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How did babies grow 100 years ago?

European Journal of Clinical Nutrition volume 65, pages 3–9 (2011)Cite this article

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Abstract

The rates and patterns of growth in weight of European and North American infants have changed over the last 100 years. Since the development and first use of growth charts for postnatal health surveillance a century ago, there appears to have been an increase in the weight of 1-year olds of about 1 kg. Taking into account the higher past rates of infant morbidity and mortality, and poorer quality of artificial feeds, this change is likely to be another expression of the secular increase in physical stature consequent on improved hygiene and nutrition. Using the new WHO (World Health Organisation) standards of infant weight growth, this secular change can be observed for both breast-fed and formula-fed babies. The slower weight growth of the former, both now and in the past compared with modern formula-fed babies, may have implications of our understanding of the risk factors for obesity and cardiovascular disease. The variability of infant growth in time and space, and the plasticity of developmental processes during the life course (fetal life, infancy, puberty and reproduction), means that the WHO infant growth standard should not alone be regarded as an ideal growth trajectory for all babies.

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References

  • Armstrong D (1986). The invention of infant mortality. Soc Health Ill 8, 211–232.

    Article  Google Scholar 

  • Baird J, Fisher D, Lucas P, Kleijnen J, Roberts H, Law C (2005). Being big or growing fast: systematic review of size and growth in infancy and later obesity. BMJ 331, 929–931.

    Article  Google Scholar 

  • Barker DJP, Winter PD, Osmond C, Margetts B, Simmonds SJ (1989). Weight in infancy and death from ischaemic heart disease. Lancet 2, 577–580.

    Article  CAS  Google Scholar 

  • Barker DJP (ed) (1992). Fetal and Infant Origins of Adult Disease. British Medical Journal: London.

    Google Scholar 

  • Barker DJP (ed) (1994). Mothers Babies and Disease in Later Life. British Medical Journal: London.

    Google Scholar 

  • Bateson P, Barker D, Clutton-Brock T, Deb D, D’Udine B, Foley RA et al. (2004). Developmental plasticity and human health. Nature 430, 419–421.

    Article  CAS  Google Scholar 

  • Brosco JP (2002). Weight charts and well child care. In: Stern AM, Markel H (eds). Formative Years: Children's Health in the United States, 188-2000. University of Michigan Press: Anne Arbor.

    Google Scholar 

  • Budin P (1907). Le Nourrisson (trans. WJ Maloney). Caxton: London.

    Google Scholar 

  • Camerer W (1908). Metabolism and nutrition during the first year of life. In: Pfaundler M,Schlossmann A (eds). The Diseases of Children, (trans. HL Shaw and L La Fetra). Lippincott: Philadelphia.

    Google Scholar 

  • Cameron N, Hawley NL (2009). Should the UK use the WHO growth charts? Paediatr Child Health 20, 151–156.

    Article  Google Scholar 

  • Cautley E (1896). The Natural and Artificial Methods of Feeding Infants and Young Children. Churchill: London.

    Google Scholar 

  • Clarke J (1786). Observations on some causes of the excess of the mortality of males above that of females. Philosoph Trans Roy Soc Lond 76, 349–364.

    Article  Google Scholar 

  • Committee on Medical Aspects of Food and Nutrition Policy (COMA) (2002). Scientific Review of the Welfare Food Scheme. TSO: London.

  • Corbett SS, Drewett RF (2004). To what extent is failure to thrive in infancy associated with poorer cognitive development? A review and meta-analysis. J Child Psychol Psychiatry 45, 641–654.

    Article  CAS  Google Scholar 

  • Davey Smith G, Kuh D (1997). Does early nutrition affect later health? Views from the 1930s and 1980s. In: Smith EF (ed). Science, Scientists and Politics in the Twentieth Century. Routledge: London.

    Google Scholar 

  • de Onis M, Garcia C, Onyango AW, Borghi E (2007). Comparison of the WHO child growth standards with the CDC 2000 growth charts. J Nutr 137, 144–148.

    Article  Google Scholar 

  • Dingwall-Fordyce A (1908). Diet in Infancy. William Green: London.

    Google Scholar 

  • Elsom R, Weaver LT (1999). Does breastfeeding beyond one year benefit children? Fet Mat Med Rev 11, 163–174.

    Article  Google Scholar 

  • Forsdahl A (1977). Are poor living conditions in childhood and adolescence an important risk factor for atherosclerotic heart disease? Br J Prev Soc Med 31, 91–95.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Freeman JV, Cole TJ, Chinn S, Jones PRM, White EM, Preece MA (1995). Cross sectional stature and weight reference curves for the UK, 1990. Arch Dis Child 73, 17–24.

