A Schram, N L Bonne, T B Henriksen, C Paltved, N T Hertel, M S Lindhard
Simulation-based team training for healthcare professionals in pediatric departments: study protocol for a nonrandomized controlled trial
BMC medical education
first 1000 days life critical childs health development impaired growth period linked increased child morbidity mortality longterm consequences undernutrition main cause addressing within first 1000 days life vital maternal education consistently identified significant predictor child undernutrition specific impact remains determined study presents systematic review metaanalysis investigating influence high versus low maternal education levels child growth birth age two using populationbased cohort studies databases including pubmed scopus embase web science eric google scholar searched january 1990 january 2024 using appropriate search terms included populationbased cohort studies healthy children aged two years mothers categorizing maternal education levels child growth nutritional outcomes assessed using various indicators two reviewers independently conducted data extraction assessed study quality newcastle ottawa scale utilized quality assessment randomeffects models used metaanalysis heterogeneity assessed using cochrane q i2 statistic subgroup sensitivity analyses performed publication bias evaluated literature search retrieved 14295 titles fulltext screening 639 reports 35 studies included covering eight outcomes weight age zscore waz height age zscore haz bmi age zscores bmiz overweight underweight stunting wasting rapid weight gain middleincome countries higher maternal education significantly associated elevated waz md 0398 95 ci 03010496 haz md 0388 95 ci 01020673 children similarly studies loweducated population higher maternal education significantly linked increased waz md 0186 95 ci 00780294 haz 0200 95 ci 00360365 however highincome highly educated population association either absent reversed highincome countries higher maternal education associated nonsignificant lower bmiz md 0028 95 ci 0061 0006 notably inverse association statistically significant loweducated populations md 0045 95 ci 0079 0011 highly educated populations md 0003 95 ci 0093 0098 maternal educations association child growth varies based country income education levels research needed understand relationship better study student thesis supported financially tehran university medical sciences tums