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Acute Morbidity and Physical Growth in Rural Guatemalan Children

Acute Morbidity and Physical Growth in Rural Guatemalan Children Abstract • The relationship between morbidity and physical growth increments was investigated in 716 Guatemalan children ranging in age from 15 days to 7 years. The growth variables investigated were semestral and yearly increments in total body length and weight. The number of days ill with diarrhea, fever, and respiratory illnesses per semester or year was used as an indicator of morbidity. The morbidity data were collected through biweekly retrospective interviews of mothers. Children less ill with diarrhea had substantially larger increments in length and weight than children who were ill with diarrhea a greater percentage of the time. In contrast, fever and respiratory illnesses did not affect growth rates. These findings highlight the fact that diarrhea is a major public health problem in developing nations. (Am J Dis Child 129:1296-1301, 1975) References 1. Habicht J-P, Martorell R, Yarbrough C, et al: Height and weight standards for preschool children: Are there really ethnic differences in growth potential? Lancet 1:611-615, 1974.Crossref 2. Martorell R, Lechtig A, Habicht J-P, et al: Normas antropométricas de crecimiento físico para países en vías de desarrollo: Nacionales o internacionales . Bol Ofic Sanit Panamer , to be published. 3. Klein RE, Habicht J-P, Yarbrough C: Some methodological problems in field studies of nutrition and intelligence , in Kallen DJ (ed): Nutrition, Development and Social Behavior: Proceedings of the Conference on the Assessment of Tests of Behavior from Studies of Nutrition in the Western Hemisphere , publication 73-242. US Dept of Health, Education and Welfare, 1973, pp 61-75. 4. Weiner JS, Lourie JA: Human Biology: A Guide to Field Methods . Oxford, England, Blackwell Scientific Publications Ltd, 1969. 5. Martorell R, Habicht J-P, Yarbrough C, et al: The identification and evaluation of measurement variability in the anthropometry of preschool children . Am J Phys Anthropol , to be published. 6. Hardy MC: Frequent illness in childhood, physical growth and final size . Am J Phys Anthropol 23:241-260, 1938.Crossref 7. Meredith HV, Knott VB: Illness history and physical growth: III. Comparative anatomic status and rate of change for schoolchildren in different long-term health categories . Am J Dis Child 103:146-151, 1962.Crossref 8. Martens EJ, Meredith HV: Illness history and physical growth: I. Correlation in junior primary children followed from fall to spring . Am J Dis Child 64:618-630, 1942.Crossref 9. Evans ME: Illness history and physical growth: II. A comparative study of the rate of growth of preschool children of five health classes . Am J Dis Child 68:390-394, 1944.Crossref 10. Turner CE, Longee WW, Saravia K, et al: Rate of growth as a health index . Res Q 6:29-40, 1935. 11. Hewitt D, Westropp CK, Acheson RM: Oxford child health survey: Effect of childish ailments on skeletal development . Br J Prev Soc Med 9:179-186, 1955. 12. Kubát K, Kuorim J, Nováhová M, et al: The relation of acute morbidity in preschool age to the weight and height in 6 year old children . Cesk Pediatr 26:105-106, 1971. 