Objectives. This study sought to determine whether the short stature of Map
uche children, an indigenous group in Chile, reflects poverty or genetic he
ritage and whether the international reference population, derived from stu
dies of US children of mostly European origin, is appropriate for assessing
growth failure in indigenous peoples of the Americas.
Methods. The study assessed 768 schoolchildren of Mapuche and non-Mapuche a
ncestry, aged 6 to 9 years, living under conditions of extreme, medium, and
low poverty.
Results. Growth retardation was strongly related to poverty in both ethnic
groups. Within poverty levels, there were no significant differences in sta
ture between ethnic groups, and in low-poverty areas in Santiago, the capit
al city, mean stature was only slightly less than in the reference populati
on.
Conclusions. Poverty, not ancestry, explains the short stature of Mapuche c
hildren, and use of the international reference to assess growth in this po
pulation is appropriate.