PMID: 8972679Dec 1, 1996Paper

Nutritional status and delayed mortality following early exposure to measles

Epidemiology and Infection
P AabyK Knudsen

Abstract

Community studies in Guinea-Bissau have found that exposure to measles prior to 6 months of age is associated with delayed mortality later in childhood. In an attempt to understand the underlying mechanism, we examined the role of pre-exposure nutritional status and the impact of exposure to measles on growth and subsequent mortality in these outbreaks. Though exposed children were lighter than controls, there was no association between pre-exposure weight-for-age and subsequent mortality adjusting for age. Although exposure was strongly associated with excess mortality, it did not have a negative impact on growth. Adjustment for state of nutrition did not alter the mortality ratio (MR) between 6 and 59 months of age for exposed children and controls; exposed children examined anthropometrically between 6-17 months had a MR of 3.70 compared with controls. This trend was the same for anthropometric measurements obtained at 18-59 months of age. Among the controls, there was a significant association between weight-for-age and subsequent mortality to the age of 5 years. However, for exposed children there was no association; the relation between weight-for-age and subsequent mortality was significantly different for exposed childr...Continue Reading

References

Jan 1, 1977·Perspectives in Biology and Medicine·J Murray, A Murray
Aug 1, 1990·American Journal of Epidemiology·P AabyM C da Silva
Jul 1, 1986·The Journal of Pediatrics·P AabyI R Pedersen
Apr 30, 1983·Lancet·H F HullF Oldfield
Jul 1, 1984·American Journal of Epidemiology·P AabyA J Smits
Feb 1, 1993·International Journal of Epidemiology·P AabyK Knudsen
May 15, 1996·American Journal of Epidemiology·P AabyF Simondon
Jun 1, 1996·International Journal of Epidemiology·K M KnudsenP Fine

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