PEDIATRICS Vol. 73 No. 6 June 1984, pp. 799-805
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Effects of Diarrhea Associated with Specific Enteropathogens on the Growth of Children in Rural Bangladesh

Robert E. Black MD, MPH1, Kenneth H. Brown MD1, and Stan Becker PhD1

1 From the International Centre for Diarrhoeal Diseases Research, Bangladesh, Dacca, Bangladesh; Center for Vaccine Development, University of Maryland School of Medicine, Baltimore; and Schools of Medicine and Hygiene and Public Health, The Johns Hopkins University, Baltimore

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 associated with enterotoxigenic Escherichia coli had a significant negative effect on the bimonthly 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.

Key Words: diarrhea • Escherichia coli • growth • nutritional status • Shigella

Submitted on February 23, 1983
Accepted on July 20, 1983




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