• Title/Summary/Keyword: stature

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Short Stature and Growth Hormone Therapy (저신장 소아를 위한 성장호르몬 치료)

  • Park, Yong-Hoon
    • Journal of Yeungnam Medical Science
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    • v.22 no.1
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    • pp.1-12
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    • 2005
  • Normal growth and development is of prime concern during childhood. The treatment of children with growth hormone deficiency has been revolutionized by growth hormone therapy. An improved height outcome with a final height within the target height range has been achieved. However, close follow-up with regular clinical and laboratory monitoring is essential for achieving the desirable height outcome. The theoretical unlimited supply of growth hormone has led to its wide spread use in a variety of disorders other than a growth hormone deficiency. Initially used in children with Turner syndrome, growth hormone is now used to treat chronic renal failure, an idiopathic short stature and intrauterine growth restrictions in addition to a wide array of newly emerging indications. This review summarizes the basics for a proper growth assessment, the differentiation of normal and abnormal growth causes of a short stature, and the indications for growth hormone treatment.

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Relationship between Representative Anthropometric Dimensions and Income Levels for Korean

  • Kee, Do-Hyung
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.1
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    • pp.255-259
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    • 2012
  • Objective: This study aims to investigate relationship between representative anthropometric dimensions and income levels for Korean from 1958 to 1989. The anthropometric dimensions include stature and body weight, and GNP per head was used as an index of income level. Background: Although anthropometric dimensions were affected by varying factors such as genetic, environmental and socioeconomic factors, most studies on anthropometry have focused on measurement methods, providing data and their characteristics. Method: Anthropometric data were retrieved from homepages of Korean Agency for Technology and Standards, and Ministry of Culture, Sports & Tourism, and GNPs per head by year from Korean Statistical Information Service. Results: During analysis period, statures and body weights for males and females increased by 6.4cm and 6.1cm, 10.7kg and 4.0kg, respectively. Infants' stature and body weight nearly linearly increased with GNPs per head. Anthropometric dimensions of stature and body weight were very positively correlated with GNPs per head. Conclusion: This study revealed that income levels significantly affect stature and body weight. Application: The results would be used as a valuable basic data when establishing government policies related to anthropometry.

The Feasibility and Safety of Herbal Medication on Short Stature (성장치료를 위한 한약투여의 임상적 효과 및 안전성 평가)

  • Cheong, Jeong-Ook;Yang, Tae-Kyu;Koo, Bon-Hong;Lee, Sea-Yun
    • The Journal of Internal Korean Medicine
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    • v.22 no.4
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    • pp.513-517
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    • 2001
  • Objective : Recently many studies of herbal medication to promote growth have been implemented. The purpose of this study was to identify the feasibility and safety of herbal medication on short stature. Methods : 143 patients(87 males, 56 Females)who visited with short stature at Kangnam CHA Oriental Hospital From February 1999 to January 2000 and were treated during 6 months, were available for this study. We treated with 5 herbal medications.(Soeumin hyangbujapalmultang-gagambang, Soyangin yukmijihwangtang-gagambang, Taeumin chungsimyunjatang-gagambang, Boa-tang, Boikyangwi tang) At the begining of the treatment and after 6 months treatment, We measured height, weight and body mass index(BMI). And we investigated changes of aspartate aminotransferase(AST), alanine aminotransferase(ALT), blood urea nitrogen(BUN), alkaline phosphatase(ALP), creatinine. Results: The distribution of ages was from 5 years old to 17 years old. After herbal treatment, mean height, mean weight, mean BMI and mean percentile grade increased $138.5{\pm}15.6$ to $141.9{\pm}15.1$, from $36.9{\pm}13.2$ to $38.9{\pm}13.2$, from $18.5{\pm}3.29$ to $18.7{\pm}3.21$, from $3.2{\pm}1.2$ to $3.4{\pm}1.2$. The contents of AST, ALT, BUN, ALP and Creatinine were not showed any significant change. Conclusions : In the results We recognized Short stature was showed prominent feasibility and safety of herbal medication. Herbal Medication in patients with short stature will improve height velocity without liver and kidney function disorders.

