Prevalence of growing pains in a general paediatric OPD: A descriptive, observational and cross-sectional study

Context: Growing pain (GP) is a common presentation in primary care settings. Aims: To find out the prevalence of GP and to observe its characteristics and associations. Settings and Design: General paediatric outpatient department (OPD). Methods and Material: Children coming to the general paediatr...

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Main Authors: Bidyut K. Khuntdar, Sumon Mondal, Surjit Naik, Mahesh P. Mohanta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_1430_22
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author Bidyut K. Khuntdar
Sumon Mondal
Surjit Naik
Mahesh P. Mohanta
author_facet Bidyut K. Khuntdar
Sumon Mondal
Surjit Naik
Mahesh P. Mohanta
author_sort Bidyut K. Khuntdar
collection DOAJ
description Context: Growing pain (GP) is a common presentation in primary care settings. Aims: To find out the prevalence of GP and to observe its characteristics and associations. Settings and Design: General paediatric outpatient department (OPD). Methods and Material: Children coming to the general paediatric OPD of a tertiary centre in India between April 2019 and March 2020 for ‘chronic leg pains’ were screened with Peterson’s criteria. Patients with systemic illness were excluded. All received vitamin D and calcium supplementation. Patients with haemoglobin less than 11 gm% received additional 3 mg/kg iron supplementation. Then, patients were asked for follow-up. Statistical Analysis Used: Chi-square test. Results: A total of 333 children were diagnosed as GP out of the total OPD attendance of 26750. The prevalence was 1.24% and 72.7% among the children with chronic leg pain. Highest prevalence was in winter (1.74%). The mean age of the patients was 7.88 years. The mean duration of symptoms was 10.92 months. After 3 months, 267 patients could be followed up. Seventy-two out of 107 (67.3%) children, who received iron became symptom-free. Only 43 (28.8%) patients became symptom-free out of 160, who received only calcium and vitamin D3 and did not receive iron. The difference was highly significant statistically (P < 0.0001). Conclusions: The prevalence of GP in the OPD was 1.24% and 72.7% among the children with chronic leg pain. Iron supplementation along with vitamin D3 and calcium was associated with faster resolution of the symptoms.
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spelling doaj-art-65b8d8d44e8f4b31a6d009adb3fbe2102025-08-20T02:14:10ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352023-01-0112111712210.4103/jfmpc.jfmpc_1430_22Prevalence of growing pains in a general paediatric OPD: A descriptive, observational and cross-sectional studyBidyut K. KhuntdarSumon MondalSurjit NaikMahesh P. MohantaContext: Growing pain (GP) is a common presentation in primary care settings. Aims: To find out the prevalence of GP and to observe its characteristics and associations. Settings and Design: General paediatric outpatient department (OPD). Methods and Material: Children coming to the general paediatric OPD of a tertiary centre in India between April 2019 and March 2020 for ‘chronic leg pains’ were screened with Peterson’s criteria. Patients with systemic illness were excluded. All received vitamin D and calcium supplementation. Patients with haemoglobin less than 11 gm% received additional 3 mg/kg iron supplementation. Then, patients were asked for follow-up. Statistical Analysis Used: Chi-square test. Results: A total of 333 children were diagnosed as GP out of the total OPD attendance of 26750. The prevalence was 1.24% and 72.7% among the children with chronic leg pain. Highest prevalence was in winter (1.74%). The mean age of the patients was 7.88 years. The mean duration of symptoms was 10.92 months. After 3 months, 267 patients could be followed up. Seventy-two out of 107 (67.3%) children, who received iron became symptom-free. Only 43 (28.8%) patients became symptom-free out of 160, who received only calcium and vitamin D3 and did not receive iron. The difference was highly significant statistically (P < 0.0001). Conclusions: The prevalence of GP in the OPD was 1.24% and 72.7% among the children with chronic leg pain. Iron supplementation along with vitamin D3 and calcium was associated with faster resolution of the symptoms.https://journals.lww.com/10.4103/jfmpc.jfmpc_1430_22calciumchildironleg painsnight painvitamin d
spellingShingle Bidyut K. Khuntdar
Sumon Mondal
Surjit Naik
Mahesh P. Mohanta
Prevalence of growing pains in a general paediatric OPD: A descriptive, observational and cross-sectional study
Journal of Family Medicine and Primary Care
calcium
child
iron
leg pains
night pain
vitamin d
title Prevalence of growing pains in a general paediatric OPD: A descriptive, observational and cross-sectional study
title_full Prevalence of growing pains in a general paediatric OPD: A descriptive, observational and cross-sectional study
title_fullStr Prevalence of growing pains in a general paediatric OPD: A descriptive, observational and cross-sectional study
title_full_unstemmed Prevalence of growing pains in a general paediatric OPD: A descriptive, observational and cross-sectional study
title_short Prevalence of growing pains in a general paediatric OPD: A descriptive, observational and cross-sectional study
title_sort prevalence of growing pains in a general paediatric opd a descriptive observational and cross sectional study
topic calcium
child
iron
leg pains
night pain
vitamin d
url https://journals.lww.com/10.4103/jfmpc.jfmpc_1430_22
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AT sumonmondal prevalenceofgrowingpainsinageneralpaediatricopdadescriptiveobservationalandcrosssectionalstudy
AT surjitnaik prevalenceofgrowingpainsinageneralpaediatricopdadescriptiveobservationalandcrosssectionalstudy
AT maheshpmohanta prevalenceofgrowingpainsinageneralpaediatricopdadescriptiveobservationalandcrosssectionalstudy