Department of Pediatric Endocrinology, University of Erciyes, Faculty of Medicine, Kayseri, Turkey.
Eur J Pediatr. 2011 Sep;170(9):1143-50. doi: 10.1007/s00431-011-1414-9. Epub 2011 Feb 22.
The purpose of this study was to determine the percentiles of interpopliteal distance to diagnose bowleg in 0-6 year-old children. Measurement of interpopliteal distance is a simple but valuable indicator in clinical examination to diagnose bowleg. We analyzed data from the anthropometry of Turkish children aged 0-6 years. The primary sampling unit included 21 family health centers (Aile Sagligi Merkezi) located in the city center and suburbs of Kayseri, Turkey. A total of 2,873 children and adolescents (1,419 boys, 1,454 girls), whose parents gave consent were included in the study. The smoothed percentiles and Z-scores were calculated by age and gender in 0-6 year-old children in quarter year intervals except for the 0-28-day newborn period. We found a significant correlation (r: 0.60, p < 0.001) between body weight and interpopliteal distance (after onset of walking). We consider that percentiles of interpopliteal distance can be used in the follow-up of children who may be at risk of bone and growth disorders. The zone between -2 standard deviation (SD) and +2SD values can be used to decide if the child has a normal growth pattern.
本研究旨在确定 0-6 岁儿童腘窝间距离的百分位数，以诊断 X 型腿。腘窝间距离的测量是临床检查中诊断 X 型腿的一个简单但有价值的指标。我们对土耳其 0-6 岁儿童的人体测量学数据进行了分析。主要抽样单位包括位于土耳其开塞利市中心和郊区的 21 个家庭健康中心（Aile Sagligi Merkezi）。共有 2873 名儿童及其家长同意参与研究。除了 0-28 天的新生儿期外，我们在每季度间隔按年龄和性别计算了 0-6 岁儿童的平滑百分位数和 Z 分数。我们发现体重与腘窝间距离（开始行走后）之间存在显著相关性（r：0.60，p<0.001）。我们认为，腘窝间距离的百分位数可用于随访可能存在骨骼和生长障碍风险的儿童。-2 个标准差（SD）和+2SD 值之间的区域可用于判断儿童的生长模式是否正常。
