• 대한치과교정학회지
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• 제39권3호
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• pp.159-167
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• 2009

이 연구는 만 7세부터 17세까지의 신장의 누년적 변화를 통해서 사춘기 최대 성장기와 초경 발생 시기와의 관계를 평가하고, 성장 곡선의 형태에 따라 성장 곡선을 분류하여 각 형태별 특징을 파악하고자 시행하였다. 경기도 화성에 있는 삼괴 고등학교에서 1학년부터 3학년까지 96명의 생활기록부에 기재되어 있는 신장의 누년적인 자료가 이용되었으며, 초경 시기와 전신적 질환 유무는 설문지를 통해 조사되었다. 사춘기 성장 가속기는 9.9세에 시작하여 11.6세에 최대 성장기를 이루고 14.1세경에 끝났다. 초경은 12.6세에 일어나며 76.1%는 최대 성장기 이후에 나타나고 최대 성장기와는 1년의 차이를 보인다. 10.4%에서 최대 성장기 전에 초경이 나타났고 13.5%에서는 최대 성장기와 동일한 시점에 나타났다. 초경 시기와 관계없이 사춘기 성장 가속 기간은 4.2년으로 일정하게 나타난다. 성장 곡선을 4가지 형태로 분류하였으며, A형은 51.1%, B형은 21.9%, C형은 20.8%, D형은 6.2%의 분포를 보인다. C형의 성장 가속기간이 가장 길게 나타난다. B형과 C형에서 PHV가 두 개인 경우는 B형과 C형의 58.5%인 24명에서 나타났다. 이상의 연구 결과에서 개개인의 성장 양상은 개인차가 크며 초경뿐만 아니라 누년적인 성장을 참고로 하여 onset의 정확한 시기와 성장 곡선 형태를 파악할 수 있다면 남은 성장 기간 예측에 도움을 줄 것으로 생각된다.

• Clinical and Experimental Pediatrics
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• 제49권12호
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• pp.1263-1266
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• 2006

Nutrition is an essential component of total adolescent health care. Two important changes occurring during adolescence can cause a crisis in the teenager's nutritional needs. First, growth in height, weight, and body component is greater and more rapid than at any time since infancy. Second, an adolescent's eating habits may change from regular meals prepared at home to irregular meals, skipped meals, and nutrition-poor snacks and fast-food meals. Adolescents have been found to have the highest prevalence of any age group of an unsatisfactory nutritional status. To understand the nutritional requirements of the adolescent, health practitioners should be aware of the intensity and timing of the adolescent growth spurt, the differences in the growth spurt between males and females, and the individual variation in timing of the growth spurt from teenager to teenager.

• 대한소아치과학회지
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• 제46권3호
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• pp.233-238
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• 2019

본 연구의 목적은 한국 소아청소년 표준 골연령 도표를 이용하여 평가한 SMI 및 MP3 단계별 골연령을 조사하여 최대 성장기에 해당하는 단계를 알아보고, 이를 통해 성장 중인 부정교합 환자의 치료 계획 수립, 치료방법 및 시기에 중요한 영향을 미치는 성장 발육평가 자료를 제공하고자 함이다. 이대목동병원 소아청소년과에 내원한 363명의 환자의 수완부 방사선 사진에서 한국 소아 청소년의 표준 골연령 도표를 바탕으로 영상의학과 의사에 의해 판정된 골연령을 조사하였다. 동일한 방사선 사진에서 평가된 SMI 및 MP3 단계에 따른 평균 골연령을 산출하였다. 본 연구 결과 사춘기 최대 성장기가 남아에서는 SMI 4 - 5단계 및 MP3 FG - G단계, 여아에서는 SMI 3 - 4단계 및 MP3 F - FG단계에서 나타남을 확인하였다.

• 보건교육건강증진학회지
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• 제8권2호
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• pp.74-86
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• 1991

