Growth And Development Flashcards

1
Q

What type of fracture is a young child most likely to attain?

A

Greenstick

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2
Q

What is the term used for teenagers taller than their parents?

A

Secular trend

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3
Q

What does allometric mean?

A

changes shape in response to changes in size

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4
Q

What is the Square / Cube Law?

A

Surface area (SA) increases as the square of the height (Ht): nSA*Ht^2

Mass (M) or Volume(V) increases as the cube of height(Ht): M or V^3*Ht^3

As a shape grows in size, volume(V) grows faster than SA. describes SA:V ratio

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5
Q

Allometric differences in bones between adults and children?

A

adult bones are proportionately muchlarger than a child’s; they carry proportionately higher weight

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6
Q

If a person was double their size but kept the same shape, what would their strength be like?

A

Double the height BUT keep same shape = 1 x muscle power to move 2 x the mass! Instead of having the same relative agility, the double-sized human will only have half

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7
Q

What is strength a function of?

A

area: strength of a muscle/bone is to its cross-sectional area (CSA)

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8
Q

Ratio of height, strength and body mass in allometric scaling?

A

Ratio of height (H)=132/120 = 1.10 10% taller

Ratio of strength ≈ H2: (1.10)^2 21% stronger

Ratio of body mass ≈ H3: (1.10)^3 33% heavier

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9
Q

What is thermoregulation?

A

A process that allows your body to maintain its core internal temperature

or

return your body to homeostasis, i.e., maintain a state of equilibrium

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10
Q

What can effect thermoregulation?

A

Growth can greatly affect thermoregulation –disruption to homeostasis can affect your body’s ability to function

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11
Q

In regards to thermoregulation, what factors are dependent on mass?

A

Metabolic heat (food, muscles, endocrine system) and environmental heat

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12
Q

In regards to thermoregulation, what factors are dependent on body surface?

A

Radiation
Conduction
Convection
Evaporation

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13
Q

How does skin lose heat?

A

It radiates small amounts of radiant energy, passes heat to cooler objects, evaporation, and cooler air currents remove the heat from the skin

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14
Q

What is heat production dependent on?

A

Body mass

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15
Q

What is heat dissipation dependent on?

A

Surface area

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16
Q

Why do children overheat less?

A

Mass increases as the cube of height

Surface area increases as the square of height

A child will have more SA/mass

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17
Q

What temperature range is hypothermia?

A

Above 39 degrees

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18
Q

What temperature range is hypothermia?

A

below 35 degrees

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19
Q

What is the height differential between a 15 year old boy today and a 15 year old boy 130 years ago?

A

19cm

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20
Q

what is the height differential between an adult man today and an adult man 100 years ago is approximately 4 cm

A

4cm

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21
Q

How much had Menarche decreased between 1880-1960?

A

From 1880 to 1960, there has been a decrease in the age of menarche by about 0.3 years per decade (↓ 2.4 years over 80 years). (all countries)

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22
Q

Reasons for trends toward early maturation?

A
  • Better nutrition
  • Nutritional status→weight/fatness→timingof sexual development (critical weight hypothesis)
  • Improved environmental circumstances (water, housing, etc.)
  • Reduction in the incidence of childhood disease
  • Second-hand hormones (meat, milk)
  • Environmental chemicals (bisposphenolA, PCB etc.)
  • Gut microbiota: composition and activity of gut bacteria can vary according to life events: lean vs. obese individuals have different gut profiles
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23
Q

Change in size is due to:

A

Hypertrophy
•Hyperplasia
•Accretion

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24
Q

Four elements of growth?

A

Differentiation
Translocation
Maturation
Adaption

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25
Q

Characteristics of differentiation in regards to growth?

A

Series of orderly and irreversible stages: occurs in every organism from the start of life to the end.

Progression of changes:undifferentiated state to a specialized highly organized mature state.

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26
Q

what is translocation?

A

Change in position

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27
Q

Characteristics of maturation in regards to growth?

A

process of physical progression towards a mature state: [internal processes]

28
Q

Characteristics of adaption in regards to growth?

A

accommodation / adjustment to the immediate environment: [external process.]

29
Q

How long do babies suckle the nipple for?

A

180-730 days

30
Q

Mean growth rate of a baby per day?

