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Immunostimulation and growth faltering in UK infants

Bibliographic Data

ID19459028
AuthorsC Panter-Brick (0000-0002-4635-2234, Durham University, corresponding author), C Panter‐brick, P G Lunn (University of Cambridge), Rie Goto (0000-0002-6220-6659, University of Cambridge), Charlotte M Wright (0000-0001-6256-6315, University of Glasgow)
Year2004
Volume16
Issue5
Pages581-587
Publication date2004-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Human Biology (JOURNAL)
Journal identifiersISSN: 1042-0533 • E-ISSN: 1520-6300
PublisherWiley (PUBLISHER • GB)
DOI10.1002/ajhb.20062
PMID15368605
OpenAlexW2030031319
LanguageEN
Citations received2
References cited22

The purpose of the study was to determine whether chronic immunostimulation could explain growth faltering in disadvantaged children in the UK, as it does in developing countries such as The Gambia. In all, 216 infants, age 10–21 months, were recruited when blood samples were taken for the routine or clinical purposes of a longitudinal study tracking a larger cohort of children. Aliquots of blood were collected on Guthrie cards to determine blood concentrations of albumin (Alb), α 1 ‐antichymotrypsin (ACT), and immunoglobulin G (IgG). Haemoglobin concentrations were determined by routine hospital laboratory analysis. Heights and weights were measured and converted to z‐scores; birth weights were used with recruitment weight to calculate a ‘thrive index’ for each child. Age‐corrected plasma IgG concentration was negatively associated with both height‐ and weight‐for‐age z‐scores ( P = 0.042 and 0.038, respectively) but not with the thrive index or body mass index z‐scores. Blood haemoglobin levels were positively related to height‐ and weight‐for age z‐scores, as well as to the thrive index ( P = 0.026, 0.014, and 0.007, respectively). Although significant, these relationships could only account for a small part the observed growth variation. Although the relationships were weak, the results suggest that some of the observed variation in growth of these UK infants may be explained on the basis of persistent immunostimulation or poor iron status. In terms of markers of immunostimulation (Alb, ACT, ACT:Alb ratio, IgG), both absolute levels and relationships with height‐for‐age are substantially different than those previously observed in cohort studies of infants in The Gambia. Am. J. Hum. Biol. 16:581–587, 2004. © 2004 Wiley‐Liss, Inc

Albumin · Body mass index · Cohort · Confounding · Failure to thrive · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Demography · Medicine · Obesity, Physical Activity, Diet · Internal Medicine · Pediatrics

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Unique citing works2
Citations per year0.1
Citation span2005 - 2014 (10)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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