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Growth references for height, weight, and head circumference for Argentine children with achondroplasia
Mariana del Pino1, Virginia Fano, Horacio Lejarraga
1Growth and Development, Pediatric Garrahan Hospital, Buenos Aires, Argentina. mdelpino@garrahan.gov.ar
Insights
New growth references for Argentine children with achondroplasia show lower final height and head circumference compared to US data. These national references are crucial for accurate clinical growth assessment.
Area of Science:
- Pediatrics
- Genetics
- Anthropometry
Background:
- Achondroplasia is a genetic condition affecting bone growth.
- Accurate growth references are essential for monitoring child development.
- Existing references may not accurately reflect local populations.
Purpose of the Study:
- To establish national growth references for Argentine children with achondroplasia.
- To compare Argentine growth data with international references.
- To provide a tool for clinical assessment and management.
Main Methods:
- Data collected from 228 Argentine children (0-18 years) with achondroplasia (1992-2009).
- LMS method used to calculate centiles for height, weight, and head circumference.
- Comparison with USA achondroplasia growth references.
Main Results:
- Argentine children showed similar height centiles to US references in infancy and childhood.
- Adolescent height centiles were lower than US references.
- Final height was 1.7-5.1 cm below US references for girls and boys.
- Head circumference centiles were consistently lower than US references for both genders.
Conclusions:
- National growth references are vital for accurate clinical assessment of children with achondroplasia.
- The developed references can aid in detecting growth abnormalities and estimating final height.
- These references may be applicable to countries with similar ethnographic characteristics.
Unlabelled:
In order to prepare growth references for height, weight, and head circumference for Argentine children with Achondroplasia, 228 children (114 boys) aged 0-18 years attending the Growth Clinic at Hospital Garrahan were measured between 1992 and 2009. Centiles were calculated by LMS, a method for summarizing growth data which adjusts for skewness. Curves for centiles are obtained using the formula: [Formula: see text], where Z (α) is the normal equivalent deviate for tail area α; C100α is the weight or height centile corresponding to Z (α), t is age in years, and L(t) is (skewness)(t), M(t) is median, S (t) is coefficient variation and C(100α) (t) indicates the corresponding values of each curve at age t. Boys and girls centiles for height were similar to USA references in infancy and childhood but lower than that references at adolescence. Final height was 1.7 and 5.1 cm below USA achondroplasia references in girls and boys, respectively. Head circumference centiles were, at all ages, lower than USA references in both genders. Countries need national references for clinical growth assessment of their local population. Likewise, specific local growth references for children with some genetic conditions (such us achondroplasia) are valuable tools for detecting additional conditions affecting growth, for estimating final height and for evaluating the impact of growth-promoting treatments.
Conclusion:
references presented here can also be used in other countries with similar ethnographics characteristics.
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