Kramer H H, Hendrikx B, Trampisch H J, Krüger M
Monatsschr Kinderheilkd. 1986 Apr;134(4):184-91.
The conventional centile standards allow a judgement of children's height according to age-groups. It is equally important, however, to take the parental height into consideration. In 1970 Tanner ascertained for the British population the correlation between children's height and the mid-parent height (i.e. the average of father's and mother's height). From these results he set up centile standards that allow the judgement of children's height at successive ages in terms of the mid-parent height. Several conditions should be fulfilled for their application within other populations: identical correlation coefficients of parents' and children's heights which were shown in Tanner's international study; the accordance of the average height and the standard deviations, respectively, of children in each of the age groups as well as the conformity of the mid-parent height. Our investigations showed that the 3 parameters which were last mentioned differed from those of the British population. Therefore, proper standards for correction were set up. The calculations were worked out for children at ages 2 to 9 years. The methodical procedure will be shown in detail. The correction standards allow a statement as to whether the height of a child can be classified as normal or not within the framework of his family. This is particularly advantageous in regards to the diagnostic clarification of short stature, since it is often due to constitutional, genetic factors; if, for example, according to age the height of a five-year-old boy as well as the mid-parent height coincide at the 3rd centile, then the child's height centile will be 32nd. in consideration of these hereditary components. So the differential diagnosis of genetic short stature is made considerably more straightforward by the use of the present charts.
传统的百分位数标准可根据年龄组对儿童身高进行判断。然而,考虑父母身高同样重要。1970年, Tanner确定了英国人群中儿童身高与父母平均身高(即父亲和母亲身高的平均值)之间的相关性。根据这些结果,他建立了百分位数标准,该标准可根据父母平均身高判断儿童在不同年龄段的身高。在其他人群中应用这些标准应满足几个条件:父母身高与儿童身高的相关系数与Tanner国际研究中的结果相同;各年龄组儿童的平均身高和标准差相符,以及父母平均身高相符。我们的调查表明,最后提到的这三个参数与英国人群的参数不同。因此,制定了适当的校正标准。计算是针对2至9岁的儿童进行的。将详细说明方法步骤。校正标准可以说明在其家庭范围内儿童的身高是否可归类为正常。这在矮小身材的诊断澄清方面特别有利,因为矮小身材通常是由体质、遗传因素引起的;例如,根据年龄,一个五岁男孩的身高以及父母平均身高在第3百分位数上一致,那么考虑到这些遗传因素,该儿童的身高百分位数将为第32百分位数。因此,使用当前图表可使遗传性矮小身材的鉴别诊断更加直接。