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The authors discussed early pubertal maturation associated with catch-up growth in adopted girls in relation to these findings (17).
What is lost in growth early in life can only partially be compensated for by catch-up growth.
The early pubertal development would seem to be associated with intrauterine factors as well as with the severity of stunting postnatally and the rate of prepubertal catch-up growth. The mechanism underlying the early pubertal development, the metabolic changes during catch-up growth and the optimal management of nutrition rehabilitation after chronic undernutrition in children, need to be clarified by further research.