Very informative section of the course. Childhood height is a barometer into the overall health of a child. Genetics being the main player, as well abnormal growth hormones, proper nutrition and social and psychosocial factors. I would like to find out more about silica disease?
different factors involved in childhood growth are disscussed
What is puberty?
Genetics (mid parental heights) determines a child's growth potential. This can be limited by hormone imbalances, lack of adequate nutrition and social factors. A child should steadily grow within their percentile range and would be concerning if was growing at an abnormal (slowing) rate
What is childhood growth?
We take a look at childhood growth and all the different factors which may influence it. Factors such as Genetics, normal or abnormal amounts of hormone and nutrition (under and over). These factors may affect the normal age\height\growth curve of a child in a little or very large manner. We also learn how to predict a childs final height in inches (plus-minus) by using the midpoint of the parents 2 heights and subtracting a few inches depending on the sex of the child.
I'm here with Dr. Laura Bachrack at Stanford Medical School
and what are we going to talk about?
We are going to talk about normal and abnormal growth in children
Fascinating...so, this is an important concern...
Parents really worry if their child is growing normally
and physicians worry about this too because
the change in height is an important barometer
of how the child is doing overall in terms of health
Right...so to begin to assess the child's growth pattern
we have to think about what are the determinants
of where the child should be on the growth curve
Right...the number one most important determinant,
of course, is genetics. Short parents are more
likely to have short children and vice versa
And that's also true even when the child is young
if...like...big, cause sometimes I see in the opposite
so, you know....people hors appetite have large children
and all the rest but it is true even if someone is large
someone is large they're more like to have large children
even in infants and toddlers...
You have hit upon a really important issue that is
shown here in the slide.. the size of a baby at birth
isn't necessarily going to reflect the genetics
There are babies that are born small because the mother
didn't have pre-natal care...mother was a smoker...
other factors that compromised the growth of the child
and those can be born small for their gestational age.
During the first two to three years of life, they have
a chance to catch up on the curve and reach what's
called their genetic potential. So let's say...
So, I want to make sure...I have seen these curves before...
I remember this when I used to visit the Paediatrician
which I did, may be a little too long, but eh, so
so this axis right over here is age, in months
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