Linear and knemometric growth in the early phase of rehabilitation from severe malnutrition

British Journal of Nutrition - Tập 85 Số 6 - Trang 755-759 - 2001
Conor Doherty1, Mitali Sarkar2, M. Salim Shakur2, Simon C. Ling1, R A Elton3, W. A. M. Cutting3
1Department of Child Health, University of Glasgow, Glasgow, UK
2Bangladesh Institute of Child Health, Shishu Children's Hospital, Dhaka, Bangladesh
3; Department of Child Life and Health; University of Edinburgh; Edinburgh UK

Tóm tắt

The relationship between ponderal, linear and lower leg growth in children recovering from severe malnutrition remains unclear. We report on the early growth of 141 severely malnourished Bangladeshi children aged 6 to 36 months of age who were followed for 90 d. Mean (SD) weight for height (WHZ) and height for age (HAZ) catch-up growth Z scores over the 90 d were 1.6 (0.85) and 0.47 (0.325) respectively. mean (SD) lower leg length growth was 10.35 (4.5) mm. Change in HAZ was significantly associated with initial WHZ, but linear growth occurred in the presence of severe wasting and no threshold WHZ score was identified. Lower leg length gain correlated throughout with ponderal indices but with change in HAZ score only after day 45. Only initial WHZ score and maternal height predicted for linear growth and only accounted for 20 % of total variance. We conclude that linear growth occurs early in severely malnourished children but that knemometry behaves as a ponderal index acutely.

Từ khóa


Tài liệu tham khảo

10.1111/j.1651-2227.1996.tb14120.x

Roche, 1974, Differential timing of maximum length increments among bones within individuals, Human Biology, 46, 145

10.1007/BF00496409

Walker, 1988, Growth in length of children recovering from severe malnutrition, European Journal of Clinical Nutrition, 42, 395

10.1111/j.1651-2227.1987.tb17124.x

10.1111/j.1651-2227.1993.tb12814.x

10.1093/ajcn/67.5.940

10.1136/adc.62.2.166

10.1093/ajcn/68.3.742

10.1136/adc.64.10.1478

Golden, 1992, Effect of zinc on lean tissue synthesis during recovery from malnutrition, European Journal of Clinical Nutrition, 46, 697

Thông tin
Thông tin xuất bản

British Journal of Nutrition

Tập 85 Số 6

755-759

Thông tin tác giả