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Journal of Tropical Pediatrics 2000 46(2):119-121; doi:10.1093/tropej/46.2.119
© 2000 by Oxford University Press
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Brief report. Children with cystic fibrosis in South Africa: an improving nutritional picture

ATR WestwoodZ and JD Ireland

Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, Klipfontein Road, Rondebosch, Cape Town, 7700 South Africa Z Corresponding author Tel: 27 21 658 5111 Fax: 27 21 689 1287 E-mail: Westwood@ich.uct.ac.za

Nutritional status and growth play an important part in determining the prognosis in cystic fibrosis (CF). In South Africa, the median survival of patients with CF is 18 years. Using chart review, we studied the pattern of growth over time of a South African CF population. The percentages of expected weight-for-age, height-for-age and weight-for-height were determined for each patient in 1986 (n=49) and 1996 (n=63). Mean indices were the same in the two years. In 1996, mean weight-for-age of children aged 5-10 years was 94.2 per cent (SD 20.4), 14.3 per cent higher (p<0.05, 95 per cent confidence intervals 3-25 per cent) than children of the same age in 1986. Improved growth of young children with CF has been achieved in a resource-poor country setting the scene for improved prognosis.


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