Children whose growth is impaired during the first 1000 days of life,are known to have higher mortality rates, poor cognitive development, low educational performance and show low productivity, less earnings, chronic diseases during their adult years.1
There are many interacting detriments which contribute to growth failure in children,some of which are given below2
EED according to recent studies is the major contributor to stunting.
In EED which is mainly seen in children living in unsanitary conditions, there is generalised disturbance of the structure and function of the small intestine with blunted villi or atrophy of the villi, hyperplasia of small intestinal crypts and inflammatory cell infiltrates.
Child growth and development can be affected by several factors which can have lifelong repercussions. The situation needs a detailed assessment, better understanding of the underlying cause and interventions which would help to ameliorate the symptoms.
- Harper KM, Mutasa M, Prendergast AJ, Humphrey J, Manges AR. Environmental enteric dysfunction pathways and child stunting: A systematic review. PLoS Negl Trop Dis. 2018;12(1):e0006205. Published 2018 Jan 19. doi:10.1371/journal.pntd.0006205
- Owino, Victor & Ahmed, Tahmeed & Freemark, Michael & Kelly, Paul & Loy, Alexander & Manary, Mark & Loechl, Cornelia. (2016). Environmental Enteric Dysfunctionand Growth Failure/Stunting in Global Child Health. PEDIATRICS. 138. e20160641. 10.1542/peds.2016-0641.
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