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
Characteristics of differentiation in regards to growth?
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.
26
what is translocation?
Change in position
27
Characteristics of maturation in regards to growth?
process of physical progression towards a mature state: [internal processes]
28
Characteristics of adaption in regards to growth?
accommodation / adjustment to the immediate environment: [external process.]
29
How long do babies suckle the nipple for?
180-730 days
30
Mean growth rate of a baby per day?
12.5 grams per day
31
What is anthropometry?
Techniques used to describe and measure growth
32
Three main height and weight growth charts?
W.H.O C.D.C (Centre for disease control) A.P.E.G (Australialasian Paedriatric Endocrine Group)
33
What height and weight growth charts do NHMRC recommend?
WHO for 0-24 months | CDC for 2-19 years
34
What ages do WHO record for?
Birth to five years
35
What ages do CDC account for?
birth to 30 months and 2-20 years
36
Percentage of adults that are healthy in Queensland?
36%
37
Percentage of children that are healthy in Queensland?
74%
38
Percentage of adults that are overweight in Queensland?
33%
39
Percentage of children that are overweight in Queensland?
19%
40
Percentage of adults that are obese in Queensland?
30%
41
Percentage of adults that are overweight or obese in Queensland?
64%
42
Percentage of children that are obese in Queensland?
7%
43
Percentage of children that are overweight or obese in Queensland?
26%
44
What is auxology?
Scientific and objective measurement/study of growth and development
45
Between 1985 and 2015, how has jumping performance been effected?
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
Difference between cross-sectional and longitudinal studies?
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
Primary hypothesis of the Saskatchewan Paediatric Bone Mineral Accrual Study (1991-2013)
PA and nutritional patterns of some children will predispose them to a greater risk of skeletal fragility and osteoporotic fractures in life.
48
How many bones in hands and wrist?
27
49
Two main techniques to determine skeletal age of bone?
1. Tanner Whitehouse method(U.K.) | 2. Greulich–Pyle(US)
50
Characteristics of Tanner Whitehouse method(U.K.)?
takes the mean of individually rated bones Current TW3 method manually describes radius, ulna & 11 short bones of the hand (R.U.S).
51
Characteristics of Greulich–Pyle(US)?
uses an atlas for comparison lacks sensitivity
52
Characteristics of events in adolescent growth spurt under control of endocrine system?
Events are interrelated, occur in sequence and their timing is highly variable
53
What is an abrupt spurt in height closely tied with?
Secondary sex development and menarche
54
Order of peak heights in girls?
PHV Peak lean Mass Peak BMC Menarche
55
Order of peak heights in boys?
PHV Peak lean body mass Peak BMC Peak Strength Velocity
56
What is developmental variability influenced by?
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
What is the relative age effect?
Subtle favouring of more physically mature children when grouped together by chronological age
58
How long is the short lag time for PHV and peak BMC?
8-10 months
59
What is the short lag time between PHV and peak BMC called?
Relative skeletal fragility
60
What does studies suggest cause the increased fracture incidence during growth?
dissociation between rapid bone expansion and bone mineralisation
61
What is the rule that growth velocity gradients move downward from the head?
cephalo-caudal rule
62
Where is the centre of gravity in an infant?
At the 12th thoracic level
63
Where is the centre of fravity in an adult?
At the 5th lumbar level
64
Is the centre of gravity higher or lower in men than women?
Higher
65
As growth proceeds, how does the centre of gravity shift?
It shifts downards
66
Between whites, asians and blacks, who have the lowest centre of gravity? Why?
Whites asians do for they have longer torsos