女童青春期线性生长与性发育时相的定量关系研究

doi:10.11852/zgetbjzz2014-22-05-04

中国儿童保健杂志 ›› 2014, Vol. 22 ›› Issue (5): 459-463.DOI: 10.11852/zgetbjzz2014-22-05-04

女童青春期线性生长与性发育时相的定量关系研究

张亚钦¹,李辉¹,候冬青²,米杰²,宗心南¹

首都儿科研究所1 生长发育研究室;
2 流行病学研究室,北京 100020

收稿日期:2014-04-14 发布日期:2014-05-10 出版日期:2014-05-10
通讯作者: 李辉,E-mail:huiligrowth@163.com
作者简介:张亚钦(1981-),女,河北人,助理研究员,硕士学位,主要研究方向为儿童生长发育。
基金资助:
北京市优秀人才专项资助(D2004)

Quantitative relationship between puberty phases and height for Girls

ZHANG Ya-qin¹,LI Hui¹,HOU Dong-qing²,MI Jie²,ZONG Xin-nan¹

1 Department of Growth and Development;
2 Department of Epidemiology,Capital Institute of Pediatrics,Beijing 100020,China

Received:2014-04-14 Online:2014-05-10 Published:2014-05-10
Contact: LI Hui,E-mail:huiligrowth@163.com

摘要/Abstract

摘要： 目的探讨女童青春期线性生长与性发育时相的定量关系,为青春期身高评价提供参考依据。方法采用分层随机整群抽样的方法,对北京市城区和郊区的9 630名6~19岁女童进行横断面调查,内容包括身高、体重、第二性征和月经初潮年龄,采用Person相关方法分析性发育与身高的相关性、t检验和方差分析方法比较各个性发育时相身高的差别。结果 1)性发育进程与身高水平呈正相关,尤其9~12岁更为明显(相关系数为0.41~0.55)。2)处于性发育不同时相的同龄儿身高存在明显差别,如8~12岁性发育前期者比性发育中期者身高平均低5~7 cm、11~13岁性发育中期者比同龄性发育后期者平均低4~6 cm;按年龄别身高标准计算身高百分位数值,性发育前期比性发育中期身高低约17~27个百分位,中期比后期低13~23个百分位。3)与未考虑性发育特征的身高曲线比较,8~9岁性发育处于中期、10~12岁性发育处于后期的女童,其身高明显高于相同年龄的平均身高约12~24个百分位;而10~11岁性发育前期、12~13岁性发育中期者身高明显低于同龄女童平均身高约10~30个百分位。结论处于性发育不同时相的同龄女童身高存在明显差别,应用生长曲线图进行身高评价可根据性发育时相上调或下调一条曲线粗略校正性发育对身高的影响。

关键词: 女童, 性发育, 青春期时相, 身高

Abstract: Object To describe the quantitative relationship between puberty phases and height for Girls which could supply reference for assessment of linear growth. Methods A cross-sectional survey for 9 630 girls aged 6~18 years old was conducted in urban and suburban areas of Beijing by using the method of stratified random cluster sampling.Height,weight,secondary sexual characteristics were measured and age at menarche was obtain by questionnaire.The Methods of Pearson was used to describe the relationship between puberty phases and height and the ANOVA and t test were used to analyze the difference of height in different puberty phases. Results 1)There was positive correlation between sexual development and height,especially in the 9~12 years old (correlation coefficient 0.41~0.55).2) The difference of height among different puberty phases were obvious:At 8~12 years,height of pre-puberty was 5~7cm shorter than that of in-puberty for girls in the same age group.At 11~13 years,height of in-puberty was 4~6 cm shorter than that of completing-puberty for girls in the same age groups.The height percentiles of pre-puberty was 17~27 lower than that of in-puberty for girls in the same age group and that of in-puberty was 13~23 lower than that of completing-puberty for girls in the same age groups.3)Comparing the height of different puberty phases with that of ignoring puberty phases:the height centiles of in-puberty for 8~9 years girls and completing-puberty for 10~12 years girls was 12~24 higher than that of the same age girls,while the height centiles of pre-puberty for 10~11years girls and in-puberty for 12~13 years girls was 10~30 lower than that of the same age girls. Conclusions Height of different puberty phases in the same age group is different.The assessment Results of height by applying conventional growth curves could be added or subtracted one curves to correct the effect of puberty phase.

