Final answer:
Growth and development in children are determined by nutritional status, parental and caregiver factors, presence of disease, and environmental factors.
Step-by-step explanation:
Growth and development in children are determined by several factors including nutritional status, parental and/or caregiver factors, presence of disease, and environmental factors. Nutritional status plays a crucial role as undernutrition can increase the risk of infectious diseases and impact overall growth. Parental and caregiver factors, such as the quality of care and nurturing, can also influence a child's development. The presence of disease can affect growth and development due to its impact on overall health. Lastly, environmental factors, such as exposure to toxins or pollutants, can also have an impact on a child's growth and development.