Limb lengths of primary school children in a city from western region of Turkey

Anthropometry has been used for the assessment of growth at different ages. Among the anthropometric measurements, weight, height, arm circumference, and lower and upper limb lengths are of the most important criteria showing the development of children in school age. The aim of the present study was to measure the lengths of upper (arm, forearm, hand) and lower (thigh, leg, foot) limbs of children studying in primary schools of Aydin, a city in the western region of Turkey, and to assess the differences according to the gender (female, male) and living areas (urban, rural). In different age groups, many differences were observed when compared for gender and area. Differences were also seen when compared with the other studies done in different part of Turkey. The data was the first one for the region and it might be useful for further regional studies or for national comparisons. More studies designed with bigger sample sizes that cover many cities belonging to the same region of the country are needed. In addition to cross-sectional studies, longitudinal studies may give more useful knowledge for understanding the growth of children.     

Can secular trends in child growth be estimated from a single cross sectional survey?

OBJECTIVE--To formulate and evaluate a new method to measure secular trends in child growth based on the cross sectional collection of heights of children and young adults. DESIGN--Trends in child growth obtained from comparison of two national surveys made with an interval of 15 years were compared with estimates obtained from comparison of height deficits of children and young adults in the more recent survey. SETTING--Brazil. SUBJECTS--Random sample of children (6 and 7 years old) and young adults (21 and 22 years old) living in Brazil in 1974 and 1989 (a total of 23,271 subjects in 1974 and 5479 in 1989). MAIN OUTCOME MEASURES--Increments in average heights of 6 and 7 year old children in a 15 year period. RESULTS--Mean height of 6 year old children increased 4.0 cm (boys) and 3.3 cm (girls) from 1974 to 1989. Similar results were obtained by subtracting, in the 1989 survey, mean height deficits found at ages 21 and 6 (3.8 cm for males and 3.5 cm for females). Positive changes in the mean height of 7 year old children could also be predicted by subtracting, in the 1989 survey, height deficits found at ages 7 and 22. CONCLUSIONS--Findings of this study support the hypothesis that secular trends in child growth can be estimated by comparing height deficits observed in children and young adults.     

Tracking of anthropometric parameters and bioelectrical impedance in pubertal boys and girls

The aim of this study was to investigate the anthropometric parameters and body impedance once per year during four years of the pubertal period in Estonian children. In total, 81 boys and 86 girls aged 10-11 years at the beginning of the study were investigated. Pubertal status was self-assessed by sexual maturation stages according to Tanner and physical activity index (PAI) according to Telama et al.. Body height and weight were measured and body mass index (BMI) calculated. In total, 9 skinfolds, 13 girths, 8 lengths and 8 breadths/lengths were measured according to the protocol of the International Society for the Advancement of Kinanthropometry. Somatotype components were estimated according to the method of Carter and Heath. Body impedance was measured using Multiscan 5000 (Bodystat, UK) and the impedance index (height/impedance) was calculated. The tracking of body height, weight, BMI, skinfolds, girths, lengths, breadth/lengths and body impedance was high (as a rule r> or =0.9). By increasing the time period, the correlation slightly decreased. In contrast, tracking correlations for PAI and Tanner stages were significant but quite low. Increase in mean body height was highest between 12-13 years of age (6.9 cm per year) in boys and in girls between 11-12 years of age (6.3 cm per year). In boys and girls, the peak increase in body weight was between 11 and 12 years of age, 5.7 kg and 5.2 kg, respectively. With the increasing age, body impedance decreased and impedance index increased. In conclusion, our results indicate that during puberty the detailed anthropometric parameters and body impedance tracked highly. However, the tracking of PAI and Tanner stages was significant but relatively low.     

