Many environmental influences associated with unhygienic living have been considered important in the development of rheumatic fever. Whether such living conditions may condition the host to rheumatic fever is unknown; however, it has been shown1 that these factors increase susceptibility to infections of the respiratory tract, predispose to complications and promote the spread of hemolytic streptococci. The evidence available to date indicates that overcrowding exerts its effect through the factor of infection. But, in addition, there is some factor associated with being underprivileged which increases susceptibility of the host to rheumatic fever. To determine whether this conditioning factor may be a faulty dietary, we have conducted nutritional surveys in the city of New York and tested the effect of a reenforced diet on rheumatic children at the Pelham Home. The present paper includes data from these studies.
This study is based on the diet records of three groups
COBURN AF, MOORE LV. NUTRITION AS A CONDITIONING FACTOR IN THE RHEUMATIC STATE. Am J Dis Child. 1943;65(5):744-756. doi:10.1001/archpedi.1943.02010170066008