Association of swaddling, rickets onset and bone properties in children in Ulaanbaatar, Mongolia

Urnaa, Vaanchig; Kizuki, Masashi; Nakamura, Keiko; Kaneko, Akie; Inose, Tomoko; Seino, Kaoruko; Takano, Takehito

doi:10.1016/j.puhe.2006.05.009

Cited by 7 publications

(5 citation statements)

References 15 publications

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“…62 The term "developmental dysplasia of the hip" indicates a dynamic disorder that may get better or worse as an infant develops, depending on management in the first months of life. 63 Eleven epidemiologic studies have shown that the incidence of DDH is highly correlated with the traditional use of swaddling for newborn infants.…”

Section: Rickets and Ddhmentioning

confidence: 99%

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Swaddling: A Systematic Review

Sleuwen¹,

et al. 2007

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Swaddling was an almost universal child-care practice before the 18th century. It is still tradition in certain parts of the Middle East and is gaining popularity in the United Kingdom, the United States, and the Netherlands to curb excessive crying. We have systematically reviewed all articles on swaddling to evaluate its possible benefits and disadvantages. In general, swaddled infants arouse less and sleep longer. Preterm infants have shown improved neuromuscular development, less physiologic distress, better motor organization, and more self-regulatory ability when they are swaddled. When compared with massage, excessively crying infants cried less when swaddled, and swaddling can soothe pain in infants. It is supportive in cases of neonatal abstinence syndrome and infants with neonatal cerebral lesions. It can be helpful in regulating temperature but can also cause hyperthermia when misapplied. Another possible adverse effect is an increased risk of the development of hip dysplasia, which is related to swaddling with the legs in extension and adduction. Although swaddling promotes the favorable supine position, the combination of swaddling with prone position increases the risk of sudden infant death syndrome, which makes it necessary to warn parents to stop swaddling if infants attempt to turn. There is some evidence that there is a higher risk of respiratory infections related to the tightness of swaddling. Furthermore, swaddling does not influence rickets onset or bone properties. Swaddling immediately after birth can cause delayed postnatal weight gain under certain conditions, but does not seem to influence breastfeeding parameters.www.pediatrics.org/cgi

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Section: Rickets and Ddhmentioning

confidence: 99%

“…62 In Russia, it is also common to swaddle infants immediately after birth, leaving only the infant's front face unbound. 28 …”

Section: Swaddling Start and Durationmentioning

confidence: 99%

Swaddling: A Systematic Review

Sleuwen¹,

et al. 2007

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“…The list was reported to have covered 90% of the children in the district. 9 The reliability and validity of TCSOS as a measurement of bone properties have been confirmed previously not only among healthy subjects [10][11][12] but also among subjects with bone disorders. 13,14 The TCSOS was thus considered useful for the evaluation of bone properties of the subjects in this study.…”

Section: Vdr Genotypesmentioning

confidence: 62%

Vitamin D Receptor Polymorphism among Rickets Children in Mongolia

Kaneko¹,

Urnaa²,

Nakamura³

et al. 2007

Journal of Epidemiology

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“…115–117). In modern Mongolia (ca., 48°N), rickets remains a serious health threat despite the sunny climate; swaddling is common, but its duration does not appear to be correlated with vitamin D deficiency (Tserendolgor et al, ; Urnaa et al, ). Although limiting skin exposure by swaddling or enveloping clothing increases the length of sunlight exposure needed for adequate biosynthesis, it has been calculated that, at a latitude of about 40°N, exposure to only about 2 hr sunlight per week is sufficient, even in a fully clothed infant, to raise serum 25‐OHD to greater than about 28 nmoL/L (Ho et al, ; Specker, Valanis, Hertzberg, Edwards, & Tsang, ), which is above the range generally associated with the skeletal alterations of rickets.…”

Section: Discussionmentioning

confidence: 99%

Latitude, urbanization, age, and sex as risk factors for vitamin D deficiency disease in the Roman Empire

Mays

Prowse

George

et al. 2018

American J Phys Anthropol

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The association of rickets with latitude may reflect care practices that, in more northerly locations where solar radiation is less intense, placed infants at increased risk of insufficient sunlight exposure to permit adequate vitamin D biosynthesis. The elevated level of vitamin D deficiency at Ostia may reflect, at least in part, the lack of sunlight due to dense occupation of multi-storey blocks that prevented direct sunlight from reaching living quarters and the streets between these closely spaced buildings.

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Association of swaddling, rickets onset and bone properties in children in Ulaanbaatar, Mongolia

Cited by 7 publications

References 15 publications

Swaddling: A Systematic Review

Swaddling: A Systematic Review

Vitamin D Receptor Polymorphism among Rickets Children in Mongolia

Latitude, urbanization, age, and sex as risk factors for vitamin D deficiency disease in the Roman Empire

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