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[健康与身材矮小青春期女孩的身体比例]

[Body proportions of healthy and short stature adolescent girls].

作者信息

Milde Katarzyna, Tomaszewski Paweł, Majcher Anna, Pyrżak Beata, Stupnicki Romuald

机构信息

Zakład Statystyki i Informatyki Akademii Wychowania Fizycznego Józefa Piłsudskiego w Warszawie.

出版信息

Pediatr Endocrinol Diabetes Metab. 2011;17(4):195-200.

Abstract

INTRODUCTION

Regularly conducted assessment of body proportions is of importance as early detection of possible growth disorders and immediate prevention may allow gathering an optimum of child's genetically conditioned level of development.

AIM OF THE STUDY

To assess body proportions of adolescent girls, healthy or with growth deficiency.

MATERIAL AND METHODS

Three groups were studied: 104 healthy, short-statured girls (body height below the 10th percentile), 84 girls with Turner's syndrome (ZT) and 263 healthy girls of normal stature (between percentiles 25 and 75), all aged 11-15 years. The following measurements were conducted according to common anthropometric standards: body height, sitting body height, shoulder width, upper extremity length and lower extremity length - the last one was computed as the difference between standing and sitting body heights. All measurements were converted to logarithms and allometric linear regressions vs log body height were computed.

RESULTS

The Turner girls proved to have allometrically shorter legs (p<0.001) and wider shoulders (p<0.001) compared with both groups of healthy girls, and longer upper extremities (p<0.001) compared with the girls of normal stature. Healthy, short-statured girls had longer lower extremities (p<0.001) as compared to other groups; they also had wider shoulders (p<0.001) and longer upper extremities (p<0.001) compared to healthy girls of normal height.

CONCLUSIONS

Allometric relations of anthropometric measurements enable a deeper insight into the body proportions, especially in the growth period. The presented discrimination of Turner girls may serve as a screening test, and recommendation for further clinical treatment.

摘要

引言

定期进行身体比例评估很重要,因为尽早发现可能的生长障碍并立即预防,有助于使儿童达到其遗传条件所决定的最佳发育水平。

研究目的

评估青春期健康或有生长缺陷的女孩的身体比例。

材料与方法

研究了三组对象:104名健康的身材矮小女孩(身高低于第10百分位数)、84名患有特纳综合征(ZT)的女孩以及263名身材正常的健康女孩(百分位数在25至75之间),所有女孩年龄均在11至15岁。根据常见人体测量标准进行以下测量:身高、坐高、肩宽、上肢长度和下肢长度——下肢长度通过身高与坐高之差计算得出。所有测量值均转换为对数,并计算与对数身高的异速生长线性回归。

结果

与两组健康女孩相比,特纳综合征女孩的腿部经异速生长分析后较短(p<0.001),肩部较宽(p<0.001);与身材正常的女孩相比,其上肢较长(p<0.001)。健康的身材矮小女孩与其他组相比,下肢较长(p<0.001);与身高正常的健康女孩相比,她们的肩部也较宽(p<0.001),上肢较长(p<0.001)。

结论

人体测量的异速生长关系有助于更深入地了解身体比例,尤其是在生长发育期。所呈现的对特纳综合征女孩的鉴别可作为一种筛查测试,并为进一步的临床治疗提供建议。

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