Abnormal gut integrity is associated with reduced linear growth in rural malawian children

Ariana J. Weisz, Micah J. Manary, Kevin Stephenson, Sophia Agapova, Faith G. Manary, Chrissie Thakwalakwa, Robert J. Shulman, Mark J. Manary

Research output: Contribution to journalArticlepeer-review

85 Scopus citations

Abstract

The aim of the present study was to investigate the relation of environmental enteropathy, as measured by the dual sugar absorption test, to linear growth faltering in 2- to 5-year-old Malawian children. Dietary quality, food insecurity, anthropometry, and site-specific sugar testing were measured in 418 children, and anthropometry was reassessed 3 months later. A linear regression model predicting linear growth was created. Better growth was associated with less urinary lactulose excretion, more clean water usage, not sleeping with animals, and no previous history of malnutrition. Eighty-seven percent of children studied demonstrated evidence of environmental enteropathy. In conclusion, abnormal gut integrity is associated with reduced linear growth in a population of rural African preschool-age children.

Original languageEnglish
Pages (from-to)747-750
Number of pages4
JournalJournal of pediatric gastroenterology and nutrition
Volume55
Issue number6
DOIs
StatePublished - Dec 1 2012

Keywords

  • Environmental enteropathy
  • Intestinal integrity
  • Lactulose mannitol test
  • Linear growth

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