Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years

Shafie, Ali M. El; El-Gendy, Fady M; Allahony, Dalia M.; Hegran, Hossam H.; Omar, Zein A; Samir, Mohamed; Kasemy, Zeinab A.; El-Bazzar, Ahmed N.; El-Fattah, Mohamed A. Abd; Monsef, Amir A. Abdel; Kairallah, Amir M.; Raafet, Hythem M.; Baza, Ghada M.; Salah, Amany G.; Galab, Walaa S.; Alkalash, Safa H; Salama, Amal A.; Farag, Nagwa A; Bahbah, Wael A.

doi:10.3389/fped.2020.598499

Cited by 13 publications

(10 citation statements)

References 38 publications

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“…Yet, we did not measure the mid-parental height centile, and we are not aware if this is a racial difference. Against this racial difference is the fact that recent Egyptian growth charts for children and adolescents did not point out that Egyptians were particularly taller than others (22). Environmental factors affect height, and 32% of Egyptians suffer from poverty (23) which should be reflected as shorter and smaller sized babies (24).…”

Section: Discussionmentioning

confidence: 99%

Anthropometric Measurements for Egyptian Preterms at Birth: Single Center Pilot Study

Sabry

Mostafa²,

Mansi

et al. 2022

Pediatric Sciences Journal

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Background: Assessment of fetal growth is a major part of antenatal and perinatal care. It reflects the intrauterine environment quality. Developed countries seem to have larger fetuses than developing countries. Birth body length and head circumference (HC) of the newborn are crucial prognostic parameters in determining intrauterine growth. Aim of work:We aimed to pilot a study to determine whether Fenton charts are applicable to Egyptian preterms. Materials and Methods: This single-center cross-sectional pilot study included 2001 preterm newborns < 37 weeks gestational age. A single measurement of weight, length, and HC was measured at birth from preterms who were not born to diabetic mothers, or mothers with hypertension, do not have chromosomal or structural abnormalities, congenital cyanotic heart diseases, intrauterine growth retardation, and multiple births. We created anthropometric measurements curves using Lambda Mu Sigma (LMS) chart-maker Pro (version 2, 2006) and compared them with Fenton growth charts for preterms. Results:The weight percentiles of our studied preterms were similar to those of Fenton´s in all gestational ages. The 3 rd percentile of length among female preterms, and their 3 rd and 97 th percentiles for head circumference were significantly higher than Fenton's data (p = 0.018). Only the 3 rd and 97th percentiles of HC measurements for our studied boys were significantly higher than Fenton's measurements (p =0.031) and (p =0.016) respectively. Boys (n=1063) were heavier than girls (n= 983) (p = 0.003). Boys were taller than girls, and had bigger head circumference than girls (p = 0.009) and (p=0.000) respectively. Conclusion: Anthropometric measurements of our large studied cohort of preterms was in close agreement of the measurements of Fenton growth charts, apart from the larger head circumference encountered among our studied cohort. Fenton charts are applicable to Egyptian preterms.

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Section: Discussionmentioning

confidence: 99%

Anthropometric Measurements for Egyptian Preterms at Birth: Single Center Pilot Study

Sabry

Mostafa²,

Mansi

et al. 2022

Pediatric Sciences Journal

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“…The NYHA (New York Heart Association) functional categorization was used to evaluate the stage of heart failure (7). A full Clinical examination was performed for each patient, including anthropometric measures, which were plotted to Egyptian growth curves (8), as well as a complete cardiac examination.…”

Section: Methodsmentioning

confidence: 99%

Exercise Limitation in Children after Tetralogy of Fallot Repair Is Not related to Right Ventricular Dysfunction: Single Egyptian Center Experience

