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close this bookCauses and Mechanisms of Linear Growth Retardation (International Dietary Energy Consultative Group - IDECG, 1993, 216 pages)
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View the documentEuropean journal of clinical nutrition
View the documentForeword
Open this folder and view contentsIntroduction: Causes and mechanisms of linear growth retardation (stunting)
Open this folder and view contentsBetween-population variation in pre-adolescent growth
Open this folder and view contentsPrenatal influences on postnatal growth: Overview and pointers for needed research
Open this folder and view contentsLinear growth retardation in relation to the three phases of growth
Open this folder and view contentsReversibility of stunting: Epidemiological findings in children from developing countries
Open this folder and view contentsIs complete catch-up possible for stunted malnourished children?
Open this folder and view contentsRelationship of gain in height to gain in weight
Open this folder and view contentsNutritional influences on linear growth: A general review
Open this folder and view contentsOnset and evolution of stunting in infants and children. Examples from the Human Nutrition Collaborative Research Support Program. Kenya and Egypt studies
Open this folder and view contentsEffects of macrobiotic diets on linear growth in infants and children until 10 years of age
Open this folder and view contentsPsychosocial adversity and growth during infancy
Open this folder and view contentsThe cell biology of bone growth
Open this folder and view contentsHormonal regulation of longitudinal bone growth
Open this folder and view contentsAdequacy of dietary mineral supply for human bone growth and mineralisation
Open this folder and view contentsThe mechanical factors which influence bone growth
Open this folder and view contentsInfluence of exercise on linear growth
Open this folder and view contentsThe effects of the inflammatory response on bone growth
Open this folder and view contentsBiochemical markers for assessing skeletal growth
Open this folder and view contentsSummary of causes and mechanisms of linear growth retardation
View the documentSummary of research needs in the area of linear growth retardation
Open this folder and view contentsGuidelines for the study of mechanisms involved in the prevention or reversal of linear growth retardation in developing countries
View the documentEuropean journal of clinical nutrition - Directions to contributors

Foreword

A large proportion of the children in most developing countries are much shorter than well-nourished and more privileged children in their own societies and in industrialized countries, i.e. they are stunted. This is largely because they have failed to grow normally between 6 and 30 months of age. This deficit is rarely made up, so that stunted children usually become stunted adults. In some developing countries more than half of the adults, especially women, are stunted. Stunted adults have been shown in many societies to have below average work capacity.

It has been well documented that becoming and remaining stunted puts the child at an increased risk of morbidity, mortality, and delays in motor and mental development; in other words, the concomitants and consequences of becoming stunted are quite well known. On the other hand, remarkably little is known about the specific causes and mechanisms of linear growth retardation. It is therefore very difficult to offer advice on how best to prevent stunting and its undesirable correlates.

A workshop on this topic, proposed and organized primarily by Prof. John C. Waterlow, was held at the Ciba Foundation in London from January 15-18, 1993. The meeting brought together scientists who had made observations on causes, correlates and patterns of linear growth retardation, with experts on the cellular biology and hormonal regulation of bone growth who could speculate on the mechanisms involved. This supplement to the European Journal of Clinical Nutrition contains the 17 background papers prepared for this workshop and summaries of the discussions that followed their presentation. Its publication was made possible by a grant from the Nestle Foundation.

The workshop was sponsored by the International Dietary Energy Consultancy Group (IDECG), an organization created in 1986 to promote, evaluate and disseminate research on dietary energy intake, requirements and metabolism in relation to human health and welfare. IDECG was established by the United Nations University (UNU) in cooperation with the International Union of Nutritional Sciences (IUNS) on behalf of the UN ACC-Subcommittee on Nutrition (SCN) to which it reports annually. Its secretariat is provided by the Nestle Foundation, an independent charitable trust promoting nutrition research. An Executive Committee is made up of the Director of the UNU Programme on Food and Nutrition, the Secretary-General of IUNS and the Executive Secretary of IDECG. Nine Advisory Committee members with staggered three-year terms are appointed by UNU.

We are grateful to Mrs. Ann-Marie Favre for helping us prepare this publication and to Mrs. Nelleke Luong-van-My for technical assistance.

Beat Schürch
Nevin S. Scrimshaw