The UK 1990 height charts are derived from an up to date dataset and introduce a change in the centile lines, particularly the addition of the 0.4th centile.
This study examined the likely impact of these changes.
Height data from London school children (1990-1993) were examined using Tanner and Whitehouse (TW) and UK 1990 charts.
Numbers of children with height below TW 3rd centile were compared with numbers below the UK 1990 3rd and 0.4th centiles.
The TW charts identified only 1% of children below the TW 3rd centile, while the UK 1990 charts identified 3% below the 3rd and 0.4% below the 0.4th centiles.
If the 3rd centile remains as the referral'cut off'for short stature, the introduction of the UK 1990 charts would increase current workload two-to threefold, while a change to the 0.4th centile would reduce it by 50%. A significant number of children with abnormalities may be excluded from further assessment as a result of this latter change.
In this small scale community study it is not possible to assess the consequences of this change.
The heights at diagnosis of children with growth hormone (GH) deficiency (peak GH<20 mU/l during a standard provocation test) were therefore compared to the 0.4th centile (UK 1990 charts).
Sixty eight children with heights<2nd centile (UK 1990 charts) currently receiving GH replacement (17 female, 51 male, aged 9.7, SD 3.5, years) were assessed, and of these, 28 (41%) had heights at diagnosis between 0.4th and 2nd cent...
Mots-clés Pascal : Surveillance, Taille corporelle, Développement staturopondéral, Anthropométrie, Epidémiologie, Enfant, Homme, Age scolaire, Royaume Uni, Europe
Mots-clés Pascal anglais : Surveillance, Body size, Somatic growth, Anthropometry, Epidemiology, Child, Human, School age, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0279852
Code Inist : 002B29A. Création : 199608.