Hormonal Correlates and Predictors of Nutritional Recovery in Malnourished African Children

Helen M Nabwera1,2, Robin M Bernstein3, Schadrac C Agbla1,2

  • 1MRC Unit The Gambia, Banjul, The Gambia.

Insights

Growth hormone levels vary in malnourished children undergoing nutritional rehabilitation. Baseline C-peptide levels predict weight gain in these children, aiding in personalized rehabilitation strategies.

Area of Science:

  • Pediatric Nutrition
  • Endocrinology
  • Growth Monitoring

Background:

  • Children exhibit varied growth responses to nutritional rehabilitation.
  • Investigating hormonal factors influencing these growth differences is crucial.

Purpose of the Study:

  • To explore the relationship between growth and energy-regulating hormones in malnourished children.
  • To identify hormonal predictors of growth response to nutritional rehabilitation.

Main Methods:

  • A quasi-experimental study involving 6-24 month old children in rural Gambia.
  • Children were categorized into control, moderate acute malnutrition, and severe acute malnutrition groups based on weight-for-height z-score (WHZ).
  • Plasma hormone and salivary C-reactive protein (CRP) levels were measured using ELISA.

Main Results:

  • Increases in weight-for-age z-score (WAZ) were positively correlated with insulin, C-peptide, and cortisol in univariable analyses.
  • Multivariable analysis revealed that baseline C-peptide was the sole significant predictor of WAZ changes over 28 days.
  • Baseline C-peptide demonstrated a significant positive correlation with WAZ changes (F-ratio 7.6, p=0.009).

Conclusions:

  • Baseline C-peptide levels are a significant predictor of nutritional rehabilitation response in Gambian children.
  • While not solely diagnostic, C-peptide can inform individualized rehabilitation approaches.
  • Hormonal profiling may enhance the effectiveness of interventions for childhood malnutrition.
Abstract

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