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A Study on Comparison between Growth Indices of Weak Children Groups via Analyzing Bone Age and Body Composition

허약아와 성장지표의 상관성에 대한 연구

  • Lee, Hye Lim (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Han, Jae Kyung (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Kim, Yun Hee (Department of Pediatrics, College of Korean Medicine, Daejeon University)
  • 이혜림 (대전대학교 한의과대학 소아과학교실) ;
  • 한재경 (대전대학교 한의과대학 소아과학교실) ;
  • 김윤희 (대전대학교 한의과대학 소아과학교실)
  • Received : 2014.04.25
  • Accepted : 2014.05.20
  • Published : 2014.05.31

Abstract

Objectives The purpose of this study is to investigate the relationship between weak children and growth indices. Methods One hundred twenty-six of the first and the second grade elementary school students who didn't have to develop yet their secondary sexual characteristics answered the questionnaire. Their bone age and body composition were measured. Results 1. According to the Weak Children questionnaire analysis, respiratory problem was one of the biggest problems in the weak children group (35.7%), followed by digestive problems (23.0%), psycho-neurological problems (22.2%), neuromotor problems (9.5%), and urogenital problems (8.7%). 2. From the comparison between growth indices of weak children and that of normal children are as follows: 1) The group of children who had problem in their digestive system had lower growth indices than the normal average children group. The growth indices includes mean height, weight, total body water, protein mass, mineral mass, body fat, skeletal muscle mass, body fat percentage, body mass index (BMI), and basal metabolic rate (BMR). 2) The children who had urogenital weakness had lower mean height, RH (Recent Height), RH - MPH {Recent Height(%) - Mid-Parental Height(%)}, RUS (Radius, Ulna and Short bone) score, weight, protein mass, body fat, BMI, and visceral fat than the normal children group. 3. The results of the multiple comparisons of growth indices and weak children groups are as follows: 1) Digestive weak children were the lowest in total body water, protein mass, mineral mass, skeletal muscle mass, and basal metabolic rate. 2) Urogenital weak children were the lowest in height, RH, RH - MPH, RUS score, and weight. Conclusion These results showed that children's growth is strongly correlated to their own growth problems, especially to those children who have digestive and urogenital problems. Therefore, this may be an effective way for children growth treatment in Korean medicine to treat weak symptoms.

