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American Academy of Pediatrics
Article

Effects of Diarrhea Associated with Specific Enteropathogens on the Growth of Children in Rural Bangladesh

Robert E. Black, Kenneth H. Brown and Stan Becker
Pediatrics June 1984, 73 (6) 799-805;
Robert E. Black
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Kenneth H. Brown
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Stan Becker
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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 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.

  • diarrhea
  • Escherichia coli
  • growth
  • nutritional status
  • Shigella
  • Received February 23, 1983.
  • Accepted July 20, 1983.
  • Copyright © 1984 by the American Academy of Pediatrics

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Pediatrics
Vol. 73, Issue 6
1 Jun 1984
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Effects of Diarrhea Associated with Specific Enteropathogens on the Growth of Children in Rural Bangladesh
Robert E. Black, Kenneth H. Brown, Stan Becker
Pediatrics Jun 1984, 73 (6) 799-805;

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Effects of Diarrhea Associated with Specific Enteropathogens on the Growth of Children in Rural Bangladesh
Robert E. Black, Kenneth H. Brown, Stan Becker
Pediatrics Jun 1984, 73 (6) 799-805;
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