Individual Differences on Growth and Development of Children

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●Individual Differences on Growth and Development of Children An influence of metabolism , hormone,

●Individual Differences on Growth and Development of Children An influence of metabolism , hormone, the properties of bone, dietary life, nutrition, and living and social environment makes differences on growth and development of children. 1

● Growth Disorder Short height Tall height Early sexual maturity Obesity Underweight 2

● Growth Disorder Short height Tall height Early sexual maturity Obesity Underweight 2

　 ● The diseases and conditions for Growth Disorder 1. Endocrine diseases ： Growth

　 ● The diseases and conditions for Growth Disorder 1. Endocrine diseases ： Growth hormone deficiency 2. Bone system diseases ：achondroplasia 3. Metabolism diseases ：rickets 4. Constitutional growth disorder： inheritance growth disorder 5. Chronic diseases ： malnutrition 6. Chromosome disorder：Down’s syndrome 7. Deformity：Russel-silver syndrome 8. Psychosomatic Growth Disorder ：child neglect or abuse 3

　 ● The diseases and conditions for underweight 1. Environmental factor: 2. poverty, nutritional

　 ● The diseases and conditions for underweight 1. Environmental factor: 2. poverty, nutritional misunderstand, infection, etc. 2. Chronic diseases 3. Endocrine diseases 4. Inheritance metabolism diseases 5. Anorexia nervosa 4

Cross-Sectional Standard Growth Chart Height(cm） boy average Height Weight(Kg） average Weight AGE(year） 5 Data

Cross-Sectional Standard Growth Chart Height(cm） boy average Height Weight(Kg） average Weight AGE(year） 5 Data in 2000

● Rohrer Index ＝weight (kg)/（ height (cm)3）ｘ 107 ● Rohrer index ＝weight (kg)/（ height

● Rohrer Index ＝weight (kg)/（ height (cm)3）ｘ 107 ● Rohrer index ＝weight (kg)/（ height (m)3）ｘ 10 Rohrer index Useful to calculate for obesity level of children 6

● Rohrer index ex. height : 135 cm, weight : 30 kg 3 Rohrer

● Rohrer index ex. height : 135 cm, weight : 30 kg 3 Rohrer index ＝ 30÷ 1. 35 × 10 ＝ 30/2. 46× 10 ＝ 122（Normal Weight） 7

● Rohrer Index Severe Underweight under １００ Underweight １００＜１１５ Normal Weight １１５＜１４５ Overweight １４５＜１５９

● Rohrer Index Severe Underweight under １００ Underweight １００＜１１５ Normal Weight １１５＜１４５ Overweight １４５＜１５９ Obese over １６０ 8

● Kaup Index (BMI) ＝ （ weight (g)/ height (cm)2）ｘ 10 ● Kaup index

● Kaup Index (BMI) ＝ （ weight (g)/ height (cm)2）ｘ 10 ● Kaup index (BMI) ＝weight (g)/ height (cm)ｘ 10 Kaup index (BMI) Useful to calculate for obesity level of small children and adult 9

● Kaup index ex. height : 100 cm Kaup index (1 m), weight :

● Kaup index ex. height : 100 cm Kaup index (1 m), weight : 20 kg ＝ 20000÷ 1002× 10 ＝ 20000/10000× 10 ＝ 20（Normal Weight） BMI ＝ 20÷ 12 ＝ 20/1 ＝ 20（Normal Weight） 10

● Kaup index (for small chiｌdren) Severe Underweight ＜ １３ Underweight １３　＜１５ Normal Weight

● Kaup index (for small chiｌdren) Severe Underweight ＜ １３ Underweight １３　＜１５ Normal Weight １５ 　＜ １８ Overweight １８　＜ ２０ Obese ２０　＜ 11

●BMI (for adult) Underweight < １８. ５ Normal Weight １８. ５ < ２５ Overweight

●BMI (for adult) Underweight < １８. ５ Normal Weight １８. ５ < ２５ Overweight ２５ < ３０ Obese ３０ < 12

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