Keywords

References

  1. Sung IK. Monitoring growth in childhood : Practical clinical guide. J Korean Med Assoc. 2009;52(3):211-24. https://doi.org/10.5124/jkma.2009.52.3.211
  2. Hong CE. Textbook of pediatrics. 10th ed. Seoul: Korea Textbook Publishing Co. 2012:20-1.
  3. Statistics Korea. Birth certificate data on 2011. Dae-jeon. 2012:1-2.
  4. Choi MH, Kim DG, Lee JY. Effect of genetic and environmental factors on growth. J Pediatr Korean Med. 2010;24(3):138-49.
  5. Kang KY, Han JK, Kim YH. The study on correlationship between parent's height and adult height prediction according to TW3 method. J Pediatr Korean Med. 2012;26(3):46-54. https://doi.org/10.7778/jpkm.2012.26.3.046
  6. Yoon HJ, Kim DG, Lee JY. A study for the parent's recognition of the oriental medical treatment and the expectation of children's growth. J Pediatr Korean Med. 2011;25(1):119-27. https://doi.org/10.7778/jpkm.2011.25.1.119
  7. Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ, Baek JH, Yu SA, Lee SY, Lee JY, Lee HJ, Chang GT, Chai JW, Han YJ, Han JK. Hanbangsoacheongsonyeonuihak. Seoul: Ui Sung Dang Publishing Co. 2010:38, 47, 173-6, 830.
  8. Kim DG, Kim YS, Jung GM. The clinical study of weak children. J Pediatr Korean Med. 1989;3(1):79-83.
  9. Kim YH. Pattern identification of viscera and bowels. Seoul: Seong Bo Sa. 1985:201-45.
  10. Kim JH. The clinical study of delayed growth. J Pediatr Korean Med. 1998;12(1):95-110.
  11. Jung HS, Lee H, Lee JY, Kim DG. Clinical study of effect to the height-growth after the administration of Boyangsungjangtang to the prepuberty children. J Pediatr Korean Med. 2001;15(1):47-57.
  12. Lee DH, Kim DG. The effects of oriental medical care on growth deficiency children. J Pediatr Korean Med. 1998;12:145-62.
  13. Cho HJ, Jung SM, Kim DG, Lee JY. The effect of herbal medicine treatment on the growth of children. J Pediatr Korean Med. 2004;18(2):119-26.
  14. Jeong MJ, Gok SY, Lee SY. Pilot study of effect to the growth after the administration of herbal medicine to the prepuberty children. J Pediatr Korean Med. 2008;22(3):25-34.
  15. Jang GT, Kim JH. The literatual study on the growth disorder. J Pediatr Korean Med. 1997;11:1-35.
  16. Jung YH, Kim YH, Yoo DY. The literatual study on the growth disorder. J Pediatr Korean Med. 1999;13(1):17-62.
  17. Koo BH, Lee TE, Lee BW. Effect of the herb medicines to growth and secretion of growth hormone in pigs. J Pediatr Korean Med. 1998;12:277-87.
  18. Ku EJ, Kim DG. The effect of Boyangsengjang-Tang on the growth of mice and rats. J Pediatr Korean Med. 2002;16:149-69.
  19. Yu SA, Lee SY. Clinical study for tongue change on weak children. J Pediatr Korean Med. 2001;15(2):101-9.
  20. Yu SA, Lee SY. Clinical study for inspection of face color and tongue state on weak children. J Pediatr Korean Med. 2002;16(2):23-37.
  21. Seo YM, Chang GT, Kim JH. The clinical study of the growth stature on weak children. J Pediatr Korean Med. 2004;18(1):77-91.
  22. Wang HL, Jang BH, Kwon MW. The statistical study of weakness and the delayed growth on primary school children. J Pediatr Korean Med. 2005;19(2):137-52.
  23. Gok SY, Yu SA, Lee SY. The correlation study between interference test with the weak children symptoms. J Pediatr Korean Med. 2009;23(3):71-88.
  24. Jung SK, Yu SA, Lee SY. The correlation study between developmental disability and weak symptoms. J Pediatr Korean Med. 2012;26(2):25-34. https://doi.org/10.7778/jpkm.2012.26.2.025
  25. Korea Centers for Disease Control and Prevention. The Association of Korean Pediatrics. Standard Growth Chart in Children and Adolescents 2007-Explanation. 2007.
  26. Tanner JM, Healy MJR, Goldstein H, Cameron N. Assessment of skeletal maturity and prediction of adult height: TW3 method. Seoul: Beom Mun Sa. 2005:9, 18-21.
  27. Shin CH. Current use of growth hormone in children. Korean J Pediatr. 2006;49(7):703-9. https://doi.org/10.3345/kjp.2006.49.7.703
  28. Lee KY. Growth hormone therapy in short stature children. J Korean Med Assoc. 2008;51(9):849-55. https://doi.org/10.5124/jkma.2008.51.9.849
  29. Freemark M. Editorial : Growth hormone treatment of "idiopathic short stature" : not so fast. J Clin Endocrinol Metab. 2004;89:3138-9. https://doi.org/10.1210/jc.2004-0671
  30. Greulich WW. A comparison of the physical growth and development of americal-born and native japanese children. Amer J anthropod. 1957;15:489. https://doi.org/10.1002/ajpa.1330150403
