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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Environmental factors influencing growth and pubertal development
1Department of Pediatrics, Free University Hospital, Amsterdam, The Netherlands.
Insights
Child growth depends on genetics and environment. Factors like nutrition, socioeconomic status, and urbanization significantly impact a child
Area of Science:
- Pediatrics
- Human Growth and Development
- Environmental Health
Background:
- Postnatal growth is a complex interplay of hereditary signals and environmental influences.
- Fetal conditions, such as intrauterine growth retardation, can impact long-term height outcomes.
- Environmental factors, including malnutrition and socioeconomic status, play a critical role in child development.
Purpose of the Study:
- To detail the hereditary and environmental factors influencing human growth and pubertal development.
- To explore the impact of fetal conditions on postnatal growth trajectories.
- To analyze the role of socioeconomic status and urbanization on child stature and development.
Main Methods:
- Review of existing literature on human growth factors.
- Analysis of hereditary and environmental influences on child development.
- Examination of the 'secular trend' in growth patterns across different regions.
Main Results:
- Malnutrition significantly inhibits growth in underdeveloped regions.
- Higher socioeconomic status correlates with increased child height.
- Urbanization generally promotes better growth, but exceptions exist in impoverished urban areas.
- The 'secular trend' of increased stature and earlier maturity is observed globally, with recent reports from developing countries.
Conclusions:
- Optimal child growth requires a balance of genetic predisposition and favorable environmental conditions.
- Environmental interventions, particularly in nutrition and healthcare, are crucial for improving child growth outcomes.
- Understanding these factors is essential for addressing growth disparities and promoting healthy development worldwide.
Abstract:
Postnatal growth is based on hereditary signals and environmental factors in a complex regulatory network. Each factor must be in an optimal state for normal growth of the child. Fetal conditions may also have consequences on postnatal height. Intrauterine growth retardation can be recovered postnatally, although postnatal growth remains depressed in about one-third of cases. After birth, the environment may exert either a positive or negative effect on growth. In underdeveloped countries, malnutrition plays a major role in inhibiting the growth process. Children from families of higher socioeconomic classes are taller than their coevals in the lower socioeconomic groups. Urbanization also has a positive effect on growth. Better child care is supported by sufficient food supply, appropriate health and sanitation services, and a higher level of education. Over the last century, these factors have induced a taller stature and a more rapid maturity in Europe, North America, and Australia; a phenomenon which has been referred to as "the secular trend" in growth. Recently, a secular trend has also been reported in some developing countries. Although urbanization in general appears to be associated with better conditions of living, this is not the case in the slums of South America or in Africa where rural children are better off than children living in the poor cities. This paper describes in more detail the different hereditary and environmental factors that act during the fetal period and postnatally, and which play a role in human growth and pubertal development.
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