Key words: girls, sexual development, puberty phases, height

中图分类号:

R179

张亚钦,李辉,候冬青,米杰,宗心南. 女童青春期线性生长与性发育时相的定量关系研究[J]. 中国儿童保健杂志, 2014, 22(5): 459-463.

ZHANG Ya-qin,LI Hui,HOU Dong-qing,MI Jie,ZONG Xin-nan. Quantitative relationship between puberty phases and height for Girls[J]. journal1, 2014, 22(5): 459-463.

参考文献

[1] Molinari L,Hermanussen M.The effect of variability in maturational tempo and midparent height on variability in linear body measurements[J].Ann Hum Biol,2005,32:679-82.
[2] Ellison PT,Reiches MW,Shattuck-Faegre H,et al.Puberty as a life history transition[J].Annals of Human Biology,2012,39(5):352-360.
[3] Cole TJ.The development of growth references and growth charts[J].Annals of Human Biology,2012,39(5):382-394.
[4] Gasser T,Molinari L,Largo R.A comparison of pubertal maturity and growth[J].Ann Hum Biol,2013,40(4):341-347.
[5] Hägg U,Karlberg J,Taranger J.The timing of secondary sex characters and their relationship to the pubertal maximum of linear growth in girls[J].Swed Dent J,1991,15(6):271-278.
[6] Yousefi M,Karmaus W,Zhang H,et al.Relationships between age of puberty onset and height at age 18 years in girls and boys[J].World Journal of Pediatrics,2013,9(3):230-238.
[7] Wright CM,Ahmed L,Dunger DB,et al.Can we characterise growth in puberty more accurately? Validation of a new Puberty Phase Specific (PPS) growth chart[J].Archives of Disease in Childhood,2012,97(S1):100-103.
[8] Cole TJ,Butler G,Short J,et al.Puberty phase specific growth charts:a radically new approach to the assessment of adolescent growth[J].Arch Dis Child,2012,97:117-119.
[9] Mumm R,Scheffler C,Hermanussen M.Developing differential height,weight and body mass index references for girls that reflect the impact of the menarche[J].Acta Paediatrica,2014,3.[Epub ahead of print]
[10] 阳益德,马军,付连国,等.中国青春期女生月经初潮较早与形态发育的关系[J].中华预防医学杂志,2013,47(8):712-717.
[11] 陈少科,郭先呜,马张杰,等.南宁市3～16岁儿童体格与青春期发育相关分析[J].中国儿童保健杂志,2005;13(2):163-164.
[12] 聂四平,詹键.女性青少年身体发育水平与性发育及身高增长的关系[J].中国学校卫生,2002,23(3):196-197.
[13] Tanner JM.Normal growth and techniques of growth assessment[J].Clinics in Endocrinology and Metabolism,1986,15(3):411-451.
[14] Butler G,Cole T,Dublon V,et al.Puberty phases:an evaluation of a new system for rating puberty in paediatric practice[J].Endocrine Abstracts,2012;30:52.
[15] Ma HM,Du ML,Luo XP,et al.Onset of breast and pubic hair development and menses in urban Chinese girls[J].Pediatrics,2009,124(2):e269-277.
[16] 侯冬青,李辉,孙淑英,等.北京市儿童青少年女性青春期性征发育流行病学研究[J].中国循证儿科杂志,2006,1(4):264-268.
[17] Cole TJ,Pan H,Butler GE.A mixed effects model to estimate timing and intensity of pubertal growth from height and secondary sexual characteristics[J].Ann Hum Biol,2014,41(1):76-83.
[18] Bordini B,Rosenfield RL.Normal pubertal development:part II:clinical aspects of puberty[J].Pediatrics in Review,2011,32(7):281-292.

