Derman Orhan, Yalcin S Songul, Kanbur Nuray, Kinik Erol
Adolescent Unit, Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Int J Adolesc Med Health. 2002 Jan-Mar;14(1):19-26. doi: 10.1515/IJAMH.2002.14.1.19.
The purpose of this study was to detect the changes in the circumference of the arm, skinfold thickness (SFT), arm muscle area (AMA) and arm fat area (AFA), during the sexual development of healthy adolescent boys. This study was done with 74 adolescent boys, aged 9-17 years, with no chronic diseases, no developmental delay, no current medication with height ages appropriate for their bone ages, and body mass indexes between 50-75 percentiles. Body weight and height, the circumference of the arm and the SFT were measured. Body mass index, AMA and AFA were calculated. The mean arm circumference and AMA increased significantly from Tanner stage 1 to 5. AMA was significantly and positively correlated with age, weight, height, body mass index, arm circumference, SFT. After adjusting for Tanner stages, AMA was not correlated with age. A significant negative correlation was found between AMA and arm fat area. In the present study, it was seen that the sexual stages affected the circumference of arm, AMA, and the skinfold thickness in healthy adolescent boys, who were appropriate for their bone ages, and had good nutritional status. Further studies are required to detect the effect of pubertal stage on arm anthropometry in different nutritional status including obesity and malnutrition.
本研究的目的是检测健康青春期男孩性发育过程中手臂周长、皮褶厚度(SFT)、手臂肌肉面积(AMA)和手臂脂肪面积(AFA)的变化。本研究对74名9至17岁的青春期男孩进行,这些男孩无慢性疾病、无发育迟缓、目前未用药,身高年龄与其骨龄相符,体重指数处于第50至75百分位。测量了体重、身高、手臂周长和SFT。计算了体重指数、AMA和AFA。手臂平均周长和AMA从坦纳1期到5期显著增加。AMA与年龄、体重、身高、体重指数、手臂周长、SFT显著正相关。在调整坦纳分期后,AMA与年龄无相关性。AMA与手臂脂肪面积之间存在显著负相关。在本研究中,发现性发育阶段影响了骨龄相符且营养状况良好的健康青春期男孩的手臂周长、AMA和皮褶厚度。需要进一步研究以检测青春期阶段对不同营养状况(包括肥胖和营养不良)下手臂人体测量学的影响。