| Approaches to detecting growth faltering in infancy and childhood. | |
MedLine Citation:
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PMID: 12959893 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One of the purposes of monitoring a child's weight or height is to detect growth faltering. In infancy the focus is on monitoring weight gain, primarily for detecting infants at risk of failure-to-thrive. In childhood, this switches to height gain, e.g. the response of a child that is growth hormone deficient to treatment with growth hormone. Cross-sectional charts provide no guidance in a longitudinal context. If we note the current weight or height of a child, but want to say something about a child's growth since the last weight and height measurement, we need to use a velocity/increment reference or take a conditional approach to the problem. Here we focus on growth faltering and review the mathematical approaches to this problem. Discussion will concentrate on the relative merits of the following approaches: velocity references and increment charts or tables; conditional gain Z-scores;infancy weight-monitoring charts and longitudinal growth norms implemented in the growth package LGROW; tracking indices and distance charts and centile crossing. Overall conditional gain Z-scores provide the most flexible means of assessing growth patterns. |
Authors:
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J Argyle |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Annals of human biology Volume: 30 ISSN: 0301-4460 ISO Abbreviation: Ann. Hum. Biol. Publication Date: 2003 Sep-Oct |
Date Detail:
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Created Date: 2003-09-08 Completed Date: 2004-02-12 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0404024 Medline TA: Ann Hum Biol Country: England |
Other Details:
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Languages: eng Pagination: 499-519 Citation Subset: IM |
Affiliation:
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Department of Mathematical Sciences, University of Durham, UK. Jennifer.Argylle@durham.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Anthropometry / methods* Body Height / physiology* Body Weight / physiology* Child Child, Preschool Growth Disorders / diagnosis* Humans Infant Infant, Newborn Models, Anatomic Reference Standards |
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