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The Usefulness of Obesity Indices for the Coronary Risk Factors in an Urban Inhabitants (도시지역 주민의 관상동맥질환 위험인자에 관련한 비만지표의 유용성 검토)

  • Park, Sung-Kyeong;Kim, Kwang-Hwan;Cho, Young-Chae
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.6
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    • pp.447-454
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    • 2006
  • Objectives : To determine obesity for the screening of individuals at high risk of coronary heart disease in urban areas. Methods : Data were obtained from 4,137 adults between 19 and 85 years of age (2,372 males, 1,765 females), not recognized as taking medicines for cardiovascular diseases, who underwent a health check-up at the health promotion center of university hospitals in cities between Jan. 2003 and Dec. 2004. The variables studied were divided into two broad categories, and their relationships examined. obesity indices and risk factors for coronary heart disease. To reveal the relation between each of the obesity indices and the proportion of individuals at risk of coronary heart disease, the obesity indices were stratified and odds ratios obtained after age adjustment. Results : From a gender comparison of anthropometric measures, men were found to have significantly greater heights, weights, and waist and hip circumferences than women. From a gender comparison by the obesity indices, women were found to have significantly higher BMI, %Fat, waist to hip and waist to stature ratios than men. As obesity indices, the waist to stature ratio and the waist circumference were strongly correlated with coronary risk factors, both in men and women. The age-adjusted odds ratio of coronary risk factors increased significantly with increasing waist circumference, BMI, %fat, waist to hip and waist to stature ratios, and were highest specifically for the waist to stature ratio and the waist circumference. Conclusions : The study results showed that the waist to stature ratio and the waist circumference, as obesity indices, were most closely correlated with coronary risk factors. It is suggested that the waist to stature ratio and, specifically, the waist circumference can be effectively used in the field of health management for screening those with high levels of coronary risk factors.

Anthropometry for clothing construction and cluster analysis ( I ) (피복구성학적 인체계측과 집낙구조분석 ( I ))

  • Kim Ku Ja
    • Journal of the Korean Society of Clothing and Textiles
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    • v.10 no.3
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    • pp.37-48
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    • 1986
  • The purpose of this study was to analyze 'the natural groupings' of subjects in order to classify highly similar somatotype for clothing construction. The sample for the study was drawn randomly out of senior high school boys in Seoul urban area. The sample size was 425 boys between age 16 and 18. Cluster analysis was more concerned with finding the hierarchical structure of subjects by three dimensional distance of stature. bust girth and sleeve length. The groups forming a partition can be subdivided into 5 and 6 sets by the hierarchical tree of the given subjects. Ward's Minimum Variance Method was applied after extraction of distance matrix by the Standardized Euclidean Distance. All of the above data was analyzed by the computer installed at Korea Advanced Institute of Science and Technology. The major findings, take for instance, of 16 age group can be summarized as follows. The results of cluster analysis of this study: 1. Cluster 1 (32 persons means $18.29\%$ of the total) is characterized with smaller bust girth than that of cluster 5, but stature and sleeve length of the cluster 1 are the largest group. 2. Cluster 2 (18 Persons means $10.29\%$ of the total) is characterized with the group of the smallest stature and sleeve length, but bust girth larger than that of cluster 3. 3. Cluster 3(35persons means $20\%$ of the total) is classified with the smallest group of all the stature, bust girth and sleeve length. 4. Cluster 4(60 persons means $34.29\%$ of the total) is grouped with the same value of sleeve length with the mean value of 16 age group, but the stature and bust girth is smaller than the mean value of this age group. 5. Cluster 5(30 persons means $17.14\%$ of the total) is characterized with smaller stature than that of cluster 1, and with larger bust girth than that of cluster 1, but with the same value of the sleeve length with the mean value of the 16 age group.

