A comparison of skeletal maturity and growth
A comparison of skeletal maturity and growth
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DOI:
10.3109/03014460.2012.756122
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发表时间:
2013-07-01
影响因子:
1.7
通讯作者:
Largo, Remo
中科院分区:
文献类型:
--
作者:
Molinari, Luciano;Gasser, Theo;Largo, Remo
Background: Somatic and bone development have each been studied in detail, but rarely in conjunction.Aim: The aim of this study was to determine what somatic and bone development have in common and how they differ. A second aim was to check for a pubertal spurt in bone age (BA) and to quantify it in a similar way as has been done for height. The Preece-Baines model is used to fit longitudinal data for BA.Subjects and methods: The data analysed are from the 1st Zurich Longitudinal Growth Study comprising 120 boys and 112 girls with almost complete data from birth to adulthood.Results: Variability of somatic milestones was reduced in terms of BA and there was an aftergrowth after reaching adult RUS score 1000. A strong increase in the RUS score was seen at a late stage of the pubertal spurt (PS). Somatic milestones correlated with the RUS score attained at these ages and more so at an early stage of the PS. A PS for BA was clearly identified with a location at 14.2 years for boys and 12.2 years for girls. Age of peak bone development correlated highly with age of peak velocity of somatic variables.Conclusions: BA can be successfully modelled as a semi-quantitative entity. Bone development shows marked associations with somatic development, despite the fact that the latter reflects changes in size, while the former is essentially a maturity index and reflects changes in biochemical composition of tissues.