Physiology of Growth ✅ Flashcards

1
Q

What can the pattern of normal growth be subdivided into?

A

3 phases

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2
Q

What are the phases of normal growth?

A
  • Infancy
  • Childhood
  • Pubertal
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3
Q

What is the infancy phase of growth driven by?

A

Largely by nutritional factors

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4
Q

What does the infancy phase of growth depend on?

A
  • Normal placental function

- Nutritional intake in early life

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5
Q

When can the infancy phase of growth be considered to start?

A

Conception

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6
Q

How long does the infancy phase of growth last?

A

The first 2 years of postnatal life

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7
Q

What is the childhood phase of growth dependent on?

A
  • GH
  • IGF-1
  • Thyroxine
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8
Q

When does the childhood phase of growth start?

A

Postnatally

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9
Q

When does the childhood phase of growth last until?

A

The end of puberty

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10
Q

What is the pubertal phase of growth driven by?

A

Increasing gonadal production of sex steroids

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11
Q

What is the effect of increasing gonadal production of sex steroids on growth?

A

It stimulates GH secretion

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12
Q

What do the phases of growth produce when superimposed?

A

The normal growth pattern

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13
Q

What happens to the height velocity during the first 2 years of life?

A

It falls rapidly from approximately 25cm/year to 5-7cm/year

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14
Q

When does the height velocity increase again?

A

At the onset of the pubertal growth spurt

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15
Q

What does the pubertal growth spurt coincide with in girls?

A

The onset of breath development

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16
Q

At what age does the pubertal growth spurt peak in girls?

A

12 years

17
Q

What does the peak growth velocity coincide with in boys?

A

Testicular volumes of 15ml

18
Q

How does the timing of the pubertal growth spurt in boys compare to that in girls?

A

Typically occurs 2 years later in boys

19
Q

What is the average height difference between adult men and women?

A

Men are 12.5-14cm taller on average

20
Q

Why do men have a taller average adult height?

A
  • Longer prepubertal contribution to growth

- Greater peak height velocity seen in boys