  31. Mitchell HS. Nutrition in relation to stature. J Am Diet Asso. 1962;40:521-4.
  32. Yoo TB, Kim YS, Bae JY, Kim DG. The literatual study on weak children. J Pediatr Korean Med. 1990; 4(1):67-78.
  33. Kim DG, Kim YS, Jung GM. The clinical study of weak children. J Pediatr Korean Med. 1989;3(1):79-83.
  34. Lee H, Lee JY, Kim DG. Clinical study on weak children. J Pediatr Korean Med. 2000;14(1):127-36.
  35. Kim HJ, Park EJ. Oriental medical research about internet addiction by study of the weak children symptoms. J Pediatr Korean Med. 2008;22(2):51-67.
  36. Son MJ, Han JK, Kim YH. Oriental medical research about school life maladjustment by study of the weak children symptoms. J Pediatr Korean Med. 2009;23(3): 55-69.
  37. Park YJ, Park YB. A study on standardization of bian zheng [辨證] by some statistical methods. J Korean Med Diagn. 2001;5(2):306-30.
  38. Jeong MJ, Lim JH, Hwang BM, Yun YJ, Kim KB. Set the cut off values for diagnosing heart weak children; by using K-CBCL total behavior problems score. J Pediatr Korean Med. 2010;24(3):58-67.
  39. Smith RJ. Misuse of handwrist sadiographs. Am J Orthod Dentofac Orthop. 1985;88:273. https://doi.org/10.1016/0002-9416(85)90126-5
  40. Wilson DM, Hammer LD, Duncan P. Growth and intellectual development. J pediatrics. 1986;78:646-50.
  41. Man J. A complete collection of pediatrics. Taipei: Mun Gwang Publishing Company. 1954:24.
  42. Yeon KM. Standard bone age of infants and children in Korea. J Korean Med Sci. 1997;12(1):9-16. https://doi.org/10.3346/jkms.1997.12.1.9
  43. Lee YM, Kim KW, Yoon YJ. Correlations between dental and skeletal maturity. Korean J Orthod. 2000; 30(2):143-57.
  44. Greuclich WW, Pyle SI. Radiographic atlas of skeletal development of the hand wrist. Stanford University Press. 1959.
  45. Song JK, Yoo SH, Son DO. Skeletal maturity and the prediction of adult height estimated by tanner & whitehouse in children and youth. J Korean Phys Educ. 1998;37(3):220-41.
  46. Tamura K, Akiyama T, Taguchi A, Fujikawa H, Saitch H, Tanaihara T. Measurement of bone density by ultrasound bone densitometer in normal pregnant wamen. Nippon Sanka Fujinka Gakkai Zasshi. 1996; 48(11):1070-84.
  47. Kim SH, Kim HJ, Han EO, Han SM. Comparison between ultrasonic and X-ray methods for imaging the children's growth plate. J Biomed Eng Res. 2004;25(6): 551-6.
  48. Wright CM, Cheetham TD. The strengths and limitations of parental heights as a predictor of attained height. Arch Dis Child. 1999;81:257-60. https://doi.org/10.1136/adc.81.3.257
  49. Tanner JM, Goldstein H, Whitehouse RH. Standards for children's height at ages 2-9 years allowing for heights of parents. Arch Dis Child. 1970;45:755-62. https://doi.org/10.1136/adc.45.244.755
  50. Lee YJ, Yun HJ, Kwak MA, Baek JH. A study on relationships between bone age and body composition. J Pediatr Korean Med. 2009;23(2):145-57.
  51. Kim HJ, Lee HJ, Park EJ. A clinical study on the effect of oriental medical treatment to the growth of children using bone age as measurer. J Pediatr Korean Med. 2006;20(3):23-32.
  52. Wang ZM, Deurenberg P, Wang W, Pietrobelli A, Baumgartner RN, Heymsfield SB. Hydration of fat-free body mass ; review and critique of a classic body composition contents. Am J Clin Nutr. 1999;69(5):833-41. https://doi.org/10.1093/ajcn/69.5.833
  53. Kim SS, Kim CY, Kim MG, Cha GC, Jung YG. Comparison of body composition in obese children and normal children using segmental bioelectrical impedance and skinfold - thickness measurements. J Sport Leisure Stud. 1998;9(1):451-62.
  54. Hong SC, Lee SY, Hyun IS. Body composition by bioelectrical impedence analysis in primary, middle, high and college students in Cheju. J Korean Public Health Assoc. 2002;28(2):149-57.
  55. Kim JG, Park SH, Lyu HS, Kim GH, Heo Y, Ma ML, Lee CH, Kim JH. Development of body composition analysis and estimated regressions on male children aged 10 to 12. Korea Sport Res. 2005;16(4):671-80.
  56. Seo HY, Han JK, Kim YH. A study on relations between obesity and skeletal maturity. J Pediatr Korean Med. 2008;22(2):19-35.
  57. Jung JY, Kim HW, Kim TH, Hong YM. Body composition by bioelectrical impedance analysis in children below 7 years old. Korean J Pediatr. 2010; 53(3):341-8. https://doi.org/10.3345/kjp.2010.53.3.341

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