To the Editor: The survey study by Mr Özaltin and colleagues1 described an interaction between maternal height and childhood outcomes of mortality, low weight, and stunting of growth. This study adds information regarding how health outcomes can be influenced by transgenerational effects. The authors discussed several possible mechanisms that may account for the relationship between smaller maternal stature and increased adverse outcomes in children younger than 5 years, including anatomical constraints on the pelvis during birth, intrauterine nutrient deprivation, and socioeconomic factors.
Handel AE, Handunnetthi L, Ramagopalan SV. Association Between Maternal Height and Childhood Outcomes. JAMA. 2010;304(6):638-639. doi:10.1001/jama.2010.1107