This study tried to clear the characteristics of height growth pattern depending on Peak Height Velocity age in early, average and late groups. And in it, height growth tendency of girl students in age 7 to 18 years old was compared and investigated in order to know influencing factors, menarcheal age relation. The samples were senior girl students at high school in Seoul. Longitudinal data and survey data were collected in August, 1990. The results could be summarized as follows: 1. On distance curve, the height growth line in early group tended to be the highest and in late group the lowest. On the other hand, on velocity curve late group showed the highest peak and early group showed the lowest peak. In late group, velocity curve was too steep. Of course, these early, average and late groups were classified by PHV age. 2. In these three groups, late group showed the most growth amount per year. However, on distance curve, early group showed higher line than late group. Perhaps this means that peak growth amount in late group might have an effect on mean. 3. Growth amount of adolescence spurt age in these three groups was 6.86cm at age 9(early group), 7.27cm at l1(average group) and 7.65cm at 13(late group). In early group, because. PHV age came too early, it was difficult to find exact adolescence spurt period. In early group, the adolescence spurt period is considered to come at about age 7 to 9. In average group, at 9 to 11 and at 12 to 13 in late group. Especially, spurt of late group was remarkable. 4. When the growth amount of PA, before PA and after PA was compared, growth amount of PA in all three groups was about 20%. In early group, growth amount of APV tended to be large and in late group, that of APV tended to be large and in late group, that of BPV was large. In average group, growth amount of BPV was larger than that of APV. 5. For the purpose of comparing total height growth amount of these groups at age 18, the height growth was assumed to be over. And then, the difference of three groups was studied but it's not significant. 6. Although the difference between height growth and family environment, dietary habits, exercise, disease history in these three groups was investigated, only the income was significant. The significance of all the other factors was not approved. 7. When menarcheal age was compared with PA, generally we know menarche appeared after 1∼2 years of PHV age. But in case of early group, the difference between PHV age and menarcheal age was 5.34 years. In average group, 2.45 years and 0.82 years in late group.

• 대한치과교정학회지
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• 제1권1호
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• pp.33-37
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• 1970

저자들은 III급 부정교합의 가족력이 있는 8세 6개월의 여아를 III급 부정교합의 초기상태에서 조기치료를 시도했고 계속적인 장치의 장착으로서 Growth spurts에 일어날수 있는 하악전돌증의 공적으로부터 이를 방어하고져 시도하였다. Growth spurts로 인한 하악전돌증의 방어를 효과적으로 하기위해서는 chin cap과 extraoral force의 이용도 적절하리라 생각한다.

• 보건교육건강증진학회지
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• 제23권5호
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• pp.13-27
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• 2006

This study was performed to formulate the most recent traits of physical growth of youth, and to identify the need of youth for health promotion planning in modern Korea. Study participants were 171 boys and 400 girls in two senior high schools in Seoul, Korea. Health records were collected from the individual students in May 2005. Longitudinal data on stature and body weight from 6 to 16 years old were analysed. Significance tests on some measures were performed by t-test and ANOVA. Major conclusions were as follows: 1. Girls were taller than boys during the specific time of adolescence. However, this phenomenon was not found in the growth process investigated by peak age and in over-all mean growth process of body weight. 2. Peak age came later in boys than in girls in both stature and body weight. This meant that boys matured later in stature and body weight than girls. However, boys were larger in peak velocity than girls. 3. Peak ages distributed more widely in girls than in boys both for stature and body weight. 4. Even in such short growth process from 6 through 16 years old, growth spurt tended to appear in several times. 5. Growth spurt tended to appear more often in boys than in girls.

• 대한치과교정학회지
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• 제23권4호
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• pp.529-541
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• 1993

The purpose of this study was to investigate not only the variability in the timing and amount of the maximum pubertal spurt in cranial base and mandible, but also its interrelationship with the timing of peak height velocity. This study was carried out by analysing biannual serial lateral cephalometric radiographs of twenty-six males and twenty-one females who were taken from 8.5years to 16.5years old of mean age, according to the established land-marks and linear measurements. The results of this study were summarized as follows. 1. Prevalance of the maximum growth spurt more than 80 percentage was occurred in all measurements of cranial base and mandible, except posterior cranial base length in the female. 2. In all measurements of cranial base and mandible, the maximum spurt was occurred earlier in the female than the male while it was greater in male in all measurements except ramal height. 3. In body height measurement, the peak height velocity was occurred 2 years earlier for the female(11.0 years old) than the male(13.0 years old). 4. The timing of maximum spurt in anterior cranial base length and total mandibular length in both sexes and ramal height in the female were coincided with PHV. The maximum spurt was occurred in both sexes in all measurements 2 years before or after PHV, except mandibular body length and posterior cranial base length the in female. 5. In all ages, there was significant correlation between the total mandibular length and ramal height, and was also correlation between total cranial base length and anterior cranial base length(P<0.05). However, there was no significant correlation between the ramal height and mandibular body length. In addition, there was also no any correlation between the anterior cranial base length and posterior cranial base length in all ages(P>0.05).

