Body dimensions and proportions in the differential diagnosis of child growth retardation
DOI:
https://doi.org/10.18778/1898-6773.60.05Abstract
This study was aimed at determining the similarities and differences with regard to body build traits between two groups of short-statured children: the first one including children with growth retardation related to the growth hormone deficiency and the second one comprising of children with normal secretion of the growth hormone. Subsequently the traits useful in the differential diagnostics of growth retardation were selected. Anthropometric measurements were taken from 273 short-statured non-treated children aged from 3 to 17 years (73 girls and 200 boys). The children were divided into 6 clinical groups on the basis of the clinical picture and the results of stimulation tests assessing the pituitary reserve for growth hormone secretion. The clinical groups were differentiated using a specifically developed anthropometric test based on 9 calendar age traits (height, weight, BMI, length of upper and lower limbs, trunk length, shoulders breadth, hips breadth and chest breadth) and 4 developmental age traits (length and circumference of the head, chest circumference, thigh circumference) and the calculated value of arm fat content and the average stature of the parents.
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References
Bevis R. R., A. B. Hayles, R. J. Isaacson, A. H. Sather, 1977, Facial growth response to human growth hormone in hypopituitary Dwarfs, Angle Orthodontist, 47, 193-205
Burt L., H. E. Kulin, 1977, Head circumference in children with short stature secondary to primary hypothyroidism, Pediatrics, 59, 628-630 DOI: https://doi.org/10.1542/peds.59.4.628
Buul-Offers S. van, J. L. van den Brande, 1981, The growth of different organs of normal and dwarfed Snell mice, before and during growth hormone therapy, Acta Endocrinologica, 96, 46-58 DOI: https://doi.org/10.1530/acta.0.0960046
De Troyer A., D. Desir, G. Copinschi, 1980, Regression in lung size in adults with growth hormone deficiency, Quartaly Journal of Medicine, N. S., 195, 329-340
Konfino R., A. Pertzelan, Z. Laron, 1975, Cephalometric measurements of familial dwarfism and high plasma immunoreactive growth hormone, American Journal of Orthodontics, 86, 196-201 DOI: https://doi.org/10.1016/0002-9416(75)90208-0
Kurniewicz-Witczakowa R., I. Mięsowicz, Z. Niedźwiecka, M. Pietrzak, 1983, Rozwój fizyczny dzieci i młodzieży warszawskiej, IMID, Warszawa
Łysoń-Wojciechowska G., E. T. Romer, N. Wolański, W. Skawiński, 1984, Bone mineral content measured in vivo by photodensitometric method in children with hyposomatropism and normal deficiency, Italian Journal o f Anthropology, vol. 7, 2, 170
Łysoń-Wojciechowska G., W. Skawiński, D. Świniarski, E. T. Romer, 1992, Programy komputerowe w antropologii klinicznej [in:] Biologia populacji ludzkich współczesnych i pradziejowych, F. Rożnowski ed., WSP Słupsk, 251-261
Markus M. B., S. D. Goosman, N. H. Einhorn, J. Lerner, 1942, Facial development in hypopituitary dwarfism, American Journal of Orthodontics, 334-350 DOI: https://doi.org/10.1016/S0096-6347(42)90605-7
Oktaba W., 1971, Metody statystyki matematycznej w doświadczalnictwie, PWN, Warszawa
Romer E. T., L. Sagnard, G. Łysoń-Wojciechowska, A. Majcher, 1990, Treatment of growth hormone deficient children with recombinant growth hormone, two year's experience, Endokrynologia Polska, 41, 3, 256-270
Romer E. T., 1993, Zaburzenia wzrastania o etiologii hormonalnej [in:] Zaburzenia hormonalne u dzieci i młodzieży, T. E. Romer ed., Omnitech Press, Warszawa 1985-1996
Rymkiewicz-Kluczynska B., 1990a, Growth hormone (GH) response to growth hormone releasing hormone (GHRH) I.V. Test in growth hormone deficient (GHD) children, relation to clinical and auxological data, Endokrynologia Polska, 41, 3, 219-231
Rymkiewicz-Kluczyńska B., 1990b, Clinical, auxological and hormonal predictors for growth hormone releasing hormone (GHRH) therapy, Endokrynologia Polska, 41, 3, 233-246
Satinder B. J. S., S. D. Moffit, M. A. Goldsmith, R. P. Bain, M. H. Kutner, D. Rudman 1981, A method of screening for growth hormone deficiency using anthropometries, Amer. Jour, of Clin .Nutr., 34, 281-288 DOI: https://doi.org/10.1093/ajcn/34.2.281
Scharf A., Z. Laron 1972, Skull changes in pituitary dwarfism and the syndrome of familial dwarfism with high plasma immunorective growth hormone, Hormone and Metabolic Research, 4, 93-97 DOI: https://doi.org/10.1055/s-0028-1094075
Sorgo W., M. Zachmann, D. Tassinari, F. Fernandez, A. Prader, 1982, Longitudinal anthropometric measurements in patients with growth hormone deficiency. Effect of human growth hormone treatment, European Journal of Pediatrics, 138, 38-45 DOI: https://doi.org/10.1007/BF00442326
Spiegel R. E., A. H. Sather, A. B. Hayles, 1971, Cephalometric study of children with various endocrine diseases, American Journal of Orthodontics, 59, 362-375 DOI: https://doi.org/10.1016/0002-9416(71)90232-6
Tanner J. M., R. H. Whitehouse, P. C. R. Hughes, F. P. Vince, 1971, Effect of human growth hormone treatment for 1 to 7 years on growth of 100 children, with growth hormone deficiency, low birthweight, inherited smallness, Turner's syndrome, and other complaints, Archives of Diseases in Childhood, 46, 745-782 DOI: https://doi.org/10.1136/adc.46.250.745
Zachmann M., F. Fernandez, D. Tassinari, R. Thakker, A. Prader, 1980, Anthropometric measurements in patients with growth hormone deficiency before treatment with human growth hormone, European Journal of Pediatrics, 133, 277-282 DOI: https://doi.org/10.1007/BF00496089
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