Recommendation: Parents do a bone age check for their children once a year
Recently, Ma Hongwei, director of the Department of Developmental Pediatrics of Shengjing Hospital affiliated to China Medical University, came to a special patient's consultation room. The 14-year-old boy is 18 years old and 163 cm tall, while his genetic height is 169 cm. Ma Hongwei said: "This is due to the fact that the child missed the best treatment opportunity. ”
With the improvement of living standards, the average height of teenagers and children in the mainland is gradually increasing, and parents have higher expectations for how big their babies can grow. How can I tell if my child's height is qualified? How can we reasonably help children grow taller?
Cases:
14-year-old children are 18 years old of bone age
Ma Hongwei told reporters that the boy came to see the doctor because his size was suddenly not long. According to the examination, the 14-year-old boy's bone age has reached 18 years old, which is very abnormal. His genetic height should have been 169 centimeters, but the child missed the best treatment opportunity, the bone line was completely closed, and there was no time left for the doctor.
At the same time, the reporter learned that another special example is that the father is 165 centimeters, the mother is 155 centimeters, and the son is 178 centimeters. The couple is not tall, and after the birth of the child, they have been worried that the child will not grow up. But from the second year of junior high school until now the second year of high school, the child has been growing tall, and now it has reached 178 centimeters. Parents are also wondering, "Why are their children so tall?" ”
analyse:
Does the child have to inherit the height of his parents?
Is the child's height genetically parental? Ma Hongwei said, "Genetic factors are only one aspect of determining a child's height, accounting for about 70% of the factors. Many acquired diseases, such as growth hormone deficiency, chromosomal disorders, intrauterine growth retardation, and 'idiopathic short stature' diseases, can affect a child's height. As for the situation that "parents are short and sons are tall", it is some in real life, but it is only a case, accounting for about 20%.
Some parents believe that "my child is short enough to grow up", Ma Hongwei said that this situation does exist, which is medically called constitutional puberty delay. However, it should be noted that do not take it for granted that the child must be late and long, pay attention to timely examination, and let the doctor judge whether the child has the possibility of delayed pubertal development.
suggestion:
Children can have an annual bone age check from the age of four
Ma Hongwei introduced that parents must pay attention to the measurement of children's height and weight, and children should have a bone age examination every year from the age of four. At the same time, at least every six months, the child's height and weight should be recorded, whether it is fast or slow, normal or not, to make records, these records have great value for doctors.
Ma Hongwei said that in general, bone age and actual age are consistent. Some children grow taller and faster than their bone age, but they lack staying power, and their bone age is greater than their actual age. "Many parents come to the treatment when the child is not long, when the bone line is completely closed and the time left for the doctor is gone." In addition, the child grows particularly fast to see if it is normal. ”
Ma Hongwei said that short stature or growth retardation, is a symptom, its cause and type is also very many, the doctor in the diagnosis process, is to identify whether it is caused by a certain disease, or some lifestyle caused, or closely related to genetic factors.
Ideas:
Healthy growth, science grows, doctors have methods
If you want your child to grow taller, you need to synthesize the factors, not only one point can do, parents should not blindly believe in a certain method, or a certain test and treatment, need to be comprehensive. The following five points are helpful for the healthy growth and growth of children.
1. Reasonable nutrition, regular diet.
Balance the diet and ensure protein intake. Meat, eggs, and milk are all good sources of protein, and it is recommended to guarantee at least 250ml of milk per day. In addition, parents should pay attention to the fact that the child is not as fat as possible, and the growth hormone secretion of obese children will decrease. Don't eat snacks regularly, especially sweets.
2. Ensure adequate sleep time.
The peak of the body's growth hormone secretion is generally 1 hour after falling asleep, and the peak of natural secretion appears at about 10 o'clock at night, so it is necessary to ensure sleep time and do not stay up late. Preschoolers sleep 10-13 hours a day, and school-age children sleep at least 9 hours.
3. Increase outdoor activities.
Growth hormone secretion increases during exercise, and children are advised to exercise more, especially jumping exercises. For example, skipping rope, playing basketball, and playing badminton will promote the secretion of growth hormone. In addition, another benefit of outdoor activities is that you can breathe fresh air and increase sun exposure. Vitamin D is an essential vitamin for bone growth and is difficult to obtain from food. It is recommended to supplement with a preventive dose of vitamin D in winter, 400-800 units per day.
4. Reduce children's mental and psychological pressure.
Mental tension and psychological stress will also affect growth and development. The family is the main environment of children's lives, and a harmonious family atmosphere and healthy education methods are beneficial to children's physical and mental growth.
5. Actively treat related chronic diseases.
Chronic diseases such as long-term diarrhea, asthma, congenital heart disease, kidney disease, etc. are important factors affecting growth and development. Active scientific treatment of primary diseases can promote children's growth and development.
Wu Qiang, chief reporter of Shenyang Evening News and Shen Bao
Source: Shenyang Evening News