• 대한치과교정학회지
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• 제29권1호
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• pp.23-35
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• 1999

한국인 7세-17세 아동의 두개저, 상악, 하악의 사춘기 성장 양상을 파악해 보고자 남자 251개, 여자 286개의 측모두부계측방사선 사진을 이용, 10개의 계측점과 16개의 계측항목을 설정하고 계측항목에 대한 계측치와 각 연령별 년간 누년차를 산출한 다음 이들간의 통계적 유의성을 검증하였으며 각 계측항목을 두개저, 상악, 하악의 세군으로 분류하고 또 남녀별로 분류하여 비교함으로써 다음과 같은 결론을 얻었다. 1. 한국인 성장기 아동에 있어서의 성장은 남자 아동에 비해 여자 아동이 빠른 시기에 일어났다. 2. 두개저, 상악골, 하악골 모두 사춘기 성장을 나타내었으나 두개저의 성장은 안면골 성장에 비해 상대적으로 작았다. 3. 두개저 성장에 있어서 전두개저 길이의 증가에 비해 중두개저 및 후두개저의 길이 증가가 현저했으며 사춘기 성장증가(circumpuberal growth spurt) 양상도 보다 명확했다.4. 상악골의 전하방 이동은 상악골 자체의 길이 성장과 상악골 주위 봉합부의 성장에 따른 변위가 종합된 결과로 두개저에 대한 상악골의 상대적 위치를 나타내는 Ar-ANS와 Ar-Pr이 상악골 자체의 길이 성장을 나타내는 ANS-PNS보다 많은 성장량을 보였다. 5. 하악골은 수평 성장량에 비해 수직 성장이 약간 크게 나타났으나 유의할 수준은 아니다. 6. 상악 치조골과 하악 치조골은 유치 탈락후 영구치 맹출시기에 최대 성장률을 보인후 감소하는 경향을 보이지만 하악 치조골의 수직성장에서는 사춘기 성장증가가 관찰되었다.

• 대한소아치과학회지
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• 제32권3호
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• pp.403-408
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• 2005

치아유착은 치근의 상아질 또는 백악질이 치조골과 융합된 것으로 치아의 맹출이상을 야기하여 치조골 성장의 장애를 일으킨다. 본 6세 여아는 유구치의 유착과 영구 소구치의 결손을 주소로 본과에 의뢰되었으며 특이할 만한 의과적, 치과적 병력은 없었다. 구강 검진 소견상 상, 하악의 좌, 우측 유구치에서 저위교합이 관찰되었으며, 다수의 치아우식증이 존재하였다. 방사선 사진 검사 소견상 상악의 좌, 우측 영구 견치와 계승 소구치의 결손, 상악 유구치의 치근흡수와 하악 유구치의 치주인대공간의 소실 및 미약한 치근흡수가 관찰되었다. 계승 영구치의 결손을 동반한 유구치 유착시 치료목표는 적절한 치조골 성장과 유치의 유지이며, 유착의 발현 시기와 치근의 흡수 정도에 따라 관찰, 수복 또는 발치 등의 치료를 고려할 수 있다. 유착치아의 발치는 인접 치조골 성장에 문제가 없고 인접치의 경사가 일어나지 않도록 최대성장점(growth spurt)을 고려하여 그 시기를 결정해야 한다.

• 대한치과교정학회지
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• 제15권2호
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• pp.197-209
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• 1985

To investigate the relationship between the pubertal spurt in body height and bone maturity of the hand-and-wrist in normal occlusion, the author X-rayed the hand-and-wrists of 1,141 students (male 614, female 527) and assessed their bone maturity. In this study, eleven skeletal stages were selected. The bones used to determine skeletal maturity were the ulnar sesamoid of the metacarpophalangeal joint of the first finger, the epiphyses of the proximal, middle, distal phalanges of the third finger, and middle phalanx of the fifth finger, and distal epiphysis of the radius. From the longitudinal data for height, an assessment was made of the change in growth velocity. The pubertal growth stage was divided into onset and peak height velocity phases. The results were as follows; 1. The onset of the pubertal growth was between the $PP_3=\;and\;MP_3=$ stage for boys, and between the $MP_3=\;and\;MP_5=$ stage for girls; the mean age of onset was 10.6 years for boys and 9.0 years for girls. 2. The peak height velocity was between the S and $MP_{3_{cap}}$ stage for boys, and between the $MP_{3_{cap}}$ and $MP_{5_{cap}}$ stage for girls; the mom age of peak height velocity was 12.5 years for boys and 10.9 years for girls. 3. As the stages of bone maturity progressed from $DP_{3u},\;to\;PP_{3u},\;MP_{3u}$, Ru, the peak height velocity had been reached, and the growth rate retarded, therefore the approach to full physical maturity was attained. 4. The evidence for the period of onset, peak height velocity and bone maturation suggested that girls were in advance of boys. During the latter part of pubertal growth, the rate of boys' bone maturation was faster than that of girls'.