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Growth Velocity Curves: What They Are and How to Use Them

  • Mauro Bozzola
  • Cristina Meazza
Chapter

Abstract

Growth velocity charts are important to evaluate the growth of a subject and are available for height and weight, in both boys and girls. Height or weight velocity is a variable derived from the measurement of height or weight at different times and represents the increase in height or weight during a fixed period. Height or weight velocity charts depict the age-dependent changes in velocity that characterize human postnatal growth. Height velocity (HV) is characterized by rapid progress from birth up to the end of the first year of life, followed by decreases through the second year. The male neonate grows slightly faster than the female, but the velocities equilibrate at 7 months of age. Then, up to adolescence there are no significant differences in growth rates. The adolescent height spurt in females begins at 10.5 years and reaches a peak at about 12 years. Males instead exhibit the pubertal