3. Growth and Development Flashcards

1
Q

What is Growth?

A

the progressive development of a living being or part of an organism from its earliest stage to maturity, including the attendant increases in size

Not all parts of the human body grow at the same rate, nor do they all stop growing simultaneously.
The body does not retain the same proportions throughout growth and the relative weights of given tissues and organs do not remain constant.

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2
Q

Neonatal Period

A

extends from birth to the end of four weeks

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3
Q

Infancy

A

extends from the end of the neonatal period at four weeks until two years of age. Infancy is characterized by tremendous growth, increased coordination, and mental development.

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4
Q

Childhood

A

the period of growth and development extending from infancy to adolescence, at which time puberty begins.

varies because puberty begins at different ages for different
people.

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5
Q

Adolescence

A

the period of growth and development between childhood and adulthood.

It begins around the age of nine in girls and the age of eleven years in boys.

The end of adolescence is approximately 17-18 years

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6
Q

Adulthood

A

the period of life beyond adolescence. An adult has reached maximum physical stature as determined by genetic, nutritional, and environmental factors.

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7
Q

Distance curve

A

measurements taken at intervals are plotted against time to produce a graph of progress.

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8
Q

Velocity curve

A

increments in growth are plotted against time to show the variation in the rate of growth with time.

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9
Q

Longitudinal data

A

the growth curve is derived from a single individual or from repeated measurements on the same group of individuals over a period of many years.

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10
Q

Cross-sectional data

A

measurements are made of several
children in each age group, and these are then combined to form a cross-sectional picture of the various age groups in the community at the time of the investigation.

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11
Q

Boy vs Girl Growth

A

Girls grow up faster than boys

– Girls reach 50 percent of their adult height at an earlier age
(1.75 vs. 2.0 years), enter puberty earlier, and cease growing earlier

– Half way through the fetal period, the skeleton is already
three weeks more advanced in girls;

– at birth, the difference is four to six weeks of maturation;

– at puberty, the difference is two years.

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12
Q

Mean Growth Takeoff Age

A

9 ± 1 year in girls

11 ± 1.5 years in boys

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13
Q

During the spurt, how much height is gained? (M & F)

A
  • boys gain about 20 cm in height
  • while girls gain about 16 cm in height.
  • mostly growth of the trunk
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14
Q

Peak Height Velocity

A

*Peak height velocity in boys ~ 13.5 years

*Peak height velocity in girls ~ 11.5 years

The standard deviation for age at the peak height velocity is slightly less then one year.

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15
Q

Why do boys end up being taller than girls?

A

Boys end up being taller than girls because they have two more years of growth before the growth spurt.

During these two extra years of prepubertal growth in boys, the legs are growing relatively faster than the trunk.

– Thus the average male has relatively longer legs than the average female.

  • Peak growth rate also a bit higher on average
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16
Q

Growth in Weight (M & F)

A

During the growth spurt, boys may add 20 kg. to their weight, and girls 16 kg

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17
Q

Average Height and Weight Graphs
(M & F)

A
18
Q

Osteoporosis

A

a condition of the bones where they become thin and brittle due to decreased mineral content, which makes them susceptible to fracture.

19
Q

Needed for Growth (2)

A

Calcium and Vitamin D

20
Q

Head to Body Ratio in Infants and Adults.

A

Large head - the ratio of head height to total height equals

  • 1:4 in the infant,
  • 1:7.5 in the adult.
21
Q

What is Puberty?

A

refers to the period at which the testes, prostate gland, and seminal vesicles or the breasts, uterus and vagina, suddenly enlarge.

This is the time of the greatest sex differentiation – sexual dimorphism

21
Q

Leg Length to Total Height Ration in Infants and Adults

A

Lower limbs are much less well developed at birth than upper
limbs - the ratio of leg length to total height equals

  • 1:3 in infant,
  • 1:2 in adults.
22
Q

Menarche

A

Menarche refers to the first occurrence of menstruation in females, marking the onset of reproduction
It occurs relatively late in puberty.

  • The average age of occurrence in North America is 12.2-13 years
    – There is a standard deviation of plus or minus one year.
  • The 95 percent range is 11.0 - 15.0 years.
23
Q

When does Menstruation Begin

A

Menstruation begins when the height velocity is falling

  • The development of mature ova follows
    menarche by as much as two years;
  • puberty is not complete in females until sexual maturity has been attained.
24
Q

Radiological (Skeletal) Age (3)

A

During growth, every bone goes through a series of changes which can be recorded radiographically.

