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Diarrhea as a Cause and an Effect of Malnutrition: Diarrhea Prevents Catch-up Growth and Malnutrition Increases Diarrhea Frequency and Duration
Abstract
Diarrhea and malnutrition, alone or together, constitute major causes of morbidity and mortality among children throughout the tropical world. Data from northeast Brazil, taken with numerous other studies, clearly show that diarrhea is both a cause and an effect of malnutrition. Diarrheal illnesses impair weight as well as height gains, with the greatest effects being seen with recurrent illnesses, which reduce the critical catch-up growth that otherwise occurs after diarrheal illnesses or severe malnutrition. Malnutrition (whether assessed by impaired weight or height for age) leads to increased frequencies and durations of diarrheal illnesses, with a 37% increase in frequency and a 73% increase in duration accounting for a doubling of the diarrhea burden (days of diarrhea) in malnourished children. A multi-pronged approach focusing on those with prolonged diarrhea and severe malnutrition is suggested.
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Citations
Cited by
Contextualising complementary feeding in a broader framework for stunting prevention
Stewart, C. P., Iannotti, L., Dewey, K. G., Michaelsen, K. F., & Onyango, A. W. (2013) · Maternal & Child Nutrition · doi:10.1111/mcn.12088 · Cited by 710
Multi-country analysis of the effects of diarrhoea on childhood stunting
Checkley, W., Buckley, G., Gilman, R. H., Assis, A. M., Guerrant, R. L., Morris, S. S., Mølbak, K., Valentiner-Branth, P., Lanata, C. F., Black, R. E., et al. (2008) · International Journal of Epidemiology · doi:10.1093/ije/dyn099 · Cited by 653
Self-citationThe impoverished gut—a triple burden of diarrhoea, stunting and chronic disease
Guerrant, R. L., DeBoer, M. D., Moore, S. R., Scharf, R. J., & Lima, A. A. M. (2013) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/nrgastro.2012.239 · Cited by 604
Global Economic Burden of Norovirus Gastroenteritis
Bartsch, S. M., Lopman, B. A., Ozawa, S., Hall, A. J., & Lee, B. Y. (2016) · PLOS ONE · doi:10.1371/journal.pone.0151219 · Cited by 567
Guerrant, D. I., Moore, S. R., Lima, A. A., Patrick, P. D., Schorling, J. B., & Guerrant, R. L. (1999) · The American journal of tropical medicine and hygiene · doi:10.4269/ajtmh.1999.61.707 · Cited by 469
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Metadata
- Authors
- Guerrant, R. L., Schorling, J. B., McAuliffe, J. F., & De Souza, M. A.
- Venue
- The American Journal of Tropical Medicine and Hygiene
- Published
- 1992-07
- Volume
- 47
- Issue
- 1_Suppl
- Pages
- 28-35
- ISSN
- 0002-9637 (ISSN-L)
- OpenAlex
- W2346776249
- Cited by
- 263
- References
- 0
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Diarrhea as a Cause and an Effect of Malnutrition: Diarrhea Prevents Catch-up Growth and Malnutrition Increases Diarrhea Frequency and Duration. https://app.cochat.ai/papers/10.4269/ajtmh.1992.47.28
- The paper
- Guerrant, R. L., Schorling, J. B., McAuliffe, J. F., & De Souza, M. A. (1992). Diarrhea as a Cause and an Effect of Malnutrition: Diarrhea Prevents Catch-up Growth and Malnutrition Increases Diarrhea Frequency and Duration. The American Journal of Tropical Medicine and Hygiene. https://doi.org/10.4269/ajtmh.1992.47.28
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