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Guidelines for evaluation of the nutritional status and growth in refugee children during the domestic medical screening examination

Filetype[PDF-297.98 KB]


  • English
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    • Corporate Authors:
      National Center for Emerging and Zoonotic Infectious Diseases (U.S.). Division of Global Migration and Quarantine
    • Description:
      Much of our understanding of the nutritional and developmental status of newly arrived refugees in the United States is based on studies of specific ethnic cohorts during defined periods. For example, during the influx of Southeast Asian refugees in the late 1970s and early 1980s, significant growth and nutritional disorders were reported within these cohorts. In fact, the large number of U.S. entries from Southeast Asia during this period likely contributed to the increases observed in overall rates of stunting among the general U.S. Asian population.

      Since the 1980s, refugee populations arriving in the United States have become more diverse, with increasing numbers of refugees arriving from Africa, Europe, and the Middle East. For example, in 2005, populations originating from 10 countries constituted 86% of all newly arrived refugees: Cuban, Ethiopian, Iranian, Laotian, Liberian, Russian, Somali, Sudanese, Ukrainian, and Vietnamese. Undernutrition has been documented in many of these populations. Poor growth and nutrition have also been reported in refugee children arriving in the United States, although studies suggest that most refugee children experience catch-up growth and reach normal weight within 6-24 months of arrival in the United States.

      Although undernutrition is often associated with refugee status, concerns are increasing about overweight/obesity among refugees resettling to developed countries. Overweight and obesity are frequently assumed to be associated with assimilation to a U.S. lifestyle (increased availability of high-calorie foods, reduced physical activity), compounded by lack of nutritional education. However, one study identified a population of African children who had a high prevalence of overweight/obesity at the time of arrival, and other data have identified overweight/obesity and associated medical consequences in the newly arriving Iraqi population.

      nutrition-growth.pdf

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