Background: Promotion and coverage of breastfeeding are considered to be the cost-effective public health measures in terms of Healthcare System. The aim of the research is to assess an influence of breastfeeding on infants’ health and quality of life (QL) parameters.Methods: This observational prospective study included 1790 newborns selected from Yerevan State Medical University’s Polyclinics (“Mouratsan” (sample=746) and “Heratsi” ” (sample=1044)). Data collection took a period between January 2016 and December 2017. Evaluation of children’s quality of life was performed with the help of the validated and adapted QUALIN questionnaire. The data related to child’s health condition were collected from the “Child Development History” cards available at the polyclinics of the investigated area.Results: Among 1770 one year old children 1681 were ever breastfed, 1224 (69.1%) were exclusively breastfed up to 3 months, the median duration of breastfeeding was 6 -7 months, 45% ≥ 6 months, 15% ≥ 1 year. There is a significant difference between the QL scores of the ever breastfed and the never breastfed subgroups. Duration of the breastfeeding also have an influence on QL scores.Conclusions: The given study’s results confirm that breastfeeding among the early aged Armenian children is of great importance in their health, influencing on quality of life and morbidity rates.
The aim of this research was to reveal an impact of anemia on the quality of life (QL) score, as well as on different subscales of children's QL. The subjects of the research were 3 months–3 years old 100 children selected from two pediatric polyclinics of Yerevan. QL were measured by QUALIN questionnaire. A significant decrease in the total score and other domains of the QUALIN questionnaire scores were indicative for an impact of anemia on QL of the early aged children. Most affected subscale in case of anemia was «Ability to remain alone».
Patient’s quality of life (QL) measures are endowed with independent predictive value and these factors are considered to be more distinct than patient’s general somatic condition for predicting patient’s health condition. However, the number of researches devoted to QL prediction in the field of medical science is low. The aim of research is evaluation of predictive measure of QL of early aged children. Prospective observational study was carried out. The objects of the research were 2362 early age children (3months-3years old) from pediatric polyclinics of Yerevan. QL of children was evaluated with the international questionnaire “QUALIN”. Wald’s analytical method has been applied for predictive evaluation of QL criteria and formation of risk group. For the analysis and evaluation of the statistical material used SPSS Statistics software package. In social-hygienic factors more important were: family type, conflicts in family, disabled child and frequent morbidity families, presence of artificial nutrition since birthday. Among medico-biological factors the presence of two or more diseases in neonatal period, low and high levels of physical development, weight deficit and obesity, child’s health group and respiratory, nervous and digestive system diseases were more significant. In terms of predictive evaluation of QL, it can be stated that a number of medico-biological and socio-hygienic factors affect the overall formation of QL. By means of predictive evaluation of QL one can originally set apart targeted risk groups and if the score of predictive evaluation is +13 and higher, implement health measures, which may provide with improvements of QL criteria.
The developmental and behavioral disabilities remain high in children and in adults who were born preterm. In this case assessment of quality of life and development of preterm infants can be very informative and interesting. This is a prospective longitudinal (at 3, 6, 9 and 12 months) study of preterm birth and term control infants selected from pediatric polyclinics of Yerevan. The quality of life (QL) measures were done with QUALIN questionnaire and the developmental measures with Battelle Developmental Inventory. A total of 71 preterm and 105 term control infants underwent study. Among 71 preterm birth infants, who selected on the study at 3 months, 40 infant's score on the BDI was <–1 SD and 1 infants' score on the BDI was <–2 SD. However, at the age of 12 months 32 of these same children showed a BDI score >85. Parents and pediatricians reported worse QL for of preterm infants compared with control group. At same time parents of preterm infants reported better QL for their children compared with pediatricians. The lowest QL and developmental scores among preterm children were detected at 3 months. Improvement of QL and developmental score was observed in the next age groups.
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