JAMA. 1907;XLIX(19):1595-1598. doi:10.1001/jama.1907.25320190029001h.
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By tardy malnutrition I am to be understood as referring to the condition met in children who, after the age of two years, while free from diseases such as tuberculosis, syphilis and chronic nephritis, show marked physical developmental defects in that they are underweight or are both undersized and underweight. They may be of average height, but are invariably underweight usually from five to fifteen pounds. They show poor muscle development, a condition which is often emphasized by the prominent scapulæ, drop shoulder and spinal curvature, conditions due to muscle weakness and faulty postural habits. These children tire easily and have a diminished resistance not only to exercise or its equivalent work, but to disease as well. A simple digestive disturbance or bronchitis requires several days before relief is furnished. They almost invariably suffer from secondary anemia; they have indifferent appetites and often are habitually constipated. This picture briefly drawn


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