"Did you know that height needs to be managed?"
"Did you know that height is manageable?"
Most people are probably indifferent to these two questions. Some people think that "height management" is "playing growth hormone"; while others think that height is not determined by genetics? Is it necessary to manage?
But think about it, do you have any brothers with half-fathers and half-siblings around you? Are there any parents who are tall but have short children? There are no parents who are not tall, but children grow tall... These all show that height is not all determined by genetics, and height can be managed!
Next, let's take a look at three cases of regrets about not understanding height management.
Do not understand the height management, height to the child to leave eternal regrets!
Case 1
The boy Xiaojun (pseudonym), who was short in kindergarten, said that when he went to elementary school, he would grow taller; when he was in elementary school, Xiaojun was still the shortest in the class. Grandma said that when he went to junior high school, he would grow taller, and his father was "late grown". With a beautiful wish of "late growth", the family let this boy with a height of 1.70 meters grow into a lifetime height of 1.64 meters, leaving a lifetime regret!
Case 2
The girl Xiaoli (pseudonym), 13 years old, is 1.52 meters tall and has been menstruating for 2 years. Came to our hospital's height management clinic for treatment, measured bone age and found that the epiphyseal line has disappeared, losing the opportunity for height intervention. This target height can be 1.57 meters long for girls, and the final height is terminated at 1.52 meters. Parents said that they did not know that the girl's bone age was 14 years old, and the height would stop growing; they did not know that menstruation represented the middle and late adolescence, and they thought that menstruation was the beginning of puberty.
Case 3
The boy XiaoLei (pseudonym), 15.3 years old, is 156.3cm tall, less than the 3rd percentile. The father is 1.61 meters tall, the mother is 1.50 meters tall, and his target height is 1.62 meters. Xiao Lei came to our hospital height management clinic to measure bone age when he was 15.8 years old, the epiphyseal line was completely closed, and the adult height was predicted to be 1.57 meters. Familial short children leave a regret of height, and parents do not understand that the boy's bone age is 16 years old, and the height will stop growing.
Height growth is regular, there are three phases, irreversibility, continuity, there is a period of sudden increase, there is a time of termination. In infancy and toddler, childhood height accounts for 80-85% of adult lifetime height, and adolescence accounts for only 15-20% of lifetime height. Adolescence begins to intervene in height, and the golden period of height intervention is missed. The decline in the growth rate of children in any period of time will cause their height to fall behind, and eventually lead to short stature!
What is Child Height Management?
Height management is to plan and purposefully use a variety of methods to give full play to the potential of children's height growth and help children achieve their ideal adult height. The specific approach is to formulate personalized programs for children such as nutrition, sleep, exercise, mood, disease prevention and other aspects according to the comprehensive assessment of children's current development status, bone age, adult height prediction results, etc., to help children grow taller scientifically.
Judging from the results of statistical analysis of relevant data, more than half of the children on the mainland have not reached the average height of adults in the country. The average annual height of mainland males is 172.7cm, the average annual height of females is 160.6cm, and 39% of children have not even played the level of their parents' genetic height. Giving children height management can allow children to give full play to the potential of height growth, achieve the ideal adult height, and at the same time be able to detect whether there are abnormalities in the growth process of children and intervene early.
Taking children from 3 years old to adolescence as an example, generally can grow 5-7cm per year, whether it is 5cm or 7cm, it depends on whether parents are well managed in child nutrition, sleep, exercise, mood and disease prevention.
What are the service processes for height management?
1. Set the desired height, the child's expected height is set by the child's guardian, and the doctor evaluates the child's likelihood of reaching the desired height.
2. Take regular monthly height and weight measurements. Accurately measure height to be the same in four ways:
Same measurement time: It is recommended to measure height on the same morning every month, because the height difference between morning and evening will be 1-2cm;
Same way of standing. Bare feet, straight chest, abdomen, eyes level, jaws not upturned, to measure the highest point of the head.
Same measurement tools.
Same surveyor.
3. Take a orthostatic film of the left hand bone to measure the bone age.
4. Test vitamin A and D, and if it is in line with the diagnosis of short stature, it is routinely checked according to short stature.
