Early childhood supplementation does not benefit the long-term growth of stunted children in Jamaica
J Nutr
; 126(12): 3017-24, Dec. 1996.
Artigo
em Inglês
| MedCarib
| ID: med-2072
Biblioteca responsável:
JM3.1
Localização: JM3.1; Reprint collection
ABSTRACT
The long-term benefits of early childhood supplementation and the extents to which catch-up growth occurs following linear growth retardation remain controversial. Stunted children (height-for-age < -2 SD of NCHS reference, n = 122) recruited from a survey of poor neighborhoods in Kingston, Jamaica, participated in a 2-yr randomized, controlled trial of supplementation beginning at ages 9-24 mo. A group of 32 non-stunted children from the same neighborhoods was also followed. Four years after the intervention ended, when children were 7 to 8 y old, there were no effects of supplementation on any anthropometric measure. From the end of the trial until follow-up, the children who had been supplemented gained 1.2 cm less (P < 0.05) than the non-supplemented children, approximately the same amount as they had gained during the trial compard with the non-supplemented children. After adjustment for regression to the mean, the height-for-age of stunted children (supplemented and non-supplemented combined) increase from enrollment to follow-up by 0.31 Z-score (95 percent CI 0.17, 0.46). The height-for-age of the non-stunted children also increase (0.96 Z-score; 95 percent CI 0.70, 1.22). Our results suggest that some catch-up growth is possible even when children remain in poor environments. Long-term benefits of supplementation to growth may not be achieved when intervention begins after age 12 mo in children who have already become undernourished.(AU)
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Coleções:
Bases de dados internacionais
Base de dados:
MedCarib
Assunto principal:
Alimentos Fortificados
/
Crescimento
/
Transtornos do Crescimento
Tipo de estudo:
Ensaio clínico controlado
/
Estudo diagnóstico
/
Estudo observacional
/
Fatores de risco
Aspecto:
Determinantes sociais da saúde
Limite:
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Caribe Inglês
/
Jamaica
Idioma:
Inglês
Revista:
J Nutr
Ano de publicação:
1996
Tipo de documento:
Artigo