Impact of early growth on health over the life course

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Impact of early growth on health over the life
course

• Ministry of Health
• Oman

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Micronutrients status in LBW

• Low birth weight is associated with anemia and
  iron deficiency at 6 and 12 months.
• Lower Plasma retinol levels at 6 months.
• Low weight at 1 month is associated with lower
  plasma zinc values at 6 months.

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Infection

• Impaired immune function
• More frequent infections
• Diarrhea and ARI
• Neonatal death

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Birth Weight and chronic diseases

• IUGR
• Premature delivery of a normal growth for
  gestational age.
• Overnutrition in utero.
• Intergenerational factors.

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Odds ratio of Type 2 Diabetes and Impaired
Glucose Tolerance and Birth weight of men aged
59-70 y
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Cognitive Function
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Infection
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Hazard ratios of death of coronary heart disease
according to the ponderal index at birth and body
mass index at the age of 11 years adjusted for
length
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Why child growth?

• Protection against infectious diseases.
• Facilitates intervention of diarrhea, and
  immunization.
• Prevents chronic diseases.
• Lifelong impact on cognition and consequently
  life achievements and progress.
• A good tool that is used to its full potential
  is at our hands.

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References

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• Anna Lartey, Alhassan Manu, Kenneth Brown et al.
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• Sophie E. Moore, Felmida Jalil, Rifat Ashraf,
  Shousan Chen Szu et al. Birth weight predicts
  response to vaccination in adults born in an
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• Diet, Nutrition, and Prevention of Chronic
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• Victora C.G. et al. Potential Interventions for
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  developing countriesImproving nutrition. Am J
  Clin Nutr 1999 70309-320

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  breastfeeding, and timing of complementary food
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  gain.
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