Effects of diarrhea associated with specific enteropathogens on the growth of children in rural Bangladesh

R. E. Black, K. H. Brown, S. Becker

Research output: Contribution to journalArticlepeer-review

234 Scopus citations

Abstract

Village-based surveillance data from longitudinal studies in rural Bangladesh have been used to evaluate the nutritional consequences of infectious diseases, including diarrhea due to specific pathogens. The prevalences of specific illnesses were related to the ponderal and linear growth of young children for 2-month and 1-year-periods. Of the common illnesses, only diarrhea had a significant inverse relationship with increments of weight during 2-month periods and of length during 1 year. Diarrhea accounted for 20% of the difference in linear growth between the study children and the international reference population during the first 5 years of life. Diarrhea asociated with enterotoxigenic Escherichia coli had a significant negative effect on the bi-monthly weight gain of children in this community and shigellosis had the strongest negative effect on bimonthly and annual linear growth. Control of diarrhea due to enterotoxigenic E coli and Shigella would not only substantially diminish diarrheal morbidity but would also improve the growth of children and thereby reduce the prevalence of protein-energy malnutrition.

Original languageEnglish (US)
Pages (from-to)799-805
Number of pages7
JournalPediatrics
Volume73
Issue number6
StatePublished - 1984
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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