Physical fitness of children aged 5 and 6 years

Maximal oxygen uptake (Vo2 max) of 85 healthy kindergarten children, 46 boys and 39 girls, aged 5 and 6 years, was determined by means of track running. Their physique, skinfold thickness, grip and back muscle strength, and performances of 25 m-run, 50 m-run, standing broad jump, and 5 min-endurance run were also measured. Skinfold thickness of girls was significantly larger than that of boys. Boys were significantly superior to girls in all the motor performances. The Vo2 max per unit of body weight was 49.46 ml/kg/min for boys and 46.30 ml/kg/min for girls, the sex difference being significant at the 0.001 level. The correlation coefficient between Vo2 max per kg body weight and 5 min-endurance run performance was 0.417 for boys and 0.049 for girls, while that between absolute Vo2 max and body weight was 0.899 for boys and 0.563 for girls. The regression equation of the absolute value of Vo2 max (liter/min) on body weight (kg) was: Y=0.051X-0.025 for boys and Y=0.024 + 0.408 for girls, the regression coefficient of boys being twice as large as that of girls. It appears that at ages 5-6 sex differences are exhibited ont only in muscle strength and agility but also in endurance run and aerobic work capacity.     

Study of somatotype in Italian children aged 6 to 10 years

The aim of the present research was to study the variations of somatotype, calculated by the Heath-Carter anthropometric technique, during growth in a sample of children (416 males and 402 females), aged 6 and 10 years, attending primary and secondary schools of L'Aquila and its province (Abruzzo, Italy). The sample was subdivided into “urban” and “non-urban” groups, on the basis of the residence of the children, to examine possible differences in growth related to the different environments. This study give an account of the somatotype components between urban and non urban childreen between the age 6 and 10 years. A tendency toward an increase of endomorphy (adipose component) with age was noticed in both sexes. In females, ectomorphy (component of physical linearity) tended to increase and mesomorphy (muscular-skeletal component) showed a slight decrease during growth, while males exhibited a discontinuous trend. The differences between urban and non-urban children were not significant, although generally higher values of endomorphy and mesomorphy were found in males and females of the urban sample. The differences between the sexes consisted of higher values of endomorphy and lower values of mesomorphy in females. Ectomorphy was similar in the two sexes.     

Management and outcome of winter upper respiratory tract infections in children aged 0-9 years.

Age-specific incidences for upper respiratory tract infections in children from a new-town population during 1975-7 were studied, and 965 consecutive upper respiratory tract infections in children aged under 10 during two winters were analysed in detail. Significantly different management plans made by seven doctors did not correlate with the clinical outcome as judged by complications, recall rates, and demand for treatment for similar episodes in the future. Two hundred and thirty-two children (24%) returned for another consultation for the same episode of upper respiratory tract infection. The main reason for these repeat consultations seemed to be that parental expectations about the natural history of the illness were not fulfilled. More realistic parental expectations might be set and safer clinical standards maintained if doctors warned parents about symptoms such as cough and occasional diarrhoea or vomiting that are commonly associated with upper respiratory tract infections in children.     

The Le Fort III advancement osteotomy in the child under 7 years of age

This is a longitudinal study of 12 patients with craniofacial synostosis syndromes (Crouzon's, Apert's, Pfeiffer's) who underwent Le Fort III advancement under the age of 7 years (average age 5.1 years, range 4.0 to 6.7 years). The average follow-up was 5.0 years and included clinical, dental, and cephalometric examinations according to a prescribed protocol. The study demonstrated that the procedure could be safely performed in the younger child with an acceptable level of morbidity. There was a remarkable degree of postoperative stability of the maxillary segment. However, although vertical (inferior) growth or movement of the midfacial segment was demonstrated, there was minimal, if any, anterior or horizontal growth. Any occlusal disharmony developing during the period of follow-up could be attributed to anticipated mandibular development and could be corrected by orthognathic surgery. The roles of surgical overcorrection and anterior-pull headgear therapy after release of intermaxillary fixation are also discussed. The Le Fort III osteotomy is justifiably indicated during early childhood for psychological and physiologic reasons.     

Skinfold thicknesses in a national probability sample of U.S. males and females aged 6 through 17 years

Cycles II and III of the Health Examination Survey included measurements of the skinfolds of over 14,000 individuals 6 through 17 years of age, statistically weighted to provide an accurate national probability sample. Analyses of the triceps and subscapular skinfolds of Negroes and whites are reported here, utilizing the median in preference to the mean. Females of either racial group have thicker skinfolds at all ages studied. Whites have greater median triceps thicknesses than Negroes of the same sex and age, but there are no differences between the two racial groups in the subscapular. Since, between all but one pair of adjacent ages in males, from 12 years on, the median triceps fold decreases, but the estimated cross-sectional are of fat increases, it is strongly recommended that reductions in triceps thickness not be automatically interpreted as meaning a loss of subcutaneous fat. Since greater skewness is found in the subscapular distributions in whites, but not in the triceps, it is suggested that racial differences in triceps thickness at these ages occurs from the operation of hereditary factors, while differences in the subscapular skinfold arise from environmental causes.