Influence of some socio-economic factors on growth and development of the boys in the Tuzla region (Bosnia and Herzegovina)

The impact of certain exogenous factor (socio-economic, ecological) has been investigated with special attention paid to the parents' living standard, and number of family members on some anthropometric parameters like: body height, body mass, chest circumference, upper leg circumference, upper arm circumference, sitting height, arm length, leg length, pelvis width, shoulders width, lenght of head and with of head on the sample of 698 boys aged 11 to 16 (17) years in the Tuzla region (the northeastern Bosnia, Western Balkan peninsula). Anthropometric measurements have been carried out using methodology proposed by the International Biological program (IBP). The results of these investigations have shown that there is a certain impact of the socio-economic conditions on the growth and development of boys. Children from families that have better living standard are, as a rule, taller, which is indicated by the statistical significant differences (P > 0.01). This trend indicates also value of Body Mass Index (BMI), which is in younger children from the families with lower living standard 16, while in the same category in the children from the families with better living standard it has value 18.5. The real impact of living conditions on the dynamics of development could be the best seen in the period of puberty. The number of children in the family has negative relationship with anthropometric features. Statistically significant differences (P > 0.001) have been detected in numerous analysed features in families with one or two children in comparison with families with three, four, or five children. Therefore, BMI has been significantly lower (16) in children from families with several children, while in the families with one child in the same growth class (11 years) it was significantly higher (17.4). Similar value of BMI (17.9) have children from the families with five children and which are 17 years old. Besides socio-economic conditions, high level of environmental pollution which is typical for Tuzla region for a long time, has also significant impact on the growth and development of children.     

Advisability of carrying out mass prevention of infectious hepatitis with gamma globulin

In Vilnius 15,183 pupils in 20 schools were observed for two years; in October, 1966, gamma globulin prophylaxis of infectious hepatitis was carried out among all the pupils of these schools. 17.062 pupils in 27 schools, who received no gamma globulin, were used for control. At the end of the first year of observation morbidity rate among the immunized children was found to be considerably lower than among the school children of the control group. During the second year of observation morbidity rate among the children of the "old" immunized group increased 3.5-fold and did not significantly differ from morbidity rate among the children of the control group. The latter increased 1.8-fold. The authors have come to the conclusion that the effect of gamma globulin prophylaxis on the epidemic process depends on the method of such prophylaxis. The method of prophylaxis by introducing gamma globulin immunization with universal coverage, as the use of the former method is not followed by an increase in total morbidity (i.e. among both immunized and nonimmunized children) during the second year after immunization, which is observed after prophylaxis by universal immunization.     

Age and gender differences in the physical activity patterns of urban schoolchildren in Korea and China

Physical activity in childhood is important as it may establish adult behavior. However, few studies on physical activity in children have been conducted, especially in Asian children.We performed anthropometric measurements of 159 school children in two grades (grade 5: 10-11 years old and grade 8: 13-14 years old) from urban areas of Korea (n=79) and China (n=80). The total daily energy expenditure (TEE) was estimated for 7 consecutive days using an accelerometer.The mean height, weight, and body mass index (BMI) for boys and girls in both countries exceeded the US national reference median (CDC, 2000). Physical activity levels (PALs) were significantly higher in the grade 5 group (10-11 years old) and in girls than in boys for both grades. No significant difference in PALs or daily step-counts (STPs) was observed between 'normal' and 'overweight' subgroups based on BMI, although negative correlations were found between weight, BMI, or %body fat vs. PAL or STP among Korean girls and Chinese boys (r=0.32-0.38, all p<0.05). Daily variation in physical activity was observed in Korean children. In the Koreans (boys and girls, both grades pooled), TEE and STP were significantly lower than the 7-day average on Sundays, whereas for the Chinese population, STP did not clearly differ between the weekends and the week averages.In summary, PALs were higher in the fifth grade boys and girls than in the eighth grade children; interestingly, girls tended to have higher PALs than boys. Daily variation in physical activity was observed in Korea; children were less active on Sundays.     

