Association between clinical type of diarrhoea and growth of children under 5 years in rural Bangladesh

Alam, Dewan S., Marks, Geoffrey C., Baqui, Abdullah H., Yunnis, M. and Fuchs, George J. (2000) Association between clinical type of diarrhoea and growth of children under 5 years in rural Bangladesh. International Journal of Epidemiology, 29 5: 916-921. doi:10.1093/ije/29.5.916


Author Alam, Dewan S.
Marks, Geoffrey C.
Baqui, Abdullah H.
Yunnis, M.
Fuchs, George J.
Title Association between clinical type of diarrhoea and growth of children under 5 years in rural Bangladesh
Journal name International Journal of Epidemiology   Check publisher's open access policy
ISSN 0300-5771
1464-3685
Publication date 2000-10
Sub-type Article (original research)
DOI 10.1093/ije/29.5.916
Volume 29
Issue 5
Start page 916
End page 921
Total pages 6
Place of publication Oxford, U.K.
Publisher Oxford University Press
Collection year 2000
Language eng
Subject C1
321205 Nutrition and Dietetics
730215 Nutrition
Formatted abstract
Background The role of diarrhoea in the aetiology of growth retardation in young children remains controversial. To evaluate this, a population-based, longitudinal study of young children aged 6–48 months was conducted in Matlab, a rural area of Bangladesh, between May 1988 and April 1989.

Methods Data obtained from 584 children were examined by one-year (n = 412) and 3-month (n = 1220) growth periods. Each growth period was analysed based on clinical types of diarrhoea, namely, non-diarrhoea, non-dysentery diarrhoea (diarrhoea without blood), and dysentery (diarrhoea with blood). Weight and height gains were compared among the study groups initially by one-way analysis of variance followed by multivariate analysis adjusting for potential confounding variables.

Results Compared to non-diarrhoea and non-dysentery diarrhoea, dysentery was associated with significantly lower annual weight gain (1866 g [P < 0.01] and 1550 g [P < 0.05] versus 1350 g, respectively) and height gain (6.51 cm and 5.87 cm versus 5.27 cm [P < 0.01], respectively). Both 3-month dysentery and non-dysentery intervals were significantly associated with less weight gain compared to non-diarrhoea intervals (490 g and 522 g versus 637 g [P < 0.05], respectively). Dysentery intervals were also associated with significantly poorer height gain compared to other intervals (2.19 cm versus 2.42 cm [P < 0.05] and 2.46 cm [P < 0.01], respectively).

Conclusions The growth of young children is strongly influenced by the clinical type of diarrhoea and the impact is dependent on the proportion of dysentery episodes in the total diarrhoeal burden.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Authors prepress title: "Association between clinical type of diarrhoea and growth of children less than 5 years old in Bangladesh".

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
 
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Created: Tue, 10 Jun 2008, 11:11:54 EST