Ibrahim

Mostafa

Ahmed

et al. 2022

Pediatric Sciences Journal

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Background: Tetralogy of Fallot (TOF) is one of the most prevalent cyanotic congenital heart diseases requiring surgery early in life. Aim of work: Exercise capacity and right ventricular diastolic dysfunction in children after TOF repair. Methods: Cross sectional descriptive study was conducted on 27 cases with TOF after total surgical repair. Cases were subjected to 12 leads ECG, chest X-ray, 6-minute walking test (6MWT) to assess the exercise capacity and transthoracic color Doppler echocardiography with assessment of right ventricle myocardial performance index (RVMPI) and pulmonary regurgitation index (PRi). Results: The mean ± SD age of the our studied was TOF patients 6.59 ± 1.80 years. The mean ± SD age at operation was 2.46 ± 0.95 years. All had dilated right ventricle (right ventricle dilatation index RVDi > 0.5), and moderate to severe pulmonary regurge (PR) estimated by PRi (PRi <0.77). Impaired RVMPI (>0.32) was found in 6 (22%) patients. Exercise capacity measured by 6-MWT was significantly reduced compared to the normal population of the same age group (p= 0.001). Results of 6-MWT did not correlate with the RVMPI (p= 0.44, r= -0.077), the PRi (p= 0.83, r=0.006), QRS (p=0.31, r=0.066), or corrected QT interval (p=0.89, r= 0.169). Conclusion: Exercise capacity was limited in our TOF patients after surgical repair, that was not related to right ventricular diastolic dysfunction as it did not correlate with RVMPI, degree of PR, QRS duration, nor corrected QT interval.

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“…Before starting KD, we collected demographic and clinical data of studied patients including age, sex, age of start of seizures, anthropometric measurements (weight, length/height, weight for length/height, and BMI) according to Egyptian Z score growth references for Egyptian children, 27,28 etiology, type of seizures, duration of uncontrolled seizures, seizure frequency, and seizure severity [scored according to Chalfont Seizure Severity Scale (CSSS)]. 29 Number of antiepileptic drugs used, and baseline EEG were also documented.…”

Section: Study Populationmentioning

confidence: 99%

Impact of two ketogenic diet types in refractory childhood epilepsy

et al. 2023

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Background Ketogenic diet (KD) refers to any diet in which food composition induces a ketogenic state of human metabolism. Objective To assess short- and long-term efficacy, safety, and tolerability of KD [classic KD and modified Atkins diet (MAD)] in childhood drug-resistant epilepsy (DRE) and to investigate the effect of KD on electroencephalographic (EEG) features of children with DRE. Methods Forty patients diagnosed with DRE according to International League Against Epilepsy were included and randomly assigned into classic KD or MAD groups. KD was initiated after clinical, lipid profile and EEG documentation, and regular follow-up was done for 24 months. Results Out of 40 patients with DRE, 30 completed this study. Both classic KD and MAD were effective in seizure control as 60% in classic KD group and 53.33% in MAD group became seizure free, and the remaining showed ≥50% seizure reduction. Lipid profile remained within acceptable levels throughout the study period in both groups. Adverse effects were mild and managed medically with an improvement of growth parameters and EEG during the study period. Conclusions KD is an effective and safe non-pharmacologic, non-surgical therapy for the management of DRE with a positive impact on growth and EEG. Impact Both common types of KD (classic KD and MAD) are effective for DRE, but unfortunately, nonadherence and dropout rates are frequent. High serum lipid profile (cardiovascular AE) is often suspected in children following a high-fat diet, but lipid profile remained in the acceptable level up to 24 months. Therefore, KD constitutes a safe treatment. KD had a positive impact on growth, despite inconsistent results of the KD’s effect on growth. In addition to showing strong clinical effectiveness, KD also considerably decreased the frequency of interictal epileptiform discharges and enhanced the EEG background rhythm.

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Development of LMS and Z Score Growth References for Egyptian Children From Birth Up to 5 Years

Cited by 13 publications

References 38 publications

Anthropometric Measurements for Egyptian Preterms at Birth: Single Center Pilot Study

Anthropometric Measurements for Egyptian Preterms at Birth: Single Center Pilot Study

Exercise Limitation in Children after Tetralogy of Fallot Repair Is Not related to Right Ventricular Dysfunction: Single Egyptian Center Experience

Impact of two ketogenic diet types in refractory childhood epilepsy

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