女童青春期线性生长与性发育时相的定量关系研究

Quantitative relationship between puberty phases and height for Girls

PDF

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	张婕, 安英萍, 杨毅, 张艳楠, 田琳. 从全生命周期视角识别和治疗注意缺陷多动障碍女童和女性的专家共识(2020年版)解读[J]. 中国儿童保健杂志, 2023, 31(5): 570-575.
[2]	李阳, 贾玉凤, 张双, 高淑芝, 高静云, 李爽. 基于加拿大作业表现量表的作业治疗方案对全面性发育迟缓儿童作业表现及日常生活能力的影响[J]. 中国儿童保健杂志, 2023, 31(2): 131-135.
[3]	裴丹, 张云玲. 特发中枢性性早熟女童血清神经激肽B和神经肽吻素表达与骨龄指数的相关性研究[J]. 中国儿童保健杂志, 2022, 30(3): 310-313.
[4]	笪笠, 鲍叶琳, 李璐, 童梅玲, 张敏, 陈玲. 南京市7岁以下儿童上臂围及上臂围与身高比值调查分析[J]. 中国儿童保健杂志, 2021, 29(7): 710-712.
[5]	张蔷, 刘丽君, 李金英, 崔海静, 王轶婧. 重组人生长激素联合来曲唑治疗青春期特发性矮小症男性患儿的疗效观察[J]. 中国儿童保健杂志, 2021, 29(7): 802-805.
[6]	张亚钦, 李辉, 武华红, 宗心南. 父母身高对7岁以下儿童身高影响效应的研究[J]. 中国儿童保健杂志, 2021, 29(6): 584-588.
[7]	武华红, 李辉, 宗心南, 张亚钦. 中国九城市学龄前儿童饮食行为与体格生长的关系研究[J]. 中国儿童保健杂志, 2021, 29(6): 589-593.
[8]	王淑霞, 杨振宇, 王杰, 段一凡, 庞学红, 赖建强. 中国2002年和2013年5岁以下儿童年龄别身高Z评分的变化趋势分析[J]. 中国儿童保健杂志, 2021, 29(6): 655-659.
[9]	樊立新, 于然, 曹珍珍, 马靖茹. 石家庄地区学龄前儿童生长发育现状及相关影响因素分析[J]. 中国儿童保健杂志, 2021, 29(6): 665-668.
[10]	胡佳, 沈蕙, 尹洁云. 苏州市儿童青少年身高别血压筛查简表的效果评价[J]. 中国儿童保健杂志, 2021, 29(2): 124-128.
[11]	张月, 石艳, 边程鹏, 王勤, 陈雪, 张帆. 西昌市城区3~14岁儿童身高状况分析[J]. 中国儿童保健杂志, 2021, 29(2): 214-217.
[12]	赵春霞, 王晓莉, 张云俊. 晋黔贫困地区3岁以下儿童身高/长与神经行为发育关联性研究[J]. 中国儿童保健杂志, 2020, 28(8): 845-848.
[13]	武华红, 李辉, 张亚钦, 宗心南. 出生体重与学龄前儿童生长发育的关系[J]. 中国儿童保健杂志, 2020, 28(6): 623-626.
[14]	赵金华, 洪菲, 陆生丽, 周峰, 徐明. 双酚A暴露与学龄女童代谢综合征发生的相关性研究[J]. 中国儿童保健杂志, 2020, 28(6): 633-636.
[15]	师春立, 周亮, 陈剑宇, 程炼, 张丽. 四川省中小学生世居藏族与汉族形态发育现状分析[J]. 中国儿童保健杂志, 2020, 28(6): 637-641.