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Dilemmas in choosing and using growth charts


Hermanussen, M; Staub, Kaspar; Assmann, C; van Buuren, S (2012). Dilemmas in choosing and using growth charts. Pediatric Endocrinology Reviews, 9(3):650-656.

Abstract

Human growth is both a target seeking process regulated by genes and environment, and a highly dynamic process that even under similar social and economic circumstances varies considerably both in amplitude (being short or tall) and tempo (maturing fast or slow). This has led to vivid discussions about which growth chart is the right chart to use. In contrast to wide-spread opinions emphasizing the similarity in early childhood growth among diverse ethnic groups, it has become apparent that a single "global" reference fails to adequately mirror the diversity in human growth. In view of the raising evidence that growth is also influenced by the peer group, we refer to novel, cost-effective procedures that facilitate producing growth references "on demand", for limited regional purposes, for ethnically, socio-economically or politically defined minorities, but also for matching geographically different groups of children and adolescents for international growth and registry studies.

Human growth is both a target seeking process regulated by genes and environment, and a highly dynamic process that even under similar social and economic circumstances varies considerably both in amplitude (being short or tall) and tempo (maturing fast or slow). This has led to vivid discussions about which growth chart is the right chart to use. In contrast to wide-spread opinions emphasizing the similarity in early childhood growth among diverse ethnic groups, it has become apparent that a single "global" reference fails to adequately mirror the diversity in human growth. In view of the raising evidence that growth is also influenced by the peer group, we refer to novel, cost-effective procedures that facilitate producing growth references "on demand", for limited regional purposes, for ethnically, socio-economically or politically defined minorities, but also for matching geographically different groups of children and adolescents for international growth and registry studies.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Evolutionary Medicine
Dewey Decimal Classification:570 Life sciences; biology
610 Medicine & health
Language:English
Date:2012
Deposited On:01 Mar 2013 10:57
Last Modified:05 Apr 2016 16:36
Publisher:YS Medical Media Ltd.
ISSN:1565-4753
PubMed ID:22523833

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