Quantitating the effect of cystic fibrosis on linear growth by mathematical modelling of longitudinal growth curves. 1989

L B Barkhouse, and J Fahey, and C T Gillespie, and D E Cole
Department of Pediatrics, Dalhousie University, Halifax, NS, Canada.

Cystic fibrosis (CF) is a systemic disorder that may compromise linear growth in childhood, but quantitating this effect requires accurate mathematical models for normal growth. Anthropometric measurements on a cohort of 37 CF patients were analyzed using the growth model of Preece and Baines (1978) which reduces longitudinal height data to 6 quantitative parameters. When parameter means for CF females (n = 19) were compared to the reference population in the Harpenden growth study, the overall difference was significant (p less than 0.05). Examination of the derived biological parameters revealed 12-month and 14-month delays in age at take off and peak height velocity, respectively, indicating that the pubertal growth spurt in female patients is delayed. Mean ages at take off and peak height velocity were delayed 9 months in the CF males (n = 18). These results reaffirm the observation that CF females experience greater morbidity in later childhood and adolescence than males, and illustrate a quantitative approach that should facilitate further examination of CF and the efficacy of different treatment modalities on the disease process in both sexes.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008297 Male Males
D008433 Mathematics The deductive study of shape, quantity, and dependence. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Mathematic
D008954 Models, Biological Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment. Biological Model,Biological Models,Model, Biological,Models, Biologic,Biologic Model,Biologic Models,Model, Biologic
D001827 Body Height The distance from the sole to the crown of the head with body standing on a flat surface and fully extended. Body Heights,Height, Body,Heights, Body
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003550 Cystic Fibrosis An autosomal recessive genetic disease of the EXOCRINE GLANDS. It is caused by mutations in the gene encoding the CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR expressed in several organs including the LUNG, the PANCREAS, the BILIARY SYSTEM, and the SWEAT GLANDS. Cystic fibrosis is characterized by epithelial secretory dysfunction associated with ductal obstruction resulting in AIRWAY OBSTRUCTION; chronic RESPIRATORY INFECTIONS; PANCREATIC INSUFFICIENCY; maldigestion; salt depletion; and HEAT PROSTRATION. Mucoviscidosis,Cystic Fibrosis of Pancreas,Fibrocystic Disease of Pancreas,Pancreatic Cystic Fibrosis,Pulmonary Cystic Fibrosis,Cystic Fibrosis, Pancreatic,Cystic Fibrosis, Pulmonary,Fibrosis, Cystic,Pancreas Fibrocystic Disease,Pancreas Fibrocystic Diseases
D005260 Female Females

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