American Journal of Epidemiology Vol. 114, No. 2: 284-292
Copyright © 1981 by The Johns Hopkins University School of Hygiene and Public Health
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A PROSPECTIVE STUDY OF THE RISK OF DIARRHEAL DISEASES ACCORDING TO THE NUTRITIONAL STATUS OF CHILDREN1
3Matlab Field Station, ICDDRB
4Department of International Health, The Johns Hopkins University School of Hygiene and Public Health Baltimore, MD.
2Reprint requests to Dr. Chen at current address: Department of Population Sciences, Harvard School of Public Health, 665 Huntington Ave., Boston, MA 02115
Prospective field data were employed to examine the effect of child mainutrition on the subseauent risk of diarrhea among preschool children in rural Bangladesh. A total of 2019 children aged 12–23 months were classified according to weight-for-age, weight-for-height, and height-for-age of the Harvard median standard. Over a 24-month prospective period, diarrheal hospitalization rates among the children were matched to the initial anthropometric as sessment No differences in diarrheai hospitalization rates were noted for the children according to initial nutritional status. Another group of 207 children under five years of age were classified according to weight-for-age and their diarrheal attack rate in the field was followed prospectively for one year after nutritional assessment Again, no differences in field diarrheal attack rates were noted between children of varying nutritional status categories. The nutritional status of the 207 children was then defined as monthly growth velocity (kilogram change in body weight, per cent change of initial body weight, and per cent change in weight-for-age) and the diarrheal attack rate for the subsequent one month period was observed. No differences in attack rates were noted between nutritional groups. The study failed to demonstrate that nutritional status defined by anthropometry was associated with the subsequent risk of diarrheal diseases.
diarrhea; malnutrition
1From the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDRB).
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