STANDARDS FROM BIRTH TO MATURITY FOR HEIGHT WEIGHT HEIGHT VELOCITY AND WEIGHT VELOCITY - BRITISH CHILDREN 1965 .2.
STANDARDS FROM BIRTH TO MATURITY FOR HEIGHT WEIGHT HEIGHT VELOCITY AND WEIGHT VELOCITY - BRITISH CHILDREN 1965 .2.
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DOI：
10.1136/adc.41.219.454
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发表时间：
1966-01-01
影响因子：
5.2
通讯作者：
TAKAISHI, M
中科院分区：
文献类型：
--
作者：
TANNER, JM;WHITEHOUSE, RH;TAKAISHI, M
给出了每个年龄达到的身高和体重的传统百分位标准。这些标准与以前的标准不同，因为孩子们变得更大了。他们回答这个问题，“这个孩子的大小在正常范围内吗？”"在儿童只接受过一次检查的情况下。在同一图表中，还提出了一种新的标准，这种标准更适合于判断儿童生长曲线的一整段是否正常。如果像临床工作那样纵向跟踪一个孩子，传统的图表会对青春期的生长过程产生错误的印象。这是由于相位差效应造成的，对此进行了讨论和说明。提出了从出生到成熟的身高和体重生长速度的百分位标准。它们涉及在1年期间计算的增量，因为在较短的时期内，由于季节变化，增长率的变化较大。除了这些标准，在青春期的速度当量的新类型的身高达到的标准。这显示了消除相位差的速度曲线。使用骨龄作为替代的时间基准，以实足年龄在此期间进行了讨论。为了获得新的“个人类型”标准的曲线，有必要使用跨越青春期的纵向记录。为此，使用了哈彭登生长研究的记录。对比了典型的或第50百分位数的男孩和女孩的距离和速度曲线。出生时，男孩的身高和体重都比女孩长得快，但也比女孩长得慢，因此，到7或8个月时，男孩的身高和体重比女孩长得慢。举例说明了新标准在3至16岁健康儿童中的临床应用，以及一个用人类生长激素治疗的侏儒。将身高和体重与实足年龄和骨龄作图。讨论了距离图和生长速度图的互补方法，给出了各年龄段身高和体重的常规百分位标准。这些标准与以前的标准不同，因为孩子们变得更大了。他们回答这个问题，“这个孩子的大小在正常范围内吗？”"在儿童只接受过一次检查的情况下。在同一图表中，还提出了一种新的标准，这种标准更适合于判断儿童生长曲线的一整段是否正常。如果像临床工作那样纵向跟踪一个孩子，传统的图表会对青春期的生长过程产生错误的印象。这是由于相位差的影响进行了讨论和说明。提出了从出生到成熟的身高和体重生长速度的百分位标准。它们涉及在1年期间计算的增量，因为在较短的时期内，由于季节变化，增长率的变化较大。除了这些标准，在青春期的速度当量的新类型的身高达到的标准。这显示了消除相位差的速度曲线。使用骨龄作为替代的时间基准，以实足年龄在此期间进行了讨论。为了获得新的“个人类型”标准的曲线，有必要使用跨越青春期的纵向记录。为此，使用了哈彭登生长研究的记录。对比了典型的或第50百分位数的男孩和女孩的距离和速度曲线。出生时，男孩的身高和体重都比女孩长得快，但也比女孩长得慢，因此，到7或8个月时，男孩的身高和体重比女孩长得慢。举例说明了新标准在3至16岁健康儿童中的临床应用，以及一个用人类生长激素治疗的侏儒。将身高和体重与实足年龄和骨龄作图。讨论了距离图和生长速度图相互补充的方式。
Conventional centile standards of height and weight attained at each age are given. These differ from previous standards because children have become larger. They answer the question, ''Is this child''s size within normal limits?'' in a circumstance in which the child has been examined once only. In the same chart a new type of standard was also given, which was more appropriate for judging whether a whole segment of the child''s growth curve was normal. Conventional charts give an erroneous impression of the course of growth at adolescence if used to follow a single child longitudinally, as in clinical work. This is due to the phase-difference effect which is discussed and illustrated. Centile standards for the velocity of growth in height and weight from birth to maturity are presented. They relate to increments calculated over the preiod of 1 yr., since over shorter periods the variability of growth rate is higher due to seasonal alterations. In addition to these standards, at adolescence the velocity equivalent of the new type of height-attained standard is given. This showed the curve of velocity where phase differences were eliminated. The use of skeletal age as an alternative time base to chronological age over this period is discussed. To obtain the curves for the new ''individual-type'' standards it was necessary to use longitudinal records extending over adolescence. The records of the Harpenden Growth Study were used for this purpose. Curves of distance and velocity for the typical or 50th centile boy and girl are contrasted. In both height and weight boys grew faster than girls at birth, but also decelerated more, so that by 7 or 8 months they are growing more slowly than girls. Examples are given of the clinical use of the new standards, in a healthy child followed from 3 to 16 yr., and in a dwarf treated with human growth hormone. Height and weight were plotted against both chronological and skeletal age. The way in which plots of distance and velocity of growth complement each other is discussed.Conventional centile standards of height and weight attained at each age are given. These differ from previous standards because children have become larger. They answer the question, ''Is this child''s size within normal limits?'' in a circumstance in which the child has been examined once only. In the same chart a new type of standard was also given, which was more appropriate for judging whether a whole segment of the child''s growth curve was normal. Conventional charts give an erroneous impression of the course of growth at adolescence if used to follow a single child longitudinally, as in clinical work. This is due to the phase-difference effect which is discussed and illustrated. Centile standards for the velocity of growth in height and weight from birth to maturity are presented. They relate to increments calculated over the preiod of 1 yr., since over shorter periods the variability of growth rate is higher due to seasonal alterations. In addition to these standards, at adolescence the velocity equivalent of the new type of height-attained standard is given. This showed the curve of velocity where phase differences were eliminated. The use of skeletal age as an alternative time base to chronological age over this period is discussed. To obtain the curves for the new ''individual-type'' standards it was necessary to use longitudinal records extending over adolescence. The records of the Harpenden Growth Study were used for this purpose. Curves of distance and velocity for the typical or 50th centile boy and girl are contrasted. In both height and weight boys grew faster than girls at birth, but also decelerated more, so that by 7 or 8 months they are growing more slowly than girls. Examples are given of the clinical use of the new standards, in a healthy child followed from 3 to 16 yr., and in a dwarf treated with human growth hormone. Height and weight were plotted against both chronological and skeletal age. The way in which plots of distance and velocity of growth complement each other is discussed.