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- Title
A new Swedish reference for total and prepubertal height.
- Authors
Albertsson‐Wikland, Kerstin; Niklasson, Aimon; Holmgren, Anton; Gelander, Lars; Nierop, Andreas F. M.; Albertsson-Wikland, Kerstin
- Abstract
<bold>Aim: </bold>We aimed to develop up-to-date references with standard deviation scores (SDS) for prepubertal and total height.<bold>Methods: </bold>Longitudinal length/height measures from 1572 healthy children (51.5% boys) born at term in 1989-1991 to non-smoking mothers and Nordic parents were obtained from the GrowUp 1990 Gothenburg cohort. A total height SDS reference from birth to adult height was constructed from Quadratic-Exponential-Pubertal-Stop (QEPS) function estimated heights based on individual growth curves. A prepubertal height SDS reference, showing growth trajectory in the absence of puberty, was constructed using the QE functions.<bold>Results: </bold>The total height reference showed taller prepubertal mean heights (for boys 1-2 cm; for girls 0.5-1.0 cm) with a narrower normal within ± 2SDS range vs the GrowUp 1974 Gothenburg reference. Adult height was increased by + 0.9 cm for women (168.6 cm) and by + 1.6 cm for men (182.0 cm). Height in children growing at -2SDS (the cut-off used for referrals) differed up to 2 cm vs the GrowUp 1974 Gothenburg reference, 3 cm vs Swedish 1981 references and World Health Organisation (WHO) 0-5 years standard, and 6-8 cm vs the WHO 5-19 years reference.<bold>Conclusion: </bold>Up-to-date total and prepubertal height references offer promise of improved growth monitoring compared with the references used in Sweden today.
- Subjects
GOTEBORG (Sweden); SWEDEN; WORLD Health Organization; ALTITUDES; STANDARD deviations; LONGITUDINAL method; STATURE; MOTHERS; HUMAN growth; RESEARCH; RESEARCH methodology; PUBERTY; MEDICAL cooperation; EVALUATION research; SELF-report inventories; COMPARATIVE studies; SYMPTOMS; RESEARCH funding; PARENTS
- Publication
Acta Paediatrica, 2020, Vol 109, Issue 4, p754
- ISSN
0803-5253
- Publication type
journal article
- DOI
10.1111/apa.15129