Anthropometry and renal size of children suffering under sustained conflict in Sri Lanka.
OBJECTIVE
To measure anthropometry, blood pressure and renal lengths of children in a war torn region of Sri Lanka and compare results with local and international standards.


METHODS
Measurements of 147 Tamil children in Kilinochchi, north-east Sri Lanka, were compared with the World Health Organization standards using Anthro 2005 software in a period of relative peace in December 2005. Renal lengths were measured by ultrasound and compared with Australian and Indian data.


RESULTS
1 2-5 years of age. The weight-to-height ratio for combined sexes revealed 13.9% were <-3 standard deviations (SD) and 33.3% <-2 SD. The height-to-age ratio revealed 5.6% <-3 SD and 22.2% <-2 SD. The weight-to-age ratio revealed 13.9% <-3 SD and 38.9% <-2 SD. The body mass index of 13.9% of children was <-3 SD, of 25% it was <-2 SD. Stunting and wasting is prevalent, and worse than in other areas of Sri Lanka, except in tea estates. 2 5-12 years. The height-to-age ratio for combined sexes revealed 15.7% were <-3 SD and 38.5% <-2 SD. The weight-to-age ratio revealed 6.1% were <-3 SD and 47.3% <-2 SD. The body mass index of 64.0% of children was <5th percentile. More children are stunted and wasted in this older group. Girls are more affected than boys. 3 Renal lengths fell progressively below -2 SD for both age and height when compared with Australian and Indian children.


CONCLUSIONS
Tamil children in Kilinochchi are more stunted and wasted than others in Sri Lanka, except those in the tea estates. Progressive renal stunting because of under-nutrition may be a mechanism for later disease. The loss of potential for human development can only be addressed by long-term improvement in access to nutrition.
Whitehall
John
J
Department of Neonatology, The Townsville Hospital, Townsville, Queensland, Australia. john_whitehall@health.qld.gov.au
D000886:Anthropometry / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D006130:Growth Disorders; D006801:Humans; D007668:Kidney / Q000033:anatomy & histology* / Q000000981:diagnostic imaging / Q000254:growth & development; D008297:Male; D013188:Sri Lanka; D014463:Ultrasonography; D014857:Warfare; D019282:Wasting Syndrome / Q000175:diagnosis