Preventing childhood obesity: two year follow-up results from the Christchurch obesity prevention programme in schools (CHOPPS)

Objective To assess the long term effects of an obesity prevention programme in schools.Design Longitudinal results after a cluster randomised controlled trial.Setting Schools in southwest England.Participants Of the original sample of 644 children aged 7-11, 511 children were tracked and measurements were obtained from 434 children three years after baseline.Intervention The intervention was conducted over one school year, with four sessions of focused education promoting a healthy diet and discouraging the consumption of carbonated drinks.Main outcome measures Anthropometric measures of height, weight, and waist circumference. Body mass index (BMI) converted to z scores (SD scores) and to centile values with growth reference curves. Waist circumference was also converted to z scores (SD scores).Results At three years after baseline the age and sex specific BMI z scores (SD scores) had increased in the control group by 0.10 (SD 0.53) but decreased in the intervention group by −0.01 (SD 0.58), with a mean difference of 0.10 (95% confidence interval −0.00 to 0.21, P=0.06). The prevalence of overweight increased in both the intervention and control group at three years and the significant difference between the groups seen at 12 months was no longer evident. The BMI increased in the control group by 2.14 (SD 1.64) and the intervention group by 1.88 (SD 1.71), with mean difference of 0.26 (−0.07 to 0.58, P= 0.12). The waist circumference increased in both groups after three years with a mean difference of 0.09 (−0.06 to 0.26, P=0.25).Conclusions These longitudinal results show that after a simple year long intervention the difference in prevalence of overweight in children seen at 12 months was not sustained at three years.     

北京地区人群诺瓦克样病毒血清抗体水平调查

为了解诺瓦克样病毒在我国人群行情况。采用间接酶联免疫吸附法,分别以重组杆状病毒表达的Ｎｏｒｗａｌｋ（ｒＮＶ）和Ｍｅｉｘｃｏ（ｒＭＸ）病毒样颗粒为抗原,检测了北京地区１１０９份不同年龄人群血清标本中的特异性ＩｇＧ抗体。     

Helicobacter pylori infection in childhood: risk factors and effect on growth.

OBJECTIVE--To investigate the current prevalence of Helicobacter pylori infection in childhood, the risk factors for infection, and the effect of infection on growth in preadolescent schoolchildren. DESIGN--Population based sample of 7 year old schoolchildren followed up at age 11; data on risk factors for infection collected at age 7; presence of infection at age 11 determined by measurement of salivary IgG against H pylori by a newly developed enzyme linked immunosorbent assay (ELISA). Height was measured at 7 and 11 years of age. SUBJECTS--554 schoolchildren from Edinburgh. RESULTS--62 (11%) children had H pylori infection. Independent risk factors for infection were single parent families (adjusted odds ratio = 2.5; 95% confidence interval 1.1 to 5.7), the 10% most crowded homes (3.1; 1.3 to 7.2), and schools serving predominantly rented housing estates (2.5; 1.0 to 6.5). School catchment area was more important than parental social class or housing tenure. Growth in height between 7 and 11 was diminished in infected children by a mean of 1.1 cm (0.3 to 2.0 cm) over four years. This growth reduction was largely confined to girls (1.6 cm over four years), among whom it correlated with salivary IgG (P = 0.015). CONCLUSION--Data from salivary assay to investigate the epidemiology of H pylori suggest that factors relating to the type of community in which the child lives may now be as important for acquisition of this infection as features of the family home. The greater reduction of growth among infected girls raises the possibility that H pylori infection may delay or diminish the pubertal growth spurt.     

Head proportion and shape of the head of children between 2 and 7 years--results of a longitudinal study

Based upon a longitudinal anthropometric study with integrated picture documentation, the head proportion and head shape of two to seven years old children will be analysed. The study was initiated in April 2002 in the administrative districts of Potsdam and Potsdam-Mittelmark (Germany). 351 boys and girls have been measured and photographed. The children shall be examined up to four years until September 2006 with a half year investigation distance. Twenty-three anthropometric dimensions have been measured including six dimensions of the head. These dimensions of the head are the head length, head breadth, auricular height, interpupillary distance, facial height and lower face height. Furthermore, digital pictures have been taken of each child. So the head of each child can be examined in a frontal view (Norma frontalis) and in a lateral view (Norma lateralis) and will be analysed relating to changing proportions of the head. The results demonstrated and discussed here are based on a longitudinal succession of photos and point out a method to make individual patterns of the changing head proportions and head shape visual on pictures.     

