Abstract
Five hundred and fifty one children aged between 3 months and 3 years were followed up at home for 12 months after treatment of diarrhoea in a rural treatment centre of the International Centre for Diarrhoeal Disease Research, Bangladesh. During follow up the children were found to have a significantly higher mortality than generally observed in the community. The first three months after discharge appeared to be crucial, some 70% of the deaths occurring in that period. Severely malnourished children (nutritional state below 56% of the American National Center for Health Statistics (NCHS) standard of weight for age ratio) had a risk of death 14 times that of their well nourished counterparts (nutritional state 66% or more of the NCHS standard). The highest mortality occurred in 2 year olds, one in three of the severely malnourished children dying compared with one in 10 of the moderately malnourished. This pattern was not seen in children aged under 2 years. Immediate priority should be given to providing nutritional rehabilitation for malnourished children who contract diarrhoea.
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Selected References
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- Chen L. C., Chowdhury A., Huffman S. L. Anthropometric assessment of energy-protein malnutrition and subsequent risk of mortality among preschool aged children. Am J Clin Nutr. 1980 Aug;33(8):1836–1845. doi: 10.1093/ajcn/33.8.1836. [DOI] [PubMed] [Google Scholar]
- Huffman S. L., Chowdhury A., Chakraborty J., Simpson N. K. Breast-feeding patterns in rural Bangladesh. Am J Clin Nutr. 1980 Jan;33(1):144–154. doi: 10.1093/ajcn/33.1.144. [DOI] [PubMed] [Google Scholar]
- Sommer A., Loewenstein M. S. Nutritional status and mortality: a prospective validation of the QUAC stick. Am J Clin Nutr. 1975 Mar;28(3):287–292. doi: 10.1093/ajcn/28.3.287. [DOI] [PubMed] [Google Scholar]