Freitas Duarte, Malina Robert M, Maia José, Lefevre Johan, Stasinopoulos Mikis, Gouveia Élvio, Claessens Albrecht, Thomis Martine, Lausen Berthold
Department of Mathematical Sciences, University of Essex, Colchester, UK.
Ann Hum Biol. 2012 May;39(3):195-205. doi: 10.3109/03014460.2012.674155. Epub 2012 Apr 18.
Secular trends in height and weight are reasonably well documented in Europe. Corresponding observations for skeletal maturation are lacking.
To assess secular trends in height, body mass and skeletal maturity of Portuguese children and adolescents and to provide updated reference values for skeletal maturity scores (SMSs).
Data for 2856 children and adolescents of 4-17 years, 1412 boys and 1444 girls, from The 'Madeira Growth Study' (MGS; 1996-1998) and from the'Healthy Growth of Madeira Children Study' (CRES; 2006) were used. Height and body mass were measured. Skeletal maturity was assessed with the Tanner-Whitehouse 2 and 3 methods.
Children from CRES were taller and heavier than peers from MGS. Differences in height reached 5.8 cm in boys and 5.5 cm in girls. RUS SMSs did not differ consistently between surveys boys, while higher RUS scores were observed in CRES girls. Adult RUS SMSs for MGS and CRES combined were attained at 15.8 years in boys and 14.8 years in girls. Corresponding ages for adult Carpal SMSs were 14.4 and 14.0, respectively.
The short-term trends for height and mass were not entirely consistent with the trends in RUS and Carpal SMSs and SAs.
欧洲身高和体重的长期趋势已有较为充分的记录。但缺乏骨骼成熟度的相应观察数据。
评估葡萄牙儿童和青少年身高、体重及骨骼成熟度的长期趋势,并提供骨骼成熟度评分(SMS)的最新参考值。
使用了来自“马德拉岛生长研究”(MGS;1996 - 1998年)和“马德拉岛儿童健康生长研究”(CRES;2006年)的2856名4 - 17岁儿童和青少年的数据,其中男孩1412名,女孩1444名。测量了身高和体重。采用坦纳 - 怀特豪斯2型和3型方法评估骨骼成熟度。
CRES研究中的儿童比MGS研究中的同龄人更高更重。男孩身高差异达5.8厘米,女孩达5.5厘米。两次调查中男孩的桡尺骨骨骼成熟度评分(RUS SMS)差异不显著,而CRES研究中的女孩RUS评分更高。MGS和CRES研究合并后,男孩达到成人桡尺骨骨骼成熟度评分的年龄为15.8岁,女孩为14.8岁。达到成人腕骨骨骼成熟度评分的相应年龄分别为14.4岁和14.0岁。
身高和体重的短期趋势与桡尺骨和腕骨骨骼成熟度评分及骨骼年龄的趋势并不完全一致。