The association between weight, height, and head circumference reconsidered.

BACKGROUND: Under normal nutritional and health conditions, body height, weight and head circumference are significantly related. We hypothesize that the apparent general association between weight, height, and head circumference of the growing child might be misleading. METHODS: We reanalyzed data of 7,444 boys and 7,375 girls measured in East-Germany between 1986 and 1990, aged from 0 to 7 y with measurements of body length/height, leg length, sitting height, biacromial shoulder breadth, thoracic breadth, thoracic depth, thoracic circumference, body weight, head volume, percentage of body fat, and hip skinfold vertical, using principal component analysis. RESULTS: Strong associations exist between skeletal growth, fat accumulation, and head volume increments. Yet in spite of this general proportionality, skeletal growth, fat acquisition, and head growth exhibit different patterns. Three components explain between almost 60% and more than 75% of cumulative variance between birth and age 7 y. Parameters of skeletal growth predominantly load on the first component and clearly separate from indicators of fat deposition. After age of 2 y, head volume loads on a separate third component in both sexes indicating independence of head growth. CONCLUSION: Under appropriate nutritional and health circumstances, nutritional status, body size, and head circumference are not related.

Body measurements and the variability of sitting postures at preschool age as preconditions for an optimal adjustment of chairs and tables.

Preschool age is a biological stage of intensive longitudinal growth with high plasticity of the growing body and of body postures. It is the period where children learn to persist in a sitting posture for a longer time and to use furniture like chairs or other body supporting systems. The growing body shows a special sensitivity for the manifestation of inappropriate postures. In this study the development of body measurements and sitting behaviour of preschool age children is investigated as a precondition for an optimal adjustment of seats and desks to the growing body. Accordingly to the instructions of Knussmann (1988) and Jiirgens (1988) 6 body measurements were taken from 122 German children aged 3 to 7 years from Potsdam, Province Brandenburg. Additionally, every child was videotaped for 10 minutes while crayoning in a sitting position of its own choice using a chair and a desk. To analyse the tapes, the software Noldus Observer was used and examined, picture by picture, to define the different types of sitting postures as well as the duration of persistence in a posture and the number of changes of postures. The used chairs and desks were also measured. Furthermore, the data of the furniture guideline DIN ISO 5970 (DIN, 1981), which regulates the dimensions of furniture for sitting in educational institutions, were compared with the results of the body measurements and with the dimensions of the furniture used by the children.

Sexual dimorphism from birth to age 60 in relation to the type of body shape.

Sexual dimorphism depends on age. It can be analysed within a population by a comparison of sex-specific body measurements based on cross-sectional samples. We analysed four length measurements, three circumferences, and one skinfold diameter of a representative cross-sectional sample of healthy German subjects aged 0 to 65 years. We here report that sexual dimorphism of these body measurements already is present in newborns. The percentages of anthropometric differences between female and male subjects behave in a specific pattern during growth age from birth up to adolescence. Girls are born smaller on an average, but they have a more accelerated growth than boys. Girls reach the peak of their adolescent growth spurt earlier in their chronological age. This means that their biological age at this time is at least 2 years older than that of boys of the same chronological age. This sex-specifically differential onset of the adolescent growth spurt, and its peak, as well as the differential decrease of growth velocity cause a dramatic change in sexual dimorphism. This change is clearly shown in this cross-sectional study. Except for the subcutaneous fat layer, there is a clear male growth advantage in all of the measurements investigated after the peak of the adolescent growth spurt. The largest differences between the measurements of both sexes in favour of the male sex are reached at young adult age. In the further course of life, the anthropometrical differences between the sexes decrease again. Sexual dimorphism within a population at a defined chronological age is therefore not only the result of a developing sex-specific physique, but also the result of a sex-specific growth velocity during the successive stages of biological development. Interestingly, we found that the sex-specific velocity of physical development, and by this the development of sexual dimorphism, proceeds differently in the tall and slim leptomorphic individuals in comparison to the smaller and more corpulent pyknomorphic individuals.

Patterns of sexual dimorphism from birth to senescence.

Sexual dimorphism is expressed as median of the female values in percent of the median of the male values, of 4 length measurements, 3 circumferences, and 5 measurements of corpulence respectively fat. Data were obtained from a cross-sectional sample of more than 41.000 German subjects, aged from birth to age 62. The pattern of sexual dimorphism is similar in the length measurements. Girls are shorter at birth, but they increase in length at higher rates than boys and even temporarily overgrow the boys up to age 12. Thereafter, males show an obvious growth advantage leading to some 6 to 9% more length in adult males. In contrast, female circumferences are always smaller, from birth to senescence. Though, the differences between the sexes are low in circumferences, up to age 13, sexual dimorphism increases to 17% in the thoracic circumference at adulthood. Sexual dimorphism in weight and BMI is comparably with that in length measurements while subcutaneous fat and total body fat content are always higher in females. The results highlight that sexual dimorphism develops at different pace in the various components of the body and that it associates with a sex specific growth tempo.

