Morbidity and the growth of stunted and nonstunted children, and the effect of supplementation

Am J Clin Nutr. 1992 Sep;56(3):504-10. doi: 10.1093/ajcn/56.3.504.

Abstract

Children aged 9-24 mo were recruited by a survey of poor areas of Kingston, Jamaica. Stunted children were randomly assigned to supplementation or not. Weekly morbidity histories were taken for 2 y. Separate multiple regressions on each symptom for weight or length gain in 2-mo intervals showed significant reductions in weight gain with coughing, apathy, anorexia, diarrhea, and fever, ranging from -2.1 to -16.8 g/d ill. Apathy and diarrhea reduced gains in length (-0.26 and -0.20 mm/d ill). Significant reductions in linear growth with lower respiratory-tract infections (-0.16 mm/d ill) occurred only in nonsupplemented children. Growth over 4-mo intervals was reduced if diarrhea occurred in the first 2 mo of the interval but there were no long-term effects of apathy, fever, or anorexia. Some of the effects of morbidity on growth were therefore transient and morbidity is unlikely to be a major cause of growth retardation in this population.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Body Weight
  • Child, Preschool
  • Depression / complications
  • Diarrhea, Infantile / complications
  • Fever / complications
  • Growth Disorders / diet therapy*
  • Growth Disorders / etiology
  • Growth*
  • Humans
  • Infant
  • Jamaica
  • Morbidity*
  • Random Allocation
  • Vomiting / complications