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An Convergence Analysis of the Effect of Growth Hormone Deficiency on the Development of Teeth in short stature Children (성장호르몬결핍이 저신장 소아의 치아발육에 미치는 영향에 대한 융합 분석)

  • Son, Hwa-Kyung;Kang, So-Hee;Lee, Hee-Kyung
    • Journal of the Korea Convergence Society
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    • v.12 no.6
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    • pp.39-47
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    • 2021
  • The purpose of this study is to analyze the differences among short statured children with growth hormone deficiency, idiopathic, and normal children in order to find the effect of growth hormone deficiency on tooth developmental stage. We classified children diagnosed with short stature at the Pediatrics in Yeungnam University Hospital as subjects due to idiopathic and growth hormone deficiency. We analyzed the relationship between short stature and tooth development through the measuring of oral panorama and body index. Only the eruption of lateral incisors showed significant difference between short statured with growth hormone deficiency and idiopathic. Almost all tooth eruption was significantly delayed on short statured children with growth hormone deficiency compared to average group. In conclusion, short stature children with either growth hormone deficiency or idiopathic were affected not only in their somatic stature but also dental maturity. We look forward to this study presenting basic data for orthodontic therapy.

Overnight Growth Hormone Secretions and Sleep Patterns in Idiopathic Short Stature Children (특발성 저신장 아동의 야간 성장호르몬 분비와 수면양상)

  • Seo, Sang Young;Lee, Kee Hyoung;Eun, Baik Lin;Sohn, Chang Sung;Tockgo, Young Chang;Shin, Chol;Kim, Baek-Hyun
    • Clinical and Experimental Pediatrics
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    • v.46 no.4
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    • pp.363-369
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    • 2003
  • Purpose : Pharmacologic provocation test of growth hormone(GH) is a non-physiologic method and has several limitations for diagnosing growth hormone(GH) deficiency. Spontaneous GH release studies could be important in understanding the pathophysiology of children with poor growth but normal responses to GH provocation tests. Also, the relationship between nocturnal GH secretions and sleep patterns in short stature children is poorly understood. The aim of this study is to determine whether there are differences in sleep patterns and nocturnal GH secretory profiles between idiopathic short stature children and a normal stature group. Methods : Spontaneous nocturnal GH secretions and sleep patterns were evaluated in 12 prepubertal idiopathic short stature children with normal responses to provocation tests and 9 normal stature controls. Blood samples were taken every 30 minutes from 22:00-06:30 and sleep patterns were analyzed by polysomnography. Results : The mean GH level during sleep was significantly lower in short stature children than in controls. The peak GH level after sleep, coincident with the first slow wave sleep, was lower in the short stature group. The slow wave sleep times of short stature children were decreased compared with those of normal subjects. Conclusion : These results suggest that overnight serial GH sampling is helpful to identify short stature children with subnormal GH secretions, and sleep structure differences may be associated with decreased overnight GH secretions in short stature children.

Construction of a reference stature growth curve using spline function and prediction of final stature in Korean (스플라인 함수를 이용한 한국인 키 기준 성장 곡선 구성과 최종 키 예측 연구)

  • An, Hong-Sug;Lee, Shin-Jae
    • The korean journal of orthodontics
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    • v.37 no.1 s.120
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    • pp.16-28
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    • 2007
  • Objective: Evaluation of individual growth is important in orthodontics. The aim of this study was to develop a convenient software that can evaluate current growth status and predict further growth. Methods: Stature data of 2 to 20 year-old Koreans (4893 boys and 4987 girls) were extracted from a nationwide data. Age-sex-specific continuous functions describing percentile growth curves were constructed using natural cubic spline function (NCSF). Then, final stature prediction algorithm was developed and its validity was tested using longitudinal series of stature measurements on randomly selected 200 samples. Various accuracy measurements and analyses of errors between observed and predicted stature using NCSF growth curves were performed. Results: NCSF growth curves were shown to be excellent models in describing reference percentile stature growth curie over age. The prediction accuracy compared favorably with previous prediction models, even more accurate. The current prediction models gave more accurate results in girls than boys. Although the prediction accuracy was high, the error pattern of the validation data showed that in most cases, there were a lot of residuals with the same sign, suggestive of autocorrelation among them. Conclusion: More sophisticated growth prediction algorithm is warranted to enhance a more appropriate goodness of model fit for individual growth.

