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Increased Height Gain of Children Fed a High-Protein Diet during Convalescence from Shigellosis: A Six-Month Follow-Up Study

Manuscript received 27 May 1997. Initial reviews completed 9 August 1997. Revision accepted 15 June 1998.

Iqbal Kabir, Mohammad M. Rahman, Rukhsana Haider, Ramendra N. Mazumder, Mohammed A. Khaled, and Dilip Mahalanabis

International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) Dhaka 1000, Bangladesh

The impact of dietary supplementation on catch-up growth was evaluated in 69 malnourished children ages 24-60 mo after recovery from shigellosis. They were fed either a high-protein (HP) diet with 15% of energy as protein, or a standard-protein (SP) diet with 7.5% energy as protein, for 3 wk in a metabolic study ward. Children were followed up bi-weekly for 6 mo by trained health assistants when anthropometric measurements and information of any illness were collected. Thirty-one children in the HP group and 28 children in the SP group completed 6-mo follow-up. The increase in height (mean ± SD) was 5.3 ± 1.0 cm vs. 4.1 ± 1.1 cm for HP and SP groups, respectively (P < 0.001), whereas increase in body weight was 1.39 ± 0.58 and 1.29 ± 0.72 kg for children fed HP and SP, respectively (P = 0.59). The proportion of children who were severely stunted (< -2 SD height-for-age) decreased from 45 to 29% in the HP group compared to 50 to 46% in the SP group (P < 0.05) at 6-mo follow-up. The number of diarrheal episodes per child tended to be lower in the HP vs. SP than in the SP group (1.9 vs. 2.3, P = 0.41). These results demonstrate that feeding an HP diet to the malnourished children during recovery from shigellosis enhanced linear growth with a modest reduction in diarrheal morbidity during the 6-mo follow-up period.

Key words: shigellosis, catch-up growth, stunting, malnutrition, high-protein diet.

The Journal of Nutrition Vol. 128 No. 10 October 1998, pp. 1688-1691
Copyright ©1998 by the American Society for Nutritional Sciences




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