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close this bookActivity, Energy Expenditure and Energy Requirements of Infants and Children (International Dietary Energy Consultative Group - IDECG, 1989, 412 pages)
close this folderEnergy cost of communicable diseases in infancy and childhood
View the document(introductory text...)
View the documentAbstract
View the document1. Introduction
View the document2. Variation in morbidity from infectious disease
Open this folder and view contents3. Effects of infection on energy status
View the document4. Reduced activity
View the document5. Energy requirements for recovery from infection
View the document6. Anabolic response
View the documentReferences
View the documentDiscussion (summarized by B. Schürch)


The adverse effects of communicable disease on energy status result from decreased intakes due to anorexia and the tendance to withdraw solid foods, from decreased absorption when the gastrointestinal tract is affected, from increased metabolism due to fever, from increased catabolic losses due to the stress response, and from diversion of energy for the internal synthesis of globulins and other proteins in response to infection. Among underprivileged children in most developing countries, episodes of infectious disease are frequent, and their cumulative effects contribute significantly to impaired growth and development. Energy requirements for recovery, including catch-up growth, are accordingly increased, but they are spread over a longer period of time. Under developing country conditions there is a risk that the diet will be inadequate for rapid recovery, and that another infection will occur before recovery is complete.