13. Mardsen PD, Mardsen SA: A pattern of weight gain in Gambian babies during the first 18 months of life . J Trop Pediatr 10:89-96, 1965. 14. Mardsen PD: The Sukuta project: A longitudinal study of health in Gambian children from birth to 18 months of age . Trans R Soc Trop Med Hyg 58:455-489, 1964.Crossref 15. Draper KC, Draper CC: Observations on the growth of African infants—with special reference to the effects of malaria control . J Trop Med Hyg 63:165-171, 1960. 16. Morley D, Woodland M, Martin WJ: Whooping cough in Nigerian children . Trop Geogr Med 18:169-182, 1966. 17. Morley D, Bicknell J, Woodland M: Factors influencing growth and nutritional status of infants and young children in a Nigerian village . Trans R Soc Trop Med Hyg 62:164-199, 1968.Crossref 18. Mata LJ, Urrutia JJ, García B: Effects of infection and diet on child growth: Experience in a Guatemalan village , in Wolstenholme GEW, O'Connor M (eds): Nutrition and Infection , publication 31. Ciba Foundation Study Group, Boston, Little Brown & Co, 1967, pp 112-126. 19. Mata LJ, Urrutia JJ, Lechtig A: Infection and nutrition of children of a low socioeconomic rural community . Am J Clin Nutr 24:249-259, 1971. 20. Mata LJ, Urrutia JJ, Albertazzi C, et al: Influence of recurrent infections on nutrition and growth of children of Guatemala . Am J Clin Nutr 25:1267-1275, 1972. 21. Parrilla-Ríos CM: Valor Nutritivo Global de Dietas cuyas Proteínas Provienen Predominantemente del Maíz y del Frijol Negro en Niños de 2 a 7 Años: Interrelación en Morbilidad y Nutrición, dissertation. Guatemala City, 1973. 22. Guzmán MA, Scrimshaw NS, Bruch HA, et al: Nutrition and infection field study in Guatemalan villages, 1959-1964: VII. Physical growth and development of preschool children . Arch Environ Health 17:107-118, 1968.Crossref 23. Martorell R, Habicht J-P, Yarbrough C, et al: Morbidity and physical growth in children from rural Guatemala , in Pediatría, XIV . Buenos Aires, Editorial Medica Panamericana, 1974, vol 5, pp 177-186. 24. Beisel WR, Sawyer WD, Ryll ED, et al: Metabolic effects of intracellular infections in man . Ann Intern Med 67:744-779, 1967.Crossref 25. Mata LJ, Urrutia JJ, Cáceres A, et al: The biological environment in a Guatemalan rural community , in Proceedings Western Hemisphere Nutrition Congress III . Mount Kisco, NY, Futura Publishing Co Inc, 1972, pp 257-264. 26. Lechtig A, Habicht J-P, Guzmán GG, et al: Morbilidad maternal y credimiento fetal en poblaciones rurales de Guatemala . Arch Latinoam Nutr 22:255-265, 1972. 27. Torres Pinedo R, Lugo de Rivera C, Rodríguez de Curet H: Intestinal absorptive defects associated with enteric infections in infants . Ann NY Acad Sci 176:284, 1971.Crossref 28. Gordon JE, Wyon JB, Ascoli W: The second year death rate in less developed countries . Am J Med Sci 254:357-380, 1967.Crossref 29. Béhar M: Gastroenterología y nutrición . Bol Assoc Med PR 62:260-268, 1970. 30. Puffer RR, Serrano CV: Características de la mortalidad urbana: Informe de la investigación interamericana de la mortalidad en la niñez, publication 262. Washington, DC, Organización Panamericana de la Salud, 1973. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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References (32)

Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1975.02120480022007
Publisher site
See Article on Publisher Site

Abstract

Abstract • The relationship between morbidity and physical growth increments was investigated in 716 Guatemalan children ranging in age from 15 days to 7 years. The growth variables investigated were semestral and yearly increments in total body length and weight. The number of days ill with diarrhea, fever, and respiratory illnesses per semester or year was used as an indicator of morbidity. The morbidity data were collected through biweekly retrospective interviews of mothers. Children less ill with diarrhea had substantially larger increments in length and weight than children who were ill with diarrhea a greater percentage of the time. In contrast, fever and respiratory illnesses did not affect growth rates. These findings highlight the fact that diarrhea is a major public health problem in developing nations. (Am J Dis Child 129:1296-1301, 1975) References 1. Habicht J-P, Martorell R, Yarbrough C, et al: Height and weight standards for preschool children: Are there really ethnic differences in growth potential? Lancet 1:611-615, 1974.Crossref 2. Martorell R, Lechtig A, Habicht J-P, et al: Normas antropométricas de crecimiento físico para países en vías de desarrollo: Nacionales o internacionales . Bol Ofic Sanit Panamer , to be published. 3. Klein RE, Habicht J-P, Yarbrough C: Some methodological problems in field studies of nutrition and intelligence , in Kallen DJ (ed): Nutrition, Development and Social Behavior: Proceedings of the Conference on the Assessment of Tests of Behavior from Studies of Nutrition in the Western Hemisphere , publication 73-242. US Dept of Health, Education and Welfare, 1973, pp 61-75. 4. Weiner JS, Lourie JA: Human Biology: A Guide to Field Methods . Oxford, England, Blackwell Scientific Publications Ltd, 1969. 5. Martorell R, Habicht J-P, Yarbrough C, et al: The identification and evaluation of measurement variability in the anthropometry of preschool children . Am J Phys Anthropol , to be published. 6. Hardy MC: Frequent illness in childhood, physical growth and final size . Am J Phys Anthropol 23:241-260, 1938.Crossref 7. Meredith HV, Knott VB: Illness history and physical growth: III. Comparative anatomic status and rate of change for schoolchildren in different long-term health categories . Am J Dis Child 103:146-151, 1962.Crossref 8. Martens EJ, Meredith HV: Illness history and physical growth: I. Correlation in junior primary children followed from fall to spring . Am J Dis Child 64:618-630, 1942.Crossref 9. Evans ME: Illness history and physical growth: II. A comparative study of the rate of growth of preschool children of five health classes . Am J Dis Child 68:390-394, 1944.Crossref 10. Turner CE, Longee WW, Saravia K, et al: Rate of growth as a health index . Res Q 6:29-40, 1935. 11. Hewitt D, Westropp CK, Acheson RM: Oxford child health survey: Effect of childish ailments on skeletal development . Br J Prev Soc Med 9:179-186, 1955. 12. Kubát K, Kuorim J, Nováhová M, et al: The relation of acute morbidity in preschool age to the weight and height in 6 year old children . Cesk Pediatr 26:105-106, 1971. 13. Mardsen PD, Mardsen SA: A pattern of weight gain in Gambian babies during the first 18 months of life . J Trop Pediatr 10:89-96, 1965. 14. Mardsen PD: The Sukuta project: A longitudinal study of health in Gambian children from birth to 18 months of age . Trans R Soc Trop Med Hyg 58:455-489, 1964.Crossref 15. Draper KC, Draper CC: Observations on the growth of African infants—with special reference to the effects of malaria control . J Trop Med Hyg 63:165-171, 1960. 16. Morley D, Woodland M, Martin WJ: Whooping cough in Nigerian children . Trop Geogr Med 18:169-182, 1966. 17. Morley D, Bicknell J, Woodland M: Factors influencing growth and nutritional status of infants and young children in a Nigerian village . Trans R Soc Trop Med Hyg 62:164-199, 1968.Crossref 18. Mata LJ, Urrutia JJ, García B: Effects of infection and diet on child growth: Experience in a Guatemalan village , in Wolstenholme GEW, O'Connor M (eds): Nutrition and Infection , publication 31. Ciba Foundation Study Group, Boston, Little Brown & Co, 1967, pp 112-126. 19. Mata LJ, Urrutia JJ, Lechtig A: Infection and nutrition of children of a low socioeconomic rural community . Am J Clin Nutr 24:249-259, 1971. 20. Mata LJ, Urrutia JJ, Albertazzi C, et al: Influence of recurrent infections on nutrition and growth of children of Guatemala . Am J Clin Nutr 25:1267-1275, 1972. 21. Parrilla-Ríos CM: Valor Nutritivo Global de Dietas cuyas Proteínas Provienen Predominantemente del Maíz y del Frijol Negro en Niños de 2 a 7 Años: Interrelación en Morbilidad y Nutrición, dissertation. Guatemala City, 1973. 22. Guzmán MA, Scrimshaw NS, Bruch HA, et al: Nutrition and infection field study in Guatemalan villages, 1959-1964: VII. Physical growth and development of preschool children . Arch Environ Health 17:107-118, 1968.Crossref 23. Martorell R, Habicht J-P, Yarbrough C, et al: Morbidity and physical growth in children from rural Guatemala , in Pediatría, XIV . Buenos Aires, Editorial Medica Panamericana, 1974, vol 5, pp 177-186. 24. Beisel WR, Sawyer WD, Ryll ED, et al: Metabolic effects of intracellular infections in man . Ann Intern Med 67:744-779, 1967.Crossref 25. Mata LJ, Urrutia JJ, Cáceres A, et al: The biological environment in a Guatemalan rural community , in Proceedings Western Hemisphere Nutrition Congress III . Mount Kisco, NY, Futura Publishing Co Inc, 1972, pp 257-264. 26. Lechtig A, Habicht J-P, Guzmán GG, et al: Morbilidad maternal y credimiento fetal en poblaciones rurales de Guatemala . Arch Latinoam Nutr 22:255-265, 1972. 27. Torres Pinedo R, Lugo de Rivera C, Rodríguez de Curet H: Intestinal absorptive defects associated with enteric infections in infants . Ann NY Acad Sci 176:284, 1971.Crossref 28. Gordon JE, Wyon JB, Ascoli W: The second year death rate in less developed countries . Am J Med Sci 254:357-380, 1967.Crossref 29. Béhar M: Gastroenterología y nutrición . Bol Assoc Med PR 62:260-268, 1970. 30. Puffer RR, Serrano CV: Características de la mortalidad urbana: Informe de la investigación interamericana de la mortalidad en la niñez, publication 262. Washington, DC, Organización Panamericana de la Salud, 1973.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Nov 1, 1975

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