    Article  CAS  Google Scholar 

  • Friedlander M (1815). De l’Education Physique de L’Homme. Treuttel et Würtz: Paris.

    Google Scholar 

  • Gairdner D, Pearson J (1971). A growth chart for premature and other infants. Arch Dis Child 46, 783–787.

    Article  CAS  Google Scholar 

  • Gluckman PD, Hanson MA (2006). Developmental Origins of Health and Disease. Cambridge University Press: Cambridge.

    Book  Google Scholar 

  • Gluckman PD, Hanson MA, Bateson P, Beedle A, Law CM, Bhutta Z et al. (2009). Towards a new developmental synthesis: adaptive developmental plasticity and human disease. Lancet 373, 1654–1657.

    Article  Google Scholar 

  • Holt LE (1899). The Diseases of Infancy and Childhood. Thomas Lewin: London.

    Google Scholar 

  • International Pediatric Association (2006). Endorsement of the New WHO Growth Standards for Infants and Young Children. IPA: Geneva.

  • Jelliffe DB, Jelliffe EFP (1978). Human Milk in the Modern World. Oxford University Press: Oxford.

    Book  Google Scholar 

  • Kintner HJ (1987). The impact of breastfeeding patterns on regional differences in infant mortality in Germany, 1910. Eur J Pop 3, 233–261.

    Article  Google Scholar 

  • Kramer MS, Guo T, Platt RW, Shapiro S, Collet J-P, Chalmers B et al. (2002). Breastfeeding and infant growth: biology or bias? Pediatrics 110, 343–347.

    Article  Google Scholar 

  • Kuh D, Davey Smith G (1993). When is mortality risk determined? Historical insights into a current debate. Soc Hist Med 6, 101–123.

    Article  CAS  Google Scholar 

  • La Berge AB (1991). Medicalization and moralization: the crèches of nineteenth-century Paris. J Soc Hist 25, 65–87.

    Article  Google Scholar 

  • Mackenzie WL, Foster A (1907). The Physical Condition of Children Attending the Public Schools of the School Board of Glasgow. Corporation of City of Glasgow: Glasgow.

    Google Scholar 

  • Marmot MG, Wilkinson R (eds) (2006). Social Determinants of Health 2nd edn. Oxford University Press: Oxford.

    Google Scholar 

  • Matthews JR (1995). Quantification and the Quest for Medical Certainty. Princeton University Press: Princeton.

    Google Scholar 

  • McCance RA, Widdowson EM (1974). The determinants of growth and form. Proc R Soc Lond (Ser B) 185, 1–17.

    Article  CAS  Google Scholar 

  • McCleary GF (1933). The Early History of the Infant Welfare Movement. Lewis & Co.: London.

    Google Scholar 

  • McKeown T (1988). The Role of Medicine: Dream, Mirage or Nemesis. Princeton University Press: Princeton.

    Google Scholar 

  • Meckel RA (1990). Save the Babies. Johns Hopkins University Press: Baltimore.

    Google Scholar 

  • Monteiro POA, Victora CG (2005). Rapid growth in infancy and childhood and obesity in later life—a systematic review. Obesity Rev 6, 143–154.

    Article  CAS  Google Scholar 

  • National Center for Health Statistics (2000): www.cdc.gov/growthcharts.

  • Newman G (1906). Infant Mortality. Methuen: London.

    Google Scholar 

  • Osmond C, Barker DJP, Winter PD, Fall CHD, Simmonds SJ (1993). Early growth and death from cardiovascular disease. BMJ 307, 1519–1524.

    Article  CAS  Google Scholar 

  • Parliamentary papers (1904). Report of the Interdepartmental Committee on Physical Deterioration. HMSO: London.

  • Paton N, Findlay L (1926). Poverty, Nutrition and Growth. MRC Special Report 101. HMSO: London.

  • Pearson K (1912). The intensity of natural selection in man. Proc R Soc Lond (Ser B) 85, 469–476.

    Article  Google Scholar 

  • Pritchard E (1904). The Physiological Feeding of Infants. Kimpton: London.

    Google Scholar 

  • Quetelet A (1830). Sur la taille moyenne de l’homme dans les villes et dans les campagnes, et sur l’age ou la croissance est complètement achevée. Ann Hyg Pub 3, 24–26.

    Google Scholar 

  • Quetelet A (1831). Recherches sur la loi de croissance de l’homme. Ann Hyg Pub 6, 89–113.

    Google Scholar 

  • Razzell P, Spence C, Vines K (2004). Poverty, birth weight and infant weight gain in Hertfordshire, 1923-1939. Internat J Epidemiol 33, 1228–1233.

