Growth of General Body Dimensions in well-off NW Indians based on their Bone Age - Abstract
Background: Among the reports based on the intimately related processes - Skeletal Maturation and physical growth only a few have assessed physical growth on the basis of skeletal maturation. In India only two published reports of such kind are available.
Aim: In this study, the attained means of Height (HT), Sitting Height (SH), Subischial Leg Length (SLL) and Weight (WT) of well-off NW Indian children and their tempo unconditional 1-year velocities based on their Radius, Ulna and the Short Bone Age (RUS BA) and the same based on their Chronological age are compared.
Subjects and Methods: The growth of the General Body Dimensions, namely Stature (HT), Sitting Height (SH), Subischial Leg Length (SLL), Weight (WT) together with Skeletal Maturation (TW2 Bone Ages through their hand-wrist X rays) of 1147 well-off NW Indian school children (564G and 583B) ranging in age between 6-16 years were studied. Out of these children 238girls and 242 boys were contacted again after one year and their progress in physical growth and skeletal maturity were studied. The attained means and tempo unconditional 1-year velocities were obtained for each yearly Chronological Age (CA) and Radius, Ulna and the Short Bone Age (RUS BA) group.
Results: The CA based attained mean curves showed typical growth pattern. However, the same on the basis of the RUS BA were different. By and large the boys’ attained means were larger throughout. Compared to those of the CA based 1-year velocities, the peaks of the same based on these children’s RUS BA were high, narrow, sharp and instantaneous – occurring at about 1-4 RUS BA years later.
Conclusion: This delay in the occurrence of the peaks in the velocity of the General Body Dimensions agrees with the higher tempo of Skeletal Maturity of these children. Another important feature of these RUS BA based growth 1-year velocity curves of the General Body Dimensions was that the girls showed the presence of the mid growth spurts.