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Functional Indicators and Outcomes of Undernutrition^1,2,3,

Department of Nutritional Sciences, University of Connecticut, Storrs, CT 06269-4017

The advantages and limitations of using functional methods are discussed in the context of identifying undernutrition and hunger in children in the United States. At this time many of these methods have been used only in developing countries where undernutrition is more serious. However, there is great need to investigate whether, when and how undernutrition in the United States affects children's development. Functional measures can detect undernutrition and hunger in some situations where biochemical or clinical measures cannot.

KEY WORDS: • malnutrition • hunger • children • nutritional status • United States

¹ Presented as part of the "Symposium on the Identification and Prevalence of Undernutrition in the United States" during the joint meeting of the American Institute of Nutrition and the American Society for Clinical Nutrition held in conjunction with the 73rd Annual Meeting of the Federation of American Societies for Experimental Biology, New Orleans, LA, March 20, 1989. Supported in part by cooperative agreement HPU 880004-02-1 with the Office of Disease Prevention and Health Promotion, Public Health Service, Department of Health and Human Services.

² Guest editors for this symposium were William H. Dietz, New England Medical Center, Boston, MA, and Frederick L. Trowbridge, Centers for Disease Control, Atlanta, GA.

³ Scientific contribution no. 1340, Storrs Agricultural Research Station, University of Connecticut.

Manuscript received 6 December 1989. Revision accepted 6 April 1990.