Document Detail

Approaches to detecting growth faltering in infancy and childhood.
MedLine Citation:
PMID:  12959893     Owner:  NLM     Status:  MEDLINE    
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.
J Argyle
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Annals of human biology     Volume:  30     ISSN:  0301-4460     ISO Abbreviation:  Ann. Hum. Biol.     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-09-08     Completed Date:  2004-02-12     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0404024     Medline TA:  Ann Hum Biol     Country:  England    
Other Details:
Languages:  eng     Pagination:  499-519     Citation Subset:  IM    
Department of Mathematical Sciences, University of Durham, UK.
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MeSH Terms
Anthropometry / methods*
Body Height / physiology*
Body Weight / physiology*
Child, Preschool
Growth Disorders / diagnosis*
Infant, Newborn
Models, Anatomic
Reference Standards

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