How do your children grow?
(Medical Xpress)—We know how Mary, Mary, Quite Contrary's garden grows, but what about our kids? From marks on a wall to spending what seems like a fortune on clothes, parents are often fascinated by the growth of their children.
"One of the things parents are most interested in when they come to see me are their kids' stats such as how tall and how much they weigh," said Margaret McMahon, MD, pediatrician at Loyola University Health System and assistant professor of Pediatrics at Loyola University Chicago Stritch School of Medicine.
For a physician, growth is more than just a change in height. It's an increase in height, weight and other changes the body makes as a child matures into an adult. In the first year of life children change rapidly, on average growing more than 10 inches in length and tripling their birth weight. After that first year the rate of growth slows down dramatically until adolescence.
"Normal growth is not linear. There are times of rapid growth that alternate with times of no growth. It is best to monitor a child's growth over time and we do that using growth curves," McMahon said. "Usually after infancy a child will follow one channel on the growth curve. If he or she does not follow that curve, further assessment needs to be done."
Though a physician will monitor a child's growth with a growth curve, it's also important for parents to realize that children differ in growth and development during childhood. Parents should avoid comparing a child's growth with siblings or other children. They also shouldn't place too much importance on one aspect of a child's growth as this could affect a child's self-esteem.
Still, there are times when growth appears to be delayed or accelerated, which requires further evaluation. According to McMahon, assessments usually start with a careful family history and exam, a review of growth curves, family patterns and bone age. Based on those tools a physician can determine if further steps need to be taken, which could include testing and referral to a specialist.
"When growth appears to be delayed or accelerated it's important to do an evaluation to determine if it's a familial pattern, constitutional growth delay or a pathological process," McMahon said.
A constitutional growth delay is when a child follows a normal growth path, but it is significantly below the expected curve based on predictions of growth derived from a mid-parental height calculation and confirmed by bone age.
"Kids with constitutional growth delays usually achieve their genetic growth potential, but at a delayed rate," McMahon said.
A pathologic growth delay occurs when a patient's growth has veered off the growth curve or flattens out.
"Kids with a pathologic growth delay usually have short stature unless the underlying cause can be corrected," McMahon said.
Some factors that might cause this are:
- Genetic potential
- Genetic disorders and syndromes
- Endocrinologic disorders
- Metabolic problems
- Chronic diseases
Provided by Loyola University Health System
- Hormone therapy helps short children grow up Nov 06, 2008 | not rated yet | 0
- Predicting growth hormone treatment success Dec 12, 2007 | not rated yet | 0
- Parental link to obesity Apr 24, 2007 | not rated yet | 0
- Accelerated head growth can predict autism before behavioral symptoms start Jan 30, 2008 | not rated yet | 0
- WHO growth curves offer no distinct advantage over CDC measures Apr 30, 2012 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Force Between Two Concentric Solenoids
2 hours ago Imagine a finite length solenoid with outer radius R1 and inner radius R2. This solenoid has a time-varying current going though it. This solenoid is...
Synchrotron, question about insertion devices and electron velocity
2 hours ago When an electron enters an insertion device (wiggler and undulator) from the storage ring in a synchrotron the tangential velocity is equal to the...
Equating differentials => equating coefficients
4 hours ago Hi all, In thermodynamics one often has equations like A dx + B dy = ∂f/∂x dx + ∂f/∂y dy From which follows A = ∂f/∂x B = ∂f/∂y
The idea behind a reverse shock
9 hours ago So in a supernova explosion for example (5th slide) http://www.astro.princeton.edu/~burrows/classes/541/blastwavesChisari.pdf Ambient medium is...
Guass's Law for a charge distribution
10 hours ago First, this is not a homework question, just something I've been confused about for some time. I understand how to use Guass's law in many ways but...
10 hours ago Hello :) i'm new to this forum, so excuse me for my straightforwardness ;) I'm working on my bachelor work and i can't find a solution. I'm writing...
- More from Physics Forums - Classical Physics
More news stories
Existing research shows that bicyclists who wear helmets have an 88 percent lower risk of brain injury, but researchers at Boston Children's Hospital found that simply having bicycle helmet laws in place showed a 20 percent ...
Pediatrics May 23, 2013 | not rated yet | 0
(HealthDay)—Over the last decade, the number of American children who die each year awaiting an organ donation dropped by more than half, new research reveals. And increasing numbers of children are receiving ...
Pediatrics May 22, 2013 | not rated yet | 0
Phthalates: Study links chemicals widely found in plastics, processed food to elevated blood pressure in children, teens
Plastic additives known as phthalates (pronounced THAL-ates) are odorless, colorless and just about everywhere: They turn up in flooring, plastic cups, beach balls, plastic wrap, intravenous tubing and—according to the ...
Pediatrics May 22, 2013 | not rated yet | 1 |
A study by Alexandra L. C. Martiniuk, M.Sc, Ph.D., of The George Institute for Global Health, Sydney, Australia, and colleagues suggests less sleep per night is associated with a significant increase in the risk for motor ...
Pediatrics May 20, 2013 | not rated yet | 0
Whole-cell pertussis vaccines were more effective at protecting against pertussis than acellular pertussis vaccines during a large recent outbreak, according to a new Kaiser Permanente study published in Pediatrics.
Pediatrics May 20, 2013 | not rated yet | 0 |
Coenzyme Q10 decreases all cause mortality by half, according to the results of a multicentre randomised double blind trial presented today at Heart Failure 2013 congress. It is the first drug to improve heart failure mortality ...
15 hours ago | 5 / 5 (2) | 5
(HealthDay)—Animals make great companions for senior citizens, but elderly people who always drive with a pet in the car are far more likely to crash than those who never drive with a pet, researchers have ...
7 hours ago | not rated yet | 1
Heart failure accelerates the aging process and brings on early andropausal syndrome (AS), according to research presented today at the Heart Failure Congress 2013. AS, also referred to as male 'menopause', was four times ...
15 hours ago | not rated yet | 1
Mortality and length of stay are highest in heart failure patients admitted in January, on Friday, and overnight, according to research presented today at the Heart Failure Congress 2013. The analysis of nearly 1 million ...
15 hours ago | not rated yet | 0
(AP)—Department of Justice lawyers have again asked a federal appeals court in New York to delay lifting age restrictions and prescription requirements on an emergency contraceptive popularly known as the morning-after ...
15 hours ago | not rated yet | 0