    Article  Google Scholar 

  • Robertson TB (1916). Studies on the growth of man. Am J Physiol 41, 535–546.

    Article  Google Scholar 

  • Robertson TB (1923). Growth and development. In: Abt IA (ed). Pediatrics. WD Saunders: Philadelphia.

    Google Scholar 

  • Rollet C (1997). The fight against infant mortality in the past: an international comparison. In: Bideau A, Desjardins B, Brignoli H (eds). Infant and Child Mortality in the Past. Clarendon Press: Oxford.

    Google Scholar 

  • Rotch TM (1896). Pediatrics. Lippincott: Philadelphia.

    Google Scholar 

  • Routh CHF (1860). Infant Feeding and its Influence on Life. John Churchill: London.

    Google Scholar 

  • Russow A (1880). Vergleichende beobachtungen über den einfluss der ern ährung mit der brust und der künstlichen ernährung auf das gewicht und den wuchs der kinder. Jahrbuch für Kinerheilkunde 16, 86–131.

    Google Scholar 

  • Schmid-Monnard K (1892). Über den Einfluss des Militärdienstes der Väter auf die Körperliche Entwicklung ihrer Nachkommenschaft. Jahrbuch Kinderheilkunde 33, 327–350.

    Google Scholar 

  • Singhal A, Lucas A (2004). Early origins of cardiovascular disease. Is there a unifying hypothesis? Lancet 363, 1642–1645.

    Article  Google Scholar 

  • Singhal A (2006). Early nutrition and long-term cardiovascular health. Nutr Rev 64, S44–S49.

    Article  Google Scholar 

  • Singhal A, Kennedy K, Lanigan J, Fewtrell M, Cole TJ, Stephenson T et al. (2010). Nutrition in infancy and long-term risk of obesity: evidence from two randomized controlled trials. Am J Clin Nutr 92: 1133–1144.

    Article  CAS  Google Scholar 

  • Tanner JM, Whitehouse RH (1973). Height and weight charts from birth to five years allowing for length of gestation. Arch Dis Child 48, 786–789.

    Article  CAS  Google Scholar 

  • Tanner JM (1988). A History of the Study of Human Growth. Cambridge University Press: Cambridge.

    Google Scholar 

  • Tempkin O (1956). Soranus's Gynecology. Johns Hopkins Press: Baltimore.

    Google Scholar 

  • Variot G, Fliniaux I (1914). Tables des croissance comparés des nourissons élevés au sein et au biberon durant la premi ère année de la vie’. Comptes Rend Acad Sci (Paris) 158, 1361–1364.

    Google Scholar 

  • Villermé LR (1828). Mémoire sur la mortalité en France dans le classe aisé et dans le classes indigente. Mém Acad Roy Méd 1, 51–98.

    Google Scholar 

  • Weaver LT (2006a). Rapid growth in infancy: balancing the interests of the child. J Pediatr Gastroenterol Nutr 43, 428–432.

    Article  Google Scholar 

  • Weaver LT (2006b). The emergence of our modern understanding of infant nutrition and feeding 1750–1900. Curr Paediatr 16, 342–347.

    Article  Google Scholar 

  • Weaver LT (2009). ‘Growing Babies’: Defining the Milk Requirements of Infants 1890–1910. Soc Hist Med 23, 320–337.

    Article  Google Scholar 

  • Weaver LT (2010). In the balance weighing babies and the birth of the infant welfare clinic. Bull Hist Med 84, 30–57.

    Article  Google Scholar 

  • World Health Organization (2006): www.who.int/childgrowth/standards.

  • World Health Organization (2009). WHO Child Growth Standards and the Identification of Severe Acute Malnutrition in Infants and Children. WHO and UNICEF: Geneva.

  • Wright C (2005). Growth charts for babies. BMJ 330, 1399–1400.

    Article  Google Scholar 

  • Wunderlich CRA (1871). On the Temperature in Diseases: A Manual of Medical Thermometry. (trans. WB Woodman) New Sydenham Society: London.

    Google Scholar 

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Acknowledgements

I thank Malcolm Nicolson and Angus Ferguson from the Centre for the History of Medicine, and Charlotte Wright of the PEACH Unit, University of Glasgow and the Wellcome Trust for their help and support.

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  1. Department of Child Health, University of Glasgow, Glasgow, Scotland, UK

    L T Weaver

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Correspondence to L T Weaver.

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The author has been a consultant for Danone Baby Nutrition, SMA and the WHO.

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Weaver, L. How did babies grow 100 years ago?. Eur J Clin Nutr 65, 3–9 (2011). https://doi.org/10.1038/ejcn.2010.257

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