Tuesday 27 May 2014

What Is Important To Consider When Evaluating A Child's Growth

What is important to consider when evaluating a child's growth? We must take into account the height gain (growth rate) of this child during prenatal (in utero) period and in subsequent years.

For example, a child who has grown following the growth curve (Figure left), even under the curve, the less concerned that a child who comes away from the curve (Figure right). What can cause a decrease in growth rate and a deviation in the growth curve?

Sometimes the first sign of a problem in the health of a child is a change in velocity of growth.   This means that many diseases can affect growth, such as gluten intolerance (celiac disease), inflammatory bowel disease, etc...

And every child with a decrease in the growth rate has a serious problem? Not necessarily.   Moreover, as acceleration in growth velocity in puberty, children who have delay in onset of pubertal development will be temporarily lower than their peers until they have their own growth spurt

What are the causes for endocrine short stature and decreased growth rate?

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We have to think in thyroid hormone deficiency, growth hormone deficiency and excess glucocorticoids.

If the child is not growing as expected to present a health problem, to improve the health growth rate should increase.

If the child is healthy and is low for a feature it, studies show that the use of growth hormone may increase final height in 2-4cm, a very slight increase.

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