فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND AND AIMS: Attention to the development of children as the future generation thatleads to the upbringing of productive human resources is an important subject. Development hasdimensions that a child should acquire the skills related to them in proper age. Otherwise, he may beaffected by developmental delays. There are different factors influencing children’s developmentaldelays and this study is carried out to evaluate the developmental conditions of 1‑year‑old childrenin the Isfahan and its effective factors.MATERIALS AND METHODS: In a historical cohort, 725 children born in 2013 were selected usingmulti‑stage random sampling from health centers licensed by Isfahan Medical University and followedup to 1‑year and their related specifications were extracted from ages and stages questionnaireand their families’ files. SPSS 20 software and Pearson and Spearman correlation coefficients,independent t‑tests, ANOVA, multiple linear regression and analysis of covariance were used foranalyzing the data.RESULTS: The minimum and maximum scores of development were observed in the personal‑socialdomain (52.38 ± 9.1) and fine motor (56.06 ± 5.9), respectively. The results showed that the childspacing has direct relation with development in fine motor domain (r = 0.2, P < 0.001), personal‑socialdevelopment (r = 0.197, P = 0.001), and problem solving domain (r = 0.18, P = 0.002). The scorefor the development in gross motor skills had a direct correlation with the weight at birth (r = 0.129,P < 0.001). Breastfeeding also improved personal‑social development (P = 0.024). Sex (P = 0.024)and living place with communication skills also showed significant relations (P < 0.001).CONCLUSION: The factors such as the child’s sex, feeding in the first 6 months of age, living inurban or rural areas are effective in delayed development. Considering these factors to preventadverse effects of the elements and rapid identification of children with delayed development as wellas timely therapeutic interventions are essential in the health care system.