Tanner J M, Goldstein H, Whitehouse R H
Arch Dis Child. 1970 Dec;45(244):755-62. doi: 10.1136/adc.45.244.755.
Charts are presented which give centile standards for boys' and girls' heights at ages 2 to 9 when parents' height is allowed for. Mid-parent height is used (i.e. the average of father's and mother's height). A comparison is made with results from the existing `parent-unknown' British standard charts. A child at the 3rd centile on the parent-unknown charts is (i) at the 20th centile on the new charts if his parents are small enough to average 3rd centile for adults, (ii) at about the 1st centile if his parents average the 97th centile. Conversely a child with 97th centile parents has only to be at the 25th centile for the population in the parent-unknown charts to be at the conventional 3rd centile limit of normal when parental height is allowed for. Thus the new standards result in considerably increased precision. Examples are given of normal boys with small parents who plotted outside the 3rd centile on the conventional charts but inside on the present charts. The differential diagnosis of genetic small stature is made considerably more straightforward by the use of these charts. The correlation coefficients are given at successive ages, from 1 month to 9 years, for child's supine length or height with mid-parent height and for mother-daughter, mother-son, father-daughter, and father-son relationships.
文中呈现了一些图表,这些图表给出了在考虑父母身高的情况下,2至9岁男孩和女孩身高的百分位标准。采用父母平均身高(即父亲身高与母亲身高的平均值)。并与现有的“父母身高未知”的英国标准图表的结果进行了比较。在“父母身高未知”图表中处于第3百分位的孩子,(i)如果其父母身材足够矮小,成年后平均身高处于第3百分位,那么在新图表中处于第20百分位;(ii)如果其父母平均身高处于第97百分位,那么在新图表中大约处于第1百分位。相反,父母身高处于第97百分位的孩子,在考虑父母身高的情况下,只要在“父母身高未知”图表中处于第25百分位,其身高对于总体人群来说就处于传统的正常第3百分位界限内。因此,新的标准大大提高了精确性。文中给出了一些例子,父母身材矮小的正常男孩,在传统图表中处于第3百分位之外,但在当前图表中处于第3百分位之内。使用这些图表使得遗传性身材矮小的鉴别诊断变得更加直接。文中给出了从1个月到9岁,孩子仰卧长度或身高与父母平均身高以及母女、母子、父女和父子关系的连续年龄的相关系数。