Dog bites in New York City

The purpose of this review is to characterize the public health problem of dog bites in New York City. Dog bites represent a major source of morbidity, mortality, disability, and health care cost in the United States. The most severe injuries are frequently referred to the plastic surgeon. The authors have recently treated several severe cases of unprovoked dog attacks in children. To characterize the dog bite problem in New York City, data were obtained for 1998 from the New York City Department of Health. During that year, 6568 bites were reported by the mandated physician reporters in the five boroughs of New York City. The upper extremities, lower extremities, and face were predominantly affected. The peak incidence occurred during the summer months and in children ages 7 to 9 years old. Preventive measures are discussed.     

Lower limb dynamics change for children while walking with backpack loads to modulate shock transmission to the head

Backpack load carriage increases ground reaction forces and increases the stiffness in the upper extremity that can cause transmission of higher amount of forces from the lower extremity to the head. This study investigated the effect of load carriage and placement of load on the back on the shock transmission mechanisms amongst children. Fifteen primary school boys with mean age 10.01 (±1.31) years, mean height 136.40 (±10.08) cm and mean mass 31.83 (±7.13) kg completed the study. Subjects carried 10%, 15% and 20% bodyweight (BW) loads on two locations on the back, namely upper and lower. Results showed a significant reduction in pelvic and trunk rotation in the transverse plane and an increase in the upper body stiffness for loads exceeding 15% of BW. The lower limb results showed a reduction in the first peak force and cadence and a significant change in the walking velocity and time to the first peak force for 20% load. No significant differences were found for the load configuration but the upper configuration showed slightly higher shock transmission. The changes in the lower limb dynamics indicated that there are locomotion mechanisms in place amongst children to modulate shock transmission to the head.     

遗传和环境因素对儿童青少年身体高度及其比例的影响

目前有关儿童青少年坐高、下肢长及其比值的报道多为非双生子人群的研究。为了解遗传和环境因素对儿童青少年坐高、下肢长及坐高与下肢长比值影响的相对大小,我们对796对6～18岁双生子的身高和坐高进行了测量,计算下肢长及坐高与下肢长比值,采用结构方程模型分析其遗传和环境相对效应。结果发现,校正年龄后,男女15～18岁年龄组坐高和下肢长的遗传度(0.63～0.78)均分别高于同性别低年龄段儿童青少年(0.31～0.68);坐高与下肢长比值的遗传度除9～11岁女生(0.84)外,其他年龄组均较低(男0.16～0.46,女0.21～0.57);共同环境因素和特殊环境因素对6～14岁儿童青少年各指标的作用较大。本研究提示,在快速发育时期,坐高、下肢长和坐高与下肢长比值对环境因素更为敏感,遗传度较低;机体越成熟,其遗传效应更强。     

How good is general practice developmental screening?

All developmental screening in Somerset is performed by general practitioners and health visitors. A retrospective review of a cohort of 1504 7 year old children living in semirural Somerset found that the development assessment by a health visitor at age 3 1/2 years had a sensitivity of 45% for identifying the 103 children with special educational needs, whereas the sensitivity of the preschool examination by a general practitioner was 56%. There was no relation between results of preschool developmental assessment and later reading ability. Of the 23 children in special schools, 22 had been identified independently of the developmental screening programme before starting school. Intervention was started at a mean age of 1 year 5 months (range 2 months to 3 years) for children with severe learning difficulties, and 3 years 9 months (2 years 3 months to 6 years 6 months) for children with moderate learning difficulties. The preschool medical examination revealed fairly minor medical problems: 29 of 81 children referred for specialist opinions were shown to be medically normal, and for only seven of the medically abnormal children was information about their conditions given to their teachers. In Somerset screening the development of all children at predetermined ages has not been very useful.     

