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Seasonal variations in the nutritional status of urban Gambian children

Published online by Cambridge University Press:  09 March 2007

A. M. Tomkins
Affiliation:
Medical Research Council Laboratories, The Gambia, and Department of Human Nutrition and Tropical Epidemiology Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WClE 7HT
D. T. Dunn
Affiliation:
Medical Research Council Laboratories, The Gambia, and Department of Human Nutrition and Tropical Epidemiology Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WClE 7HT
R. J. Hayes
Affiliation:
Medical Research Council Laboratories, The Gambia, and Department of Human Nutrition and Tropical Epidemiology Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WClE 7HT
A. K. Bradley
Affiliation:
Medical Research Council Laboratories, The Gambia, and Department of Human Nutrition and Tropical Epidemiology Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WClE 7HT
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Abstract

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1. Children aged 6–35 months in an urban community in The Gambia, West Africa, were weighed and their lengths measured at four surveys over an 18-month period, twice towards the end of the rains, and twice during the dry season.

2. Relative to international standards, height-for-age deteriorated steadily with age, while weight-for-age fell sharply in the second-half of infancy but showed no further deterioration from 12 to 35 months of age.

3. Height-for-age showed little seasonal variation, but weight-for-age and weight-for-height were lower at the end of the rains than during the dry season. Weight and height velocities were much lower during the rains than in the dry season, with more than 20% of the children losing weight during the rains. Possible reasons for these seasonal variations are discussed. Compensatory weight gain in the dry season exceeded the velocity expected from the standards in children aged 12 months or more, but height velocity fell below the standards all year.

4. The results are compared with previous findings from Keneba, a rural Gambian village. Weight velocity during the dry season was similar in the two communities, but the village children experienced a sharper decline in weight gain during the rains.

5. These results suggest that seasonal ecological factors may seriously influence the nutritional status of children living in an urban environment with adequate availability of food.

Type
Papers of direct relevance to Clinical and Human Nutrition
Copyright
Copyright © The Nutrition Society 1986

References

REFERENCES

Barrell, R. A. E. & Rowland, M. G. M. (1979 a). Transactions of the Royal Society of Tropical Medicine and Hygiene 73, 8590.CrossRefGoogle Scholar
Barrell, R. A. E. & Rowland, M. G. M. (1979 b). Journal of Hygiene, Cambridge 83, 143150.CrossRefGoogle Scholar
Habicht, J.-P., Martorell, R., Yarbrough, C., Malina, R. & Klein, R. (1974). Lancet i, 611615.CrossRefGoogle Scholar
Janes, M. D. (1974). Tropical and Geographical Medicine 26, 389398.Google Scholar
Lloyd-Evans, N., Pickering, H. A., Goh, S. G. J. & Rowland, M. G. M. (1984). Transactions of the Royal Society of Tropical Medicine and Hygiene 78, 209211.CrossRefGoogle Scholar
McGregor, I. A., Billewicz, W. Z. & Thomson, A. M. (1961). British Medical Journal ii, 16611666.CrossRefGoogle Scholar
Pickering, H. (1984). Social and environmental factors associated with high rates of diarrhoea in young children. PhD Thesis, University of London.Google Scholar
Rowland, M. G. M., Cole, T. J. & Whitehead, R. G. (1977). British Journal of Nutrition 37, 441450.CrossRefGoogle Scholar
Thompson, E. D. B. (1965). Marriage, childbirth and early childhood in a Gambian village. A socio-medical study. PhD Thesis, University of Aberdeen.Google Scholar
Tomkins, A. (1981). Lancet i, 861862.Google Scholar
United States, Public Health Service, Health Resources Adminstration (1977). NCHS Growth Charts. Rockville, MD.Google Scholar
Waterlow, J. C., Ashworth, A. & Griffiths, M. (1980). Lancet ii, 11761178.CrossRefGoogle Scholar
World Health Organization (1983). Measuring Change in Nutritional Status: Guidelines for Assessing the Nutritional Impact of Supplementary Feeding Programmes for Vulnerable Groups. Geneva: WHO.Google Scholar