HLTC23H3 Chapter Notes -Obstructive Lung Disease, January 1998 North American Ice Storm, Impaired Glucose Tolerance

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During wwii, the advance to push the german army from western europe combined with a very harsh winter to cut off most of the netherlands from food supply. The dutch had to severely ration food and scrounger for essentials. A famine ensued which lasted for a 5 month period. Retrospective cohort research shows that the famine had a profound effect on the gestating fetus. Canals had frozen and food could not be transported overland. By november 1944 rations had fallen to about 1000 calories per day. Between december 1944-april 1945,r ations had fallen to 400-800 calories. Eventually, the extra ration for pregnant women were not available. Therefore, the effects of various levels of caloric restriction can be studied. In some ways, it is like a naturalistic experiment because the differential interaction of critical periods and caloric deficits can be examined. Had a profound effect on the health of the general population.

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