Correlation between Short Stature and Obese Degree - Intended for the Case of 236 Patient in the Name of Short Stature (저신장과 비만도의 상관성 분석 - 저신장을 주소로 내원한 환아 236명을 대상으로)

  • Lee, Kyung-Hee;Song, Jae-Chul;Lee, Jae-Sung;Kwak, Chang-Kyu;Park, Sun-Young;Han, Seung-Moo;Lim, Sa-Bi-Na;Shin, Hyun-Taeg
    • Journal of Korean Medicine for Obesity Research
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    • v.5 no.1
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    • pp.97-107
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    • 2005
  • Objectives The purpose of this study was to investigate correlation between short stature and obese degree. And we also wanted to know the characteristics of patients visited clinic in the name of 'short stature'. Methods Height, body weight, BMI, fat mass, lean body mass, percent body fat were taken intended for 236 patients in the name of short stature. To all the patient questionnaire for growth clinic was drawn up, and ultrasound scan was taken through calcaneous of the right foot. The patients were classified to three groups - short, average, tall group - according to relative position of mid-parental height. It was analysed that the differences between groups in obese degree. Also was investigated correlation between position of short stature and obese degree, and between obese degree and bony maturity. Results & Conclusion 1. The average ages of patients in the name of 'short stature' were $12.69{\pm}3.93$ years old in boys, $10.66{\pm}3.67$ years old in girls. And it seemed to be just before second rapid maturing period. 2. The average BMI were $20.58{\pm}4.07kg/m^2$ in boys, $18.65{\pm}2.85kg/m^2$ in girls, and average percent body fat were $21.99{\pm}7.35%$ in boys, $26.01{\pm}6.35%$ in girls. 3. The numbers of obese children were 34(31.2%) in boys, 19(14.9%) in girls on the basis of BMI. And the numbers were 39(35.8%) in boys, 53(41.7%) in girls on the basis of percent body fat. There was a big difference in case of girls. 4. The numbers of AG(average group) were 48(44.0%) in boys, 60(47.2%) in girls, the numbers of SG(short group) were 35(32.1%) in boys, 31(24.4%) in girls, and numbers of TG(tall group) were 26(23.9%) in boys, 35(27.6%) in girls. 5. There were no significant differences among the groups in BMI, lean body mass, fat mass, percent body fat. Only significant difference in DI(disease index). 6. There were no significant correlation between PH(percent height) and BMI, leanbody mass, fat mass, percent body fat. Only significant correlation in DI(disease index). 7. There were no significant differences between DA(difference between bone age and chronorogical age) and BMI, leanbody mass, percent body fat. Only significant correlation in fat mass.

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A case of anemia caused by combined vitamin B12 and iron deficiency manifesting as short stature and delayed puberty

  • Song, Seung-Min;Bae, Keun-Wook;Yoon, Hoi-Soo;Im, Ho-Joon;Seo, Jong-Jin
    • Clinical and Experimental Pediatrics
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    • v.53 no.5
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    • pp.661-665
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    • 2010
  • Anemia caused by vitamin B12 deficiency resulting from inadequate dietary intake is rare in children in the modern era because of improvements in nutritional status. However, such anemia can be caused by decreased ingestion or impaired absorption and/or utilization of vitamin B12. We report the case of an 18-year-old man with short stature, prepubertal sexual maturation, exertional dyspnea, and severe anemia with a hemoglobin level of 3.3 g/dL. He had a history of small bowel resection from 50 cm below the Treitz ligament to 5 cm above the ileocecal valve necessitated by midgut volvulus in the neonatal period. Laboratory tests showed deficiencies of both vitamin B12 and iron. A bone marrow examination revealed dyserythropoiesis and low levels of hemosiderin particles, and a cytogenetic study disclosed a normal karyotype. After treatment with parenteral vitamin B12 and elemental iron, both anemia and growth showed gradual improvement. This is a rare case that presented with short stature and delayed puberty caused by nutritional deficiency anemia in Korea.