creation and the use of child standards. Lancet. 1980; 1(8168-Pt1): 582–5.

29. Ounsted M, Moar VA, Scott A. Head circumference charts updated. Arch Dis Child. 1985; 60: 936–939.

30. Mohammadi M. Do the Iranian growth charts are similar to NCHS curves?. Arch Dis Child. 1997; 60(10): 17-23.

31. Sharif M, Azimi A, Talebian A, Mousavi GA, Azimi R. Growth rate of head circumference in first year of life in breastfed infants in Kashan, Iran. Feiz J Sci Res. 1998; 4(2): 47-53.

32. Hams P. The state of world’s children. United Nation Children's Fund (UNICEF). New York: WHO Bull; 1994.

Iranian Journal of Neonatology IJN

Volume 6, Issue 1
Winter 2015
Pages 28-32

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