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American Journal of Clinical Nutrition, Vol 7, 714-720, Copyright © 1959 by The American Society for Clinical Nutrition, Inc.
1 Nutrition Section, World Health Organization, Geneva
2 UNICEF Professor of Child Health, Makerere College, University College of East Africa, Kampala, Uganda
3 Chief, Division of Applied Nutrition and Associate Director, INCAP, Guatemala
Protein-calorie malnutrition in preschool children is probably the most common and important nutritional problem in the world today. To assess the effect of both planned would-be ameliorative public health measures and also such unplanned socioeconomic and cultural changes as are occurring everywhere, it is necessary to measure the dimensions of this problem on a broad public health basis.
The present paper outlines certain steps in this direction and suggests possible simple potentially useful indicators derived from the following sources: (1) vital statistics, (2) anthropometric measurements, (3) clinical signs, (4) food consumption and (5) laboratory tests. Advantages and limitations are discussed. Probably a combination based on data from all these sources would be most valuable. The need for further investigation is stressed.
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