The radiological examination allows one to determine how far the skeleton of a child has progressed toward the adult condition.

wrist and hand are most commonly used for this purpose because, in this region, there is a large number of centers of ossification.

25
Q

Dental Age (3)

A

The deciduous dentition erupts from 6 months to 2 years of
age and can be used during that period.

Permanent dentition provides a measure from 6 to 13 years of age.

However, skeletal maturity and dental maturity are not closely
related in the individual.

26
Q

Growth Curves

A

The timing of the peak height velocity and the peak weight
velocity are useful maturity indicators.

27
Q

Sexual Age

A

The secondary sex characteristics can be used as a method of rating maturational development. Ratings can be made of stages in pubic hair development, stages in breast
development, and stages of genital development.

28
Q

Chronological vs Biological Age

A

It is very likely that mental and psychological development are much more closely related with radiological age than with chronological age.

29
Q

Neural Age

A

In spite of the large size of the central nervous system at birth, much of it is incompletely functional and requires considerable time to develop to the stage at which it can be fully utilized.

Girls are ahead of boys throughout the phase of motor and sensory development –

  • on average, girls learn to
    – walk earlier
    – control their bladders earlier
    – are ahead in the use and understanding of speech.
    – First in the development of skills needed for fine movements and coordination, such as tying shoes.
30
Q

What Five types of skeletal development have been recognized?

A

(1) Average children
(2) Early maturers - tall in childhood but not as adults
(3) Early maturers and genetically tall
(4) Late maturers - small in childhood, average as adults
(5) Late maturers and genetically short

31
Q

Changes in Body Proportions and Composition

A

The relationship between one part and another of the growing body is not a consistent one, but changes with age.

32
Q

Shape of the Infant

A

Large head - ratio of head height to total height equals 1:4 in the infant, 1:7.5 in the
adult.
Lower limbs are much less well developed at birth than upper limbs - ratio of leg length
to total height equals 1:3 in infant, 1:2 in adult.

33
Q

Changes in Shape with Growth

A

At all ages the dimensions of the head are in advance of those of the trunk, and at all ages more peripheral parts of the limbs are in advance of the more central parts –
foot –> calf–> thigh.
The bones of the face grow faster than those of the cranial vault - “at adolescence the face emerges from underneath the skull”. In the later stages of the adolescent spurt, there is laterality of growth rather than linearity.

34
Q

Indices of Maturity

A

It is important to be able to assess how far an individual child has progressed toward maturity. The chronological age of a child is an unreliable guide since children mature at very different rates and measurements of height and weight are only partially useful.

35
Q

Factors Influencing Growth and Maturation

A

A. Genetic Control
B. Nutrition
C. Secular Trends
D. Season and Climate
E. Differences Between Races

36
Q

Factors Influencing Growth and Maturation
- Genetic Control

A
  • Both genetic and environmental factors influence growth
  • The progress of any given child is the result of many different factors interacting
  • Studies of twins have shown that body shape and size, deposition of fat and patterns of growth are all more closely related to nature than to nurture.

Heredity affects the end result of growth and the rate of progress toward it.

37
Q

Factors Influencing Growth and Maturation
- Nutrition

A

Malnutrition delays growth.
Children subjected to starvation recover almost completely provided the conditions are not too severe

Adult size is affected by a less severe level of under-nutrition than adult body proportion (ie) leg length versus trunk length, etc.

38
Q

Factors Influencing Growth and Maturation
- Secular Trends

A

Between 1880 and 1950, the average height of American and European children between 5-7 increased by >0.5 inches per decade (Total 4 Inches)

Children are now growing faster and stopping growing earlier.

There has been an upward trend in adult height of one cm per decade since 1880.

The causes of these trends are probably multiple: better nutrition, lessening of disease, some degree of dominance of height genes?

39
Q

Factors Influencing Growth and Maturation
- Season and Climate

A

Studies done in Europe indicate that season of the year may exert a considerable influence on the velocity of growth.

The children grew faster in height in spring and summer than in autumn and winter.
Weight gain was faster in the autumn than in the spring.

40
Q

Factors Influencing Growth and Maturation
- Differences Between Races

A

Populations differ slightly in their average adult size, tempo of growth as well as shape.

Tempo of growth - Asiatic and African children are ahead of European children in skeletal age, dental maturity and age of menarche.

  • African American boy is one year ahead in pubertal development compared to the average Caucasian boy.

This knowledge may be important to consider when monitoring the growth and development of a child for developmental disorders

41
Q

Nature of Growth

A

Extremely rapid growth of the brain continues, reaching 90% of its adult weight at 5 years old, whereas body weight is only 25% of adult weight.