The effect of high altitude on the growth of children of high socioeconomic status in Bolivia

Abstract

The physical growth of middle to upper class children of primarily European ancestry attending the private French School in Laz Paz, Bolivia is described and analyzed to determine how high altitude affects growth in this group of children. The sample consists of 323 children, most between the ages of 8 and 14, who reside at altitudes between 3200 and 3600 meters, but who have spent different amounts of time at high altitude. Comparisons between children who differ in their exposure to high altitude, and comparisons between French School children and other samples of high and low altitude children were used to assess the effect of high altitude on growth. Children who had lived all their lives at high altitude were found to be smaller in terms of general body size than those who had spent the shortest amount of time at high altitude, confirming the results of previous investigations of child growth in the Andes. Most studies of indigenous Andean populations have found that chest dimensions relative to stature increase with altitude, but it is not clear that this same trend exists in Bolivian French School children. Although exposure to high altitude does affect the growth of French School children, their height is essentially the same as that of Guatemalan children of high socioeconomic status. Within the age range studied, the effect of high altitude is small relative to that of other environmental factors and genetic factors, even in these children of high socioeconomic status.