Childhood growth stunting is negatively associated with cognitive and health outcomes, claimed to be irreversible after age 2.
To estimate growth rates for children 2 ≤ age ≤ 7 who were stunted (sex-age standardised z-score [HAZ] <-2), marginally-stunted (-2≤ HAZ ≤-1), or not-stunted (HAZ >-1) at baseline and tracked annually until age 11; frequency of movement among height categories; and variation in height predicted by early childhood height.
We used a nine-year annual panel (2002-2010) from a native Amazonian society of horticulturalists-foragers (Tsimane'; n = 174 girls; 179 boys at baseline) is used. We used descriptive statistics and random-effect regressions.
We found some evidence of catch-up growth in HAZ but persistent height deficits. Children stunted at baseline improved 1 HAZ unit by age 11, and had higher annual growth rates than non-stunted children. Marginally-stunted boys had a 0.1 HAZ units higher annual growth rate than non-stunted boys. Despite some catch up, ∼80% of marginally-stunted children at baseline remained marginally-stunted by age 11. The height deficit increased from age 2 to11. We found modest year-to-year movement between height categories.
The prevalence of growth faltering among the Tsimane' has declined, but hurdles still substantially lock children into height categories.