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The determinants of stunting: Can we regard the linear growth performance as a continuum of fetal development?

P Kolsteren1

  • 1Institute of Tropical Medicine, Antwerp, Belgium.

Asia Pacific Journal of Clinical Nutrition
|January 8, 2014
PubMed

Insights

Early postnatal growth faltering, especially in Asian populations, is linked to intrauterine development. While catch-up growth is possible, environmental factors in developing countries often prevent children from reaching their full adult height.

Area of Science:

  • Human Growth and Development
  • Pediatric Nutrition
  • Public Health

Background:

  • Linear growth faltering can begin very early after birth, particularly in some Asian populations.
  • The most significant growth deficits are often observed within the first six months of life.
  • Intrauterine development significantly influences early postnatal growth trajectories.

Purpose of the Study:

  • To review the relationship between early postnatal growth and intrauterine development.
  • To analyze key determinants linking fetal life to early postnatal linear growth.
  • To construct a conceptual model of growth influences.

Main Methods:

  • Literature review focusing on fetal and early postnatal growth factors.
  • Analysis of determinants impacting linear growth in the first year of life.
  • Construction of a two-part conceptual model: intrauterine factors and first-year factors.

Main Results:

  • Early postnatal growth faltering is a significant issue, especially in Asian populations.
  • Catch-up growth is possible, but often hindered by environmental constraints in developing countries.
  • Environmental factors critically impact the potential for catch-up growth, leading to shorter adult stature.

Conclusions:

  • Early life environment plays a crucial role in determining adult height.
  • Interventions targeting intrauterine and early postnatal periods are vital for optimizing growth.
  • Understanding these factors is essential for addressing stunting and promoting healthy child development.

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