Abstract
To describe the causes of growth failure in a developing country, we studied family food availability, anthropometric measurements of preschool children, and family and neighborhood socioeconomic conditions in a stratified random sample of Cali, Colombia families. The influences on preschool child growth of food availability, neighborhood socioeconomic conditions, and family socioeconomic conditions were separated statistically. Neither food availability nor other family factors were related directly to growth, but neighborhood factors did have a strong relationship to growth. Children decreased progressively from 97.5 percent of expected weight in the top one-sixth of neighborhoods we studied to 89 per cent in the botton one-sixth. Food availability, although not related to growth, was strongly related to family factors. The top one-sixth of families had 115 percent of FAO (Food and Agricultural Organization) protein allowances, while the bottom one-sixth had only 75 per cent. These finding are inconsistent with food availability or family factors being the prinicipal causes of growth retardation. They are consistent with neighborhood determined factors, possibly enteric infections, being the principal cause of growth retardation in preschool children in Cali.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- A positive effect on the nutrition of Philippine children of an oral glucose-electrolyte solution given at home for the treatment of diarrhoea. Report of a field trial by an international study group. Bull World Health Organ. 1977;55(1):87–94. [PMC free article] [PubMed] [Google Scholar]
- Beisel W. R. Magnitude of the host nutritional responses to infection. Am J Clin Nutr. 1977 Aug;30(8):1236–1247. doi: 10.1093/ajcn/30.8.1236. [DOI] [PubMed] [Google Scholar]
- Bertrand W. E., Brockett P. L., Levine A. A methodology for determining high risk components in urban environments. Int J Epidemiol. 1979 Jun;8(2):161–166. doi: 10.1093/ije/8.2.161. [DOI] [PubMed] [Google Scholar]
- Christiansen N., Mora J. O., Herrera M. G. Family social characteristics related to physical growth of young children. Br J Prev Soc Med. 1975 Jun;29(2):121–130. doi: 10.1136/jech.29.2.121. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cole T. J., Parkin J. M. Infection and its effect on the growth of young children: a comparison of The Gambia and Uganda. Trans R Soc Trop Med Hyg. 1977;71(3):196–198. doi: 10.1016/0035-9203(77)90005-0. [DOI] [PubMed] [Google Scholar]
- Cravioto J. Complexity of factors involved in protein-calorie malnutrition. Bibl Nutr Dieta. 1970;14:7–22. doi: 10.1159/000385168. [DOI] [PubMed] [Google Scholar]
- Cunningham N. The under fives clinic--what difference does it make? J Trop Pediatr Environ Child Health. 1978 Dec;24(6):239–334. [PubMed] [Google Scholar]
- Desai P., Standard K. L., Miall W. E. Socio-economic and cultural influences on child growth in rural Jamaica. J Biosoc Sci. 1970 Apr;2(2):133–143. doi: 10.1017/s0021932000007574. [DOI] [PubMed] [Google Scholar]
- Gordon J. E. Epidemiological insights on malnutrition: some resurrected, others restructured, a few retired. Am J Clin Nutr. 1978 Dec;31(12):2339–2351. doi: 10.1093/ajcn/31.12.2339. [DOI] [PubMed] [Google Scholar]
- Graham G. G. Environmental factors affecting the growth of children. Am J Clin Nutr. 1972 Nov;25(11):1184–1188. doi: 10.1093/ajcn/25.11.1184. [DOI] [PubMed] [Google Scholar]
- Koopman J. S. Causal models and sources of interaction. Am J Epidemiol. 1977 Dec;106(6):439–444. doi: 10.1093/oxfordjournals.aje.a112489. [DOI] [PubMed] [Google Scholar]
- Koopman J. S. Diarrhea and school toilet hygiene in Cali, Colombia. Am J Epidemiol. 1978 May;107(5):412–420. doi: 10.1093/oxfordjournals.aje.a112559. [DOI] [PubMed] [Google Scholar]
- Koopman J. S. Eliminación de aguas negras, suministro de agua y diarréa endémica en un barrio urbano pobre de Cali, Colombia. Bol Oficina Sanit Panam. 1980 May;88(5):402–412. [PubMed] [Google Scholar]
- Koopman J. S. The investigation of related cases for the control of diarrhea in cities in developing countries. Am J Trop Med Hyg. 1979 Mar;28(2):396–400. doi: 10.4269/ajtmh.1979.28.396. [DOI] [PubMed] [Google Scholar]
- Martorell R., Habicht J. P., Yarbrough C., Lechtig A., Klein R. E., Western K. A. Acute morbidity and physical growth in rural Guatemalan children. Am J Dis Child. 1975 Nov;129(11):1296–1301. doi: 10.1001/archpedi.1975.02120480022007. [DOI] [PubMed] [Google Scholar]
- Martorell R., Yarbrough C., Lechtig A., Habicht J. P., Klein R. E. Diarrheal diseases and growth retardation in preschool Guatemalan children. Am J Phys Anthropol. 1975 Nov;43(3):341–346. doi: 10.1002/ajpa.1330430307. [DOI] [PubMed] [Google Scholar]
- Mata L. J., Kromal R. A., Urrutia J. J., Garcia B. Effect of infection on food intake and the nutritional state: perspectives as viewed from the village. Am J Clin Nutr. 1977 Aug;30(8):1215–1227. doi: 10.1093/ajcn/30.8.1215. [DOI] [PubMed] [Google Scholar]
- McKay H., Sinisterra L., McKay A., Gomez H., Lloreda P. Improving cognitive ability in chronically deprived children. Science. 1978 Apr 21;200(4339):270–278. doi: 10.1126/science.635585. [DOI] [PubMed] [Google Scholar]
- Monckeberg F. Factors conditioning malnutrition in Latin America, with special reference to Chile. Advices for a volunteers action. Bibl Nutr Dieta. 1970;14:23–33. doi: 10.1159/000385170. [DOI] [PubMed] [Google Scholar]
- Morley D., Bicknell J., Woodland M. Factors influencing the growth and nutritional status of infants and young children in a Nigerian village. Trans R Soc Trop Med Hyg. 1968;62(2):164–199. doi: 10.1016/0035-9203(68)90155-7. [DOI] [PubMed] [Google Scholar]
- Mukherjee D. K., Sethna N. J. The ecology of growth in underprivileged children. Indian Pediatr. 1972 Aug;9(8):440–446. [PubMed] [Google Scholar]
- Rea J. N. Social and economic influences on the growth of pre-school children in Lagos. Hum Biol. 1971 Feb;43(1):46–63. [PubMed] [Google Scholar]
- Rohde J. E. Preparing for the next round: convalescent care after acute infection. Am J Clin Nutr. 1978 Dec;31(12):2258–2268. doi: 10.1093/ajcn/31.12.2258. [DOI] [PubMed] [Google Scholar]
- Rowland M. G., Cole T. J., Whitehead R. G. A quantitative study into the role of infection in determining nutritional status in Gambian village children. Br J Nutr. 1977 May;37(3):441–450. doi: 10.1079/bjn19770047. [DOI] [PubMed] [Google Scholar]
- Rowland M. G., McCollum J. P. Malnutrition and gastroenteritis in The Gambia. Trans R Soc Trop Med Hyg. 1977;71(3):199–203. doi: 10.1016/0035-9203(77)90006-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Taylor C. A., Emanuel I., Morris L. N., Prosterman R. L. Child nutrition and mortality in the rural Philippines: Is socioeconomic status important? J Trop Pediatr Environ Child Health. 1978 Apr;24(2):80–86. doi: 10.1093/tropej/24.2.80. [DOI] [PubMed] [Google Scholar]