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International Journal of Epidemiology 2001;30:217-220
© International Epidemiological Association 2001


Reiterations

Commentary: The catch-up dilemma— relevance of Leitch's ‘low–high’ pig to child growth in developing countries

Cesar G Victoraa, and Fernando C Barrosb

a Postgraduate Programme in Epidemiology, Universidade Federal de Pelotas, CP 464, 96001-970 Pelotas, RS, Brazil.
PAHO/WHO Latin American Perinatology Center, Montevideo, Uruguay.

Correspondence: Prof. CG Victora, Postgraduate Programme in Epidemiology, Universidade Federal de Pelotas, CP 464, 96001-970 Pelotas, RS, Brazil. E-mail: cvictora@terra.com.br

Isabella Leitch's paper1 is exciting reading in many ways. Our main difficulty in writing this commentary was choosing a single topic from her several original ideas that have major relevance to the nutritional problems of developing countries today. We opted to discuss the possible hazards of catch-up growth.

Leitch's analogy of the growth of pigs and humans is thought-provoking. Based on research on pigs who were starved early in life and then fed appropriately, she observed that ‘skeleton and muscle will not grow as they would have done if they had had the opportunity at the right time, and the extra food will be used mainly to lay on fat’. She then uses this analogy of the ‘low–high’ pig to propose that humans who suffered malnutrition in early life would be better off by remaining thin than by putting on weight: ‘growth potential is not something that one can speed . . . [Full Text of this Article]

Evidence for long-term negative effects of catch-up growth

Evidence for short-term beneficial effects of catch-up growth

Conclusions

Acknowledgments

References


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