Secular changes are different in distinct subgroups of the growing population.

The change of living conditions in East Germany after the German reunification in 1990 led to intensive secular changes in growth and development. Anthropometric data of height, weight, BMI and thickness of the subcutaneous fat layer are compared from two cross-sectional samples of German children and adolescents aged 6 to 18 years. The first sample was measured around 1989 and the second 10 years later around 1999. Both samples contain children and adolescents from the urban as well as from the rural population. The secular changes reported here are based on the comparison of medians of height, weight, BMI and subcutaneous fat layer thickness calculated for yearly age categories. Subsequently, medians of the 10% border categories are compared. These border categories contain the 10% smallest, lightest, slimmest or leanest subjects and the 10% tallest, heaviest, most corpulent or most obese subjects respectively of a yearly age category. The young generation shifted between 1989 and 1999 to a taller stature in the small as well as in the tall category. The secular pattern of measurements, which mark corpulence, is sex-specific and differs from that of length measurements. In general the light or lean subjects changed only little, however, there are clear age- and sex-specific changes in the upper border categories. Weight and BMI increased markedly in the upper border categories in young preadolescent children, but did not change much in adolescent boys of these category aged 15 and 16 and decreased in adolescent girls. Also the subcutaneous fat layer increased in the upper border category in preadolescent children, but decreased in adolescent boys and girls.

Assessment of developmental age: cross-sectional analysis of secondary sexual characteristics.

The developmental age of a growing person does not necessarily correspond to his or her chronological age. The two sexes differ considerably in their developmental tempo, and there are tempo differences also within the same sex. Early developers appear older, late developers appear younger than their chronological age might suggest. Based on a sample of 8675 German boys and 8689 girls of the same ethnicity, aged between 8 and 17 years sex differences of height, weight and secondary sexual characteristics are analyzed. Girls on average, develop faster than boys. Their peak of highest increments of height occurs at 10.2 years and is positioned early within the events of sexual maturity. The peak of highest increments of height in boys occurs at age 11.2 on average and is positioned relatively early within the sequences of secondary sexual characteristics. Maturing development starts with breast-stage 2 in girls at age 10.9 and penis-stage as well as scrotum-stage 2 in boys at age 11.1 on average. The development of pubic hair follows and menarche in girls at age 12.7, respectively spermarche in boys at age 13.8, marks the border to theoretical fertility. There are remarkable differences in the tempo of sexual development between the different types of body shape. In girls the pyknomorphic types are the early developers. Breast stage 2 for instance occurs at age 10.1 in the stocky and corpulent pyknomorphic girls and at age 13.0 in the tall and slender leptomorphic girls. This is different in boys. Here are much less differences between the types of body shape, but generally it is the leptomorphic type, at whom the stages of his secondary sexual characteristics are developed a little earlier.

[Anthropometric data, proportion and form in children 2 to 5 years old--a longitudinal study]. / Mass, Proportion und Form bei Kindern im Alter von 2 bis 5 Jahren--eine Längsschnittstudie.

A longitudinal anthropometric study with integrated picture documentation was made in the German administrative district of Potsdam-Mittelmark from April 2002 until April 2003. During that time 183 children aged between 2 to 5 years were measured. The results of the study show, that with the help of the calculation method for pictures, presented here for the first time, additional information about the changes of proportions and body shape can be gained and made measurable. The aim of the study is to make use of the measureable individual changes in body shape for an objective estimation of the biological age. Being able to calculate the age of a child may be useful when investigating a crime, e. g. in case of an abused child, whose chronological age is unknown at the time of the incident, and the only possibility for an age-estimation depends on a picture.

Shall the anthropometry of physique cast new light on the diagnoses and treatment of eating disorders?

Body weight is crucial to eating disorders. Beyond gender, age, and height it is determined by anthropometric features of physique, i. e. somatotypes. We investigated their impact on the anthropometric and metabolic assessment of nutritional status, psychometrics, and other clinical aspects of eating disorders. In 133 eating disordered girls (ICD-10 & DSM-IV criteria) of well-recorded catamneses, various somatometric measures (n = 133), serum leptin (n = 30), plasma tryptophan (n = 108), and psychometric scales (n = 119; EDI-64 & EAT-40) were examined, preferably on repeated occasions of their treatment and in comparison to 41 healthy controls. Somatotyping was performed by gender- and age-specific quintiles of Strömgren's Metrik Index (MI) derived from 6995 volunteers constituting the anthropometric reference.Somatotypes represent a significant factor for assessing nutritional status. Exhibiting higher EDI-64 bulimia ratings at admission, more prevalent self-induced vomiting and purgative substance abuse as well as prolonged refractory illnesses with more previous inpatient treatment trials but later admissions, heavier somatotypes were significantly underrepresented in our total clinical sample but more prevalent among bulimic eating disorders (p < 0.05). Neglecting the anthropometry of physique biases against the detection and treatment of eating disorders in heavier somatotypes at weights below general average. Henceforth, this shall be avoided by somatotyping according to frame indices.