Title
Effects of shigella-, campylobacter- and ETEC-associated diarrhea on childhood growth
Date Issued
01 January 2014
Access level
metadata only access
Resource Type
journal article
Author(s)
Lee G.
Yori P.P.
Black R.E.
Caulfield L.
Hall E.
Pan W.K.
Meza R.
Asociacion Benefica Proyectos de Informatica
Asociacion Benefica Proyectos de Informatica
Asociacion Benefica Proyectos de Informatica
Publisher(s)
Lippincott Williams and Wilkins
Abstract
Background: Studies examining the etiology-specific effects of diarrheal disease on growth are limited and variable in their analytic methods, making comparisons difficult and priority setting based on these findings challenging. A study by Black et al (Black RE, Brown KH, Becker S. Effects of diarrhea associated with specific enteropathogens on the growth of children in rural Bangladesh. Pediatrics. 1984;33:1004-1009.) examined the association between Shigella and enterotoxigenic Escherichia coli-related disease and weight gain and linear growth in Bangladeshi children aged 0-5 years. We estimated similar associations in a 2002 cohort of 0- to 6-year-old children in the Peruvian Amazon. Methods: Diarrheal surveillence was conducted using household visits 3 times per week. Anthropometry was collected monthly. Mixed-effect models were used to estimate the association between Shigella, ETEC and Campylobacter diarrhea and weight gain in a 2-month period and linear growth over a 9-month period. Diarrheal disease burdens and growth intervals were quantified so as to be as comparable as possible to the original report. Results: Shigella- and ETEC-associated diarrhea were not associated with diminished weight gain, although the association between ETEC diarrhea and weight gain (-4.5 g/percent of days spent with ETEC, P = 0.098) was twice that of other etiologic agents, as well as similar in magnitude to the original report. Shigella-associated diarrhea was associated with decreased linear growth (0.055 cm less growth/percent days, P = 0.008), also similar to the original study. Conclusions: Our findings suggest that associations between enteropathogen-specific diarrheal episodes and growth, particularly Shigella, are comparable across geographic and epidemiological contexts.
Start page
1004
End page
1009
Volume
33
Issue
10
Language
English
OCDE Knowledge area
Epidemiología
Scopus EID
2-s2.0-84903166243
PubMed ID
Source
Pediatric Infectious Disease Journal
ISSN of the container
08913668
Sources of information: Directorio de Producción Científica Scopus