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Diarrhoea and growth faltering in rural Zimbabwe
R J Moy1, T F de C Marshall, R G Choto
1Institute of Child Health, University of Birmingham, UK.
European Journal of Clinical Nutrition
|November 1, 1994
Summary
Recurrent diarrhea in young children in developing countries is not a primary cause of growth faltering. Inadequate food intake is a more likely reason for poor growth in this population.
Area of Science:
- Pediatrics
- Global Health
- Nutritional Science
Background:
- Diarrhea is a common childhood illness in developing countries.
- Growth faltering is a significant concern in early childhood in these regions.
- The relationship between diarrhea and growth faltering requires further investigation.
Purpose of the Study:
- To evaluate the impact of diarrhea on growth faltering in young children in developing nations.
- To determine if recurrent diarrhea episodes significantly impede child growth.
Main Methods:
- A prospective, longitudinal cohort study was conducted in rural Zimbabwe.
- 204 children under 12 months were monitored for diarrhea and anthropometry.
- Weekly surveillance for diarrhea and monthly growth measurements were performed.
Main Results:
- Severe growth faltering was observed, but average growth rates did not significantly differ between children with frequent and infrequent diarrhea.
- Diarrhea had a transient effect on weight gain, with a small weight loss (approx. 2%) per episode.
- Children typically returned to their growth trend within a month post-diarrhea episode.
Conclusions:
- Recurrent diarrhea is unlikely to be a major cause of growth faltering in most young children.
- Exceptional cases of severe diarrhea may lead to significant growth issues.
- Inadequate food intake is a more probable explanation for growth faltering in this demographic.
Keywords:
AfricaAfrica South Of The SaharaAge FactorsBiologyBody WeightCaloric IntakeChildChild DevelopmentCohort AnalysisDemographic FactorsDeveloping CountriesDiarrheaDiarrhea, InfantileDiseasesEastern AfricaEnglish Speaking AfricaGrowthHealthInfantMalnutrition--determinantsNutritionNutrition DisordersPhysiologyPopulationPopulation CharacteristicsProspective StudiesResearch ReportStudiesYouthZimbabwe