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Assessment of Child Anthropometry in a Large Epidemiologic Study
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The association between weight, height, and head circumference reconsidered.

Christiane Scheffler1, Holle Greil1, Michael Hermanussen2

  • 1Department of Human Biology, Institute for Biochemistry and Biology, Universität Potsdam, Potsdam, Germany.

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Body size and head circumference are not linked in healthy children. This study analyzed growth patterns in thousands of children, revealing distinct development trajectories for skeletal growth and head size.

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Area of Science:

  • Pediatric growth and development
  • Anthropometry
  • Biostatistics

Background:

  • Body height, weight, and head circumference are typically considered related in children.
  • This study questions the direct association between these parameters under normal conditions.

Purpose of the Study:

  • To investigate the relationship between body size (height, weight) and head circumference in children.
  • To determine if the general proportionality observed is misleading.

Main Methods:

  • Reanalysis of anthropometric data from 7,444 boys and 7,375 girls aged 0-7 years.
  • Utilized principal component analysis on various measurements including body length, weight, and head volume.
  • Included skeletal dimensions, body fat, and skinfold measurements.

Main Results:

  • Strong associations found between skeletal growth, fat accumulation, and head volume.
  • Skeletal growth and fat acquisition showed distinct patterns, separating into different principal components.
  • Head volume demonstrated independence from skeletal growth and fat deposition after age 2 years.

Conclusions:

  • Nutritional status, body size, and head circumference are not related in children under appropriate health and nutritional circumstances.
  • Growth patterns for different body parameters diverge, challenging the assumption of uniform proportionality.