A

12.5 grams per day

31
Q

What is anthropometry?

A

Techniques used to describe and measure growth

32
Q

Three main height and weight growth charts?

A

W.H.O
C.D.C (Centre for disease control)
A.P.E.G (Australialasian Paedriatric Endocrine Group)

33
Q

What height and weight growth charts do NHMRC recommend?

A

WHO for 0-24 months

CDC for 2-19 years

34
Q

What ages do WHO record for?

A

Birth to five years

35
Q

What ages do CDC account for?

A

birth to 30 months and 2-20 years

36
Q

Percentage of adults that are healthy in Queensland?

A

36%

37
Q

Percentage of children that are healthy in Queensland?

A

74%

38
Q

Percentage of adults that are overweight in Queensland?

A

33%

39
Q

Percentage of children that are overweight in Queensland?

A

19%

40
Q

Percentage of adults that are obese in Queensland?

A

30%

41
Q

Percentage of adults that are overweight or obese in Queensland?

A

64%

42
Q

Percentage of children that are obese in Queensland?

A

7%

43
Q

Percentage of children that are overweight or obese in Queensland?

A

26%

44
Q

What is auxology?

A

Scientific and objective measurement/study of growth and development

45
Q

Between 1985 and 2015, how has jumping performance been effected?

A

Between 1985 and 2015, jumping performance declined by 16.4 cm or by 11.2% (0.66 SD, 95%CI 0.60 to 0.73).

Adjustment for body mass reduced the effect by 32%, although the decline remained (absolute change = 11.1 cm, 95%CI ;12.5 to 9.7).

46
Q

Difference between cross-sectional and longitudinal studies?

A

Cross-sectional: single measurement - number of cohorts (same/different ages) measured at the same time or time period.

Longitudinal: repeated measures on same cohort at different ages, over a specific time period.

47
Q

Primary hypothesis of the Saskatchewan Paediatric Bone Mineral Accrual Study (1991-2013)

A

PA and nutritional patterns of some children will predispose them to a greater risk of skeletal fragility and osteoporotic fractures in life.

48
Q

How many bones in hands and wrist?

A

27

49
Q

Two main techniques to determine skeletal age of bone?

A
  1. Tanner Whitehouse method(U.K.)

2. Greulich–Pyle(US)

50
Q

Characteristics of Tanner Whitehouse method(U.K.)?

A

takes the mean of individually rated bones

Current TW3 method

manually describes radius, ulna & 11 short bones of the hand (R.U.S).

51
Q

Characteristics of Greulich–Pyle(US)?

A

uses an atlas for comparison

lacks sensitivity

52
Q

Characteristics of events in adolescent growth spurt under control of endocrine system?

A

Events are interrelated, occur in sequence and their timing is highly variable

53
Q

What is an abrupt spurt in height closely tied with?

A

Secondary sex development and menarche

54
Q

Order of peak heights in girls?

A

PHV
Peak lean Mass
Peak BMC
Menarche

55
Q

Order of peak heights in boys?

A

PHV
Peak lean body mass
Peak BMC
Peak Strength Velocity

56
Q

What is developmental variability influenced by?

A

Variations in onset of puberty + time taken to pass through all stages of puberty (Tanner stage 1-5)

The more rapid the tempo, the faster the hormone change

57
Q

What is the relative age effect?

A

Subtle favouring of more physically mature children when grouped together by chronological age

58
Q

How long is the short lag time for PHV and peak BMC?

A

8-10 months

59
Q

What is the short lag time between PHV and peak BMC called?

A

Relative skeletal fragility

60
Q

What does studies suggest cause the increased fracture incidence during growth?

A

dissociation between rapid bone expansion and bone mineralisation

61
Q

What is the rule that growth velocity gradients move downward from the head?

A

cephalo-caudal rule

62
Q

Where is the centre of gravity in an infant?

A

At the 12th thoracic level

63
Q

Where is the centre of fravity in an adult?

A

At the 5th lumbar level

64
Q

Is the centre of gravity higher or lower in men than women?

A

Higher

65
Q

As growth proceeds, how does the centre of gravity shift?

A

It shifts downards

66
Q

Between whites, asians and blacks, who have the lowest centre of gravity? Why?

A

Whites asians do for they have longer torsos