title: Effect of movement and developmental factors in growth and evolution in children with vesicoureteral reflux.
abstract: BACKGROUND
  Vesicoureteral reflux (VUR) is a backward flow of urine from bladder to ureter or kidney. Potential reflux is harmful because of kidney being faced with the hemodynamic high-pressure during urination. This project was carried out for high prevalence of VUR and delay in growth of children with chronic diseases. In case of growth disorder in children with this disease and its difference with healthy person, treatment can be tried by treating the growth disorder.
  
  
  OBJECTIVE
  The purpose of this study is survey of children with VUR about growth and developmental impairment.
  
  
  METHODS
  All patients who performed voiding cystourethrogram (VCUG)because of UTI, divided into 2 groups, healthy and sick. History and checklist filled, patients' height and weight measured in a standard way and ASQ questionnaires adjusted to age, used for the studying development effect. The height and weight of children measured by standard meter and scale and used the curves adjusted to age and sex. Control group entered the study with the same characteristics of case group without VUR, however, their height and weight were recorded. The way of evolution studied according to Nelsons evolution table and ASQ questionnaire.
  
  
  RESULTS
  The both groups (total of 150 studied children) in the area of development of fine motor, gross motor and indicators of mean and percentile of height and weight and parents' literacy, had a significant difference (P< 0.05). It is can be due to better assessment and follow, higher education levels and better socioeconomic situation.
  
  
  CONCLUSIONS
  Children with VUR, in terms of height and weight growth and index of gross and fine movements and communicate were better than normal children.
authors.affiliation: Department of Pediatric Nephrology, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Parsa
authors.initials: P
authors.lastname: Yousefichaijan
authors.affiliation: Department of Pediatrics, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Dorreh
authors.affiliation: School of Medicine, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Rafiei
authors.affiliation: School of Medicine, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Simin
authors.initials: S
authors.lastname: Nouri-Kopaei
authors.affiliation: Department of Pediatric Neurology, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Fakhreddin
authors.initials: F
authors.lastname: Shariatmadari
authors.affiliation: Student Research Committee, Emergency Medicine Department, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Abdolghader
authors.initials: A
authors.lastname: Pakniyat
authors.affiliation: Department of Basic Science, Clinical Research Office of Amir-Almomenin Hospital, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Mahdyieh
authors.initials: M
authors.lastname: Naziri
keywords: Body weight; Child development; Vesicoureteral reflux