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Centiles for adult head circumference.

K M Bushby1, T Cole, J N Matthews

  • 1Department of Human Genetics, University of Newcastle upon Tyne.

Archives of Disease in Childhood
|October 1, 1992
PubMed
Summary
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Pediatric head circumference charts are unsuitable for adults. Adult head size correlates with height, with average males exceeding the 97th percentile for 16-year-olds.

Area of Science:

  • Anthropometry
  • Pediatric Growth Standards

Background:

  • Tanner charts provide reference ranges for head circumference up to age 16.
  • These charts are widely used in pediatric care but lack adult data.

Purpose of the Study:

  • To establish reference ranges for adult head circumference.
  • To determine the relationship between adult head circumference and height.
  • To assess the appropriateness of pediatric charts for adult measurements.

Main Methods:

  • Measurements of head circumference and height were collected from 354 adults.
  • Data was gathered from two distinct British centers.
  • Centile charts were constructed based on the collected adult anthropometric data.

Main Results:

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  • Adult head circumference demonstrates a positive correlation with height.
  • The average head circumference for males of average height exceeds the 97th percentile on Tanner charts for 16-year-olds.
  • Significant discrepancies exist between adult measurements and pediatric reference ranges.

Conclusions:

  • Pediatric head circumference charts, including Tanner charts, are inappropriate for assessing adult males.
  • Adult anthropometric data is necessary for accurate head circumference assessment in adults.
  • Height is a significant factor in determining normal adult head circumference.