5. Personalized physical growth assessment:
What level of your child's current height is at a high risk of illness
Compare current height and hereditary high levels of body to understand the impact of parenting environment on height.
Compare the difference between bone age and age, and judge whether it is normal development or delay, advance, etc.
6. The growth design determines the stage objectives.
7. Personalized height management guidance.
8. Effect evaluation and program adjustment.
How can I help my child grow taller through height management?
There are several aspects of the intervention for height management:
(1) Eat reasonably, get enough sleep, exercise appropriately, and maintain a good mood.
(2) Control weight and prevent obesity and precocious puberty. Obesity can lead to precocious puberty, and many children's height is engulfed by obesity and supper.
(3) Supplement the nutrients that grow high, and ensure the intake of protein (r-aminobutyric acid), vitamins A and D, calcium, zinc, and iron. Some parents think that the child is not tall, it is because of the lack of calcium, blindly supplementing calcium, which is unscientific! Most children do not lack calcium in the body, and there are many foods rich in calcium, but because the lack of vitamin D in the body affects the absorption of calcium, children show symptoms of calcium deficiency. Calcium deficiency is to supplement vitamin D! Parents can not grow tall for their children, blindly supplement, supplement the growth of nutrients to supplement under the guidance of professional doctors.
(4) Disease treatment:
1. Application of growth hormone: growth hormone can be used for the following diseases: growth hormone deficiency; idiopathic short stature; familial short stature; small-for-gestational age children; some chromosomal or genetic diseases: such as Turner syndrome, Noonan syndrome, etc.
2. Application of thyroxine: If it is shortness caused by congenital hypothyroidism, it can be treated with thyroxine.
3. Treatment of malnutrition: If it is shortness caused by malnutrition or shortness caused by the lack of nutrients, it is entirely possible to scientifically help children grow tall by supplementing health care methods such as long and high nutrients, reasonable diet, adequate sleep, and appropriate exercise.
4. Therapeutic precocious puberty. Nutrition has now improved, and the age of development of boys and girls is generally advanced. Some children with precocious puberty affect their child's lifelong height, but not all children with central precocious puberty will experience adult height loss! From a group perspective, the developmental age is advanced, and it does not affect the adult height of the group. Adult height depends on the height obtained in each of the three phases, especially in childhood.
A 2004 national survey showed that although the age of menarche in Chinese girls was 2.5 years earlier than 25 years ago, the adult height increased by 2.5 cm, which also showed that the developmental age and adult height were not simply negative. If you find that the child is precocious puberty, parents must not be too anxious, to find a professional doctor to distinguish between the child's central precocious puberty or peripheral precocious puberty, whether it is a slow-progressive type or a fast-progressive type, whether it has an impact on lifelong high. Not every child with precocious puberty should use sex inhibitors, sexual inhibitors have strict indications for use, peripheral precocious puberty, partial central precocious puberty, slow-progressive central precocious puberty, can be treated with traditional Chinese medicine, and closely followed up.
Who does the Height Management Clinic serve?
Parents of children aged 1-16 want their children to grow taller;
2. Infants and young children grow in height by less than 7cm per year. From 3 to before puberty, the height of children increased by less than 5 cm or more than 8 cm per year, and the height of adolescent children increased by less than 6 cm per year;
3. The height assessment of age is below 25 percentile;
4. Diseases affecting height (short stature, precocious puberty, obesity, malnutrition, milk protein allergy).
UnICEF's long-term goals for children's health are five:
1. Ideal adult height.
2. Good cognitive skills.
3. Good wealth creation ability.
4. Healthy reproductive capacity.
5. Lower risk of disease.
Ideal adult height directly affects the achievement of the other four health long-term goals.
Height is related to the child's future work, but also related to whether the child's future choice of mate has priority. Height is an accurate indicator of health, height needs to be managed, height can also be managed. Early management, early benefit, early growth! Height management, let the child's height leave no regrets! Let every parent do it without regrets in front of their children's height!
Source: Yangjiang Maternal and Child Health Hospital subscription number