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in partial fulfil]ment of the - MSpace - University of Manitoba

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growth. Measurable growth retardation does not occur dur<strong>in</strong>g a shortterm<br />

nutritional deprivation, but frequent periods <strong>of</strong> acute food deprivaLion<br />

or <strong>in</strong>fection over a protonged period may cause a chitd to be<br />

short for his/her age. This condition is also called 'stunt<strong>in</strong>g' (tripp,<br />

1981; Robb<strong>in</strong>s and Trowbridge, 1984). This effect is particurarry<br />

noticeable dur<strong>in</strong>g <strong>the</strong> first two years <strong>of</strong> life when growth is most rapid.<br />

Weight-for-Àge has been used as a general <strong>in</strong>dicator <strong>of</strong> nutritional<br />

sLatus. However, Weight-for-age does not dist<strong>in</strong>guish between present<br />

and past or current malnutrition. A lor+ Weight-for-Àge value could mean<br />

ei<strong>the</strong>r that <strong>the</strong> child has been malnourished <strong>in</strong> <strong>the</strong> past so that his<br />

height is retarded, but adequately nourished at present. Alternatively,<br />

Lhe child was adequately nourished previously but is currently malnourished<br />

(rrípp, 1981). i.ieight-for-Àge is sensitive to both current and<br />

long-term malnutrition. Weight-for-Àge is particularly useful <strong>in</strong> regard<br />

to <strong>in</strong>fants under one year <strong>of</strong> age when length measure<strong>ment</strong>s cannot be<br />

performed accurately (Robb<strong>in</strong>s and Trowbridge, 1984).<br />

6<br />

In order to <strong>in</strong>terpret anthropometric data <strong>in</strong>volv<strong>in</strong>g<br />

I.leight-for-height, heighÈ-for-age, and I,teight-for-age, <strong>the</strong> weight and<br />

height values need to be expressed both <strong>in</strong> relation to each o<strong>the</strong>r and Èo<br />

reference population values. Thus, height-for-age is <strong>the</strong> relationship<br />

<strong>of</strong> observed height to expected height for a specific age and sex;<br />

weigh!-for-height is <strong>the</strong> relationship <strong>of</strong> observed weight to expected<br />

weight for a specific height and sex; and weight-for-age is <strong>the</strong> relationship<br />

<strong>of</strong> observed weight to expected weight for a specific age and<br />

sex (trowbridge and Robb<strong>in</strong>s, 1984) A weight-for-height proportion <strong>of</strong><br />

less than <strong>the</strong> 5th percentile for a given population <strong>in</strong>dicates that <strong>the</strong>

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