Developmental charts for children with osteogenesis imperfecta, type I (body height, body weight and BMI)

Krzysztof Graff1, Malgorzata Syczewska2

  • 1Department of Rehabilitation, The Children's Memorial Health Institute, Al. Dzieci Polskich 20, 04-730, Warszawa, Poland.

Insights

Children with osteogenesis imperfecta type I (OI) are shorter than their peers from birth. Their growth slows after age 8, resulting in impaired adult height. This study provides developmental charts for OI type I children.

Area of Science:

  • Pediatrics
  • Genetics
  • Orthopedics

Background:

  • Osteogenesis imperfecta (OI) type I is a common, non-deforming genetic collagen disorder.
  • Previous literature suggests normal or slightly reduced stature in OI type I, but lacks supporting data.
  • Characterized by blue sclera and vertebral fractures, potentially causing mild scoliosis.

Purpose of the Study:

  • To create developmental charts for body height, weight, and BMI in children with OI type I.
  • To provide empirical data on the growth patterns of children with OI type I.

Main Methods:

  • Utilized anthropometric data from 117 patients (61 boys, 56 girls) with OI type I.
  • Pooled 823 measurements into a comprehensive database.
  • Employed reverse transformation to address data limitations in specific age and gender groups.

Main Results:

  • Children with OI type I are smaller than healthy peers from ages 2-3.
  • A slight catch-up growth occurs between ages 4-7.
  • Growth velocity decreases after age 8, leading to a median adult height SDS of -2.7.

Conclusions:

  • Children with OI type I exhibit reduced stature from early childhood.
  • Growth faltering becomes evident from age 8 onwards.
  • Final adult height is significantly impaired in individuals with OI type I.

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