[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
July 15, 1922


Author Affiliations


From the department of pediatrics and roentgenology of the Evanston Hospital.

JAMA. 1922;79(3):184-187. doi:10.1001/jama.1922.02640030010004

Much has been accomplished during the last few years with the child who is chronically underweight for his height. Through the efforts of Emerson1 and others, the relation of "malnutrition" to physical

defects, improper food habits, overfatigue and errors of home and school life has been pointed out. Many underweight children have been made "free to gain" by the removal of these handicaps.

In our clinical work with the underweight child, we occasionally encountered children who, although rendered free to gain, failed to increase in weight on account of a persistent anorexia. These children with poor appetite ate less than the required number of calories and were underweight because they ate insufficiently. Physical and laboratory examinations showed them to be free from tuberculosis, anemia, physical defects, diseased tonsils, adenoids and other known causes of anorexia. Their diets were like those on which our other underweight children thrived, containing an