Racial and ethnic differences in secular trends for childhood BMI, weight, and height

Objectives: The prevalence of childhood overweight in the United States has markedly increased over the last 30 years. We examined differences in the secular trends for BMI, weight, and height among white, black, and Mexican‐American children. Research Methods and Procedures: Analyses were based on nationally representative data collected from 2 to 17 year olds in four examinations (1971–1974 through 1999–2002). Results: Overall, black children experienced much larger secular increases in BMI, weight, and height than did white children. For example, over the 30‐year period, the prevalence of overweight increased ～3‐fold (4% to 13%) among 6‐ to 11‐year‐old white children but 5‐fold (4% to 20%) among black children. In most sex‐age groups, Mexican‐American children experienced increases in BMI and overweight that were between those experienced by blacks and whites. Race/ethnicity differences were less marked among 2 to 5 year olds, and in this age group, white children experienced the largest increase in overweight (from 4% to 9%). In 1999–2002, the prevalence of extreme BMI levels (≥99th percentile) reached 6% to 7% among black girls and Mexican‐American boys. Discussion: Because of the strong tracking of childhood BMI levels into adulthood, it is likely that the secular increases in childhood overweight will greatly increase the burden of adult disease. The further development of obesity interventions in different racial/ethnic groups should be emphasized.     

中国人群的体部指数

本文通过对63452例18～97岁的中国人体部12项指数值的统计分析,得出目前该年龄段中国人的体部形态特征。研究发现,中国人总体体型为长躯干型、中肩型、中骨盆型、中腿型。男性为中胸型,女性为宽胸型。随着年龄增长,上半身会显得更短一些,上半身与下半身比例更小一些,胸部更显宽厚一些,躯干下部显得更宽一些,腿显得更长一些。与南方族群相比,蒙古语族群、突厥语族群身体更壮实一些,胸部更显得宽厚一些,上身更高一些,上肢显得短一些,躯干的上部(肩部)相对窄一些,躯干的下部(骨盆)相对更宽一些,上肢长和下肢长度比例更小一些。研究还发现,同等身高的男性和女性相比,男性的上肢长度、下肢长度一般都小于女性,而女性比男性有一个更大的坐高值。从躯干长度来比较,女性确实比男性腿短一些。下身长相等的中国男性、女性之间相比,女性的坐高大于男性。同等身高情况下,中国人的坐高比欧亚人种、非洲人种的坐高要大,即有较高的上半身高度。     

Differential long bone growth of children between two months and eleven years of age

Diaphyseal lengths of the humerus, radius, femur and tibia of upper-middle class White children between two months and 11 years of age show positive allometric growth, indicating substantial shape or proportional change. The segments of the lower extremity display greater allometric increase than the humerus and radius; variation in relative growth within each extremity is small and inconsistent. Sex differences are consistent, with slightly greater proportional increases demonstrated for boys. The results suggest that absolute intralimb variation in growth, following a disto-proximo growth or maturity gradient, is due to initial differences in size or scale and not to differences in patterns of growth. Developmental variation between extremities is due to scaling plus variation in relative growth patterns.     

Values of plasma testosterone in infancy and adolescence

We have performed a research to establish the normal values of the plasmatic testosterone among 111 pupils, of both sexes, from 7 to 16 years attending our provincial schools. As we expected, the greatest increase of the plasmatic testosterone, in comparison with the previous ages, has been found in the group of the 13 years old females of the same age is more restrained, even if it's significative. By this way we could know the physiological values of the plasmatic testosterone in the children and adolescents of our population.     

Turnover and dispersal in a Peregrine Falco peregrinus population

In south Scotland, most Peregrines returned to the same territories to breed in successive years, though a few females changed territory from one year to the next.
Annual mortality among breeding birds was at most 9% among females (or 11% in both sexes combined). There may have been considerable annual variation, however, and excluding one exceptional year out of five reduced the estimate for females to 7%. These estimates are maxima, but are still considerably lower than those obtained from ring recoveries of dead birds reported by members of the public.
Among trapped birds, four males first bred at age two years, one at three and another at four or five; two females first bred at one year, 13 at two years old and one at three. Five other females which were seen to be in first-year plumage but were not trapped, also laid eggs, and 12 other such paired females held territory but did not lay. Only one paired male held territory in first-year plumage.
In their movements between natal and breeding territories, some females moved further than males, with median distances of 83 and 58 km respectively. In addition, of birds trapped breeding in the study area, a greater proportion of the males than of the females had been born locally, despite an equal sex ratio among fledglings; this was also consistent with a greater dispersal of females. In general, Peregrines made much longer movements in their first year of life than subsequently. Movements were in any direction.