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Growth velocity and stunting in rural Nepal.

Costello, AM; (1989) Growth velocity and stunting in rural Nepal. Arch Dis Child , 64 (10) pp. 1478-1482. 10.1136/adc.64.10.1478.

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In a community based study, height and weight increments of 441 Nepali children aged 0-6 years were measured before harvest and six months later and compared with centile standards derived from American children. Low mean growth velocities for height were found only in children under 2 years of age, and for weight during the first 18 months. The mean height for age standard deviation score for the 12-23 months age group was already -2.8 at first measurement. The effect of the initial thinness of the child on subsequent height and weight velocity was reciprocal: thin children seemed to catch up weight at the expense of height. These results suggest that stunting is caused largely by a reduced growth velocity during the nutrition dependent infantile phase of growth, with some additional impairment and delay in onset of the early childhood phase of growth hormone dependent growth, especially in thin children. Nutritional interventions after the second year of life are unlikely to alter the prevalence of linear growth retardation in poor communities. Growth velocity may be more useful than static anthropometry to assess the impact of such interventions.

Type: Article
Title: Growth velocity and stunting in rural Nepal.
Location: England
DOI: 10.1136/adc.64.10.1478
Keywords: Age Factors, Body Height, Child Nutritional Physiological Phenomena, Child, Preschool, Developing Countries, Female, Growth Disorders, Humans, Infant, Infant, Newborn, Male, Nepal, Nutritional Status, Seasons, Weight Gain
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
URI: http://discovery.ucl.ac.uk/id/eprint/138571
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