Artículos de revistas
Effect of infection on food intake and the nutritional state: perspectives as viewed from the viIlage
Date
1977Registration in:
1938-3207
0002-9165
10.1093/ajcn/30.8.1215
Author
Mata Jiménez, Leonardo
Kronmal, Richard A.
Urrutia, Juan José
García, Bertha
Institutions
Abstract
Data from a prospective study of a Guatemalan village population revealed an
exceedingly high force of infection which may affect nutrition and growth from gestation onward.
Maternal morbidity was higher and fetal antigenic stimulation was more frequent than in
industrial societies. Infection of the young child was a common occurrence and, although a great
many infections were silent, morbidity rates were extremely high, particularly during the
protracted weaning period (6 to 24 months). Infectious disease was found to be an important
cause of weight loss, arrest in height, and impaired physical growth. Also, it was a common
precipitating factor of severe malnutrition and death. Analysis of the dietary data of fully weaned
children did not reveal a deficit in protein intake. Most children, however, had very low calorie
intakes. Infectious disease was a common cause of anorexia and of marked reduction in calorie
intake, followed by weight loss and impaired physical growth. A strong inverse correlation was
detected between infectious disease and calorie intake in the 2nd year of life, when children were
being weaned. Infection is the most important isolated factor in the causation of malnutrition in
the village. A reorientation of health and nutrition policies seems in line in view of failures of
food supplementation programs, particularly with protein, in many parts of the world.
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