Anthropometry and renal size of children suffering under sustained conflict in Sri Lanka

Aim: 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: 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. 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. Renal lengths fell progressively below -2 SD for both age and height when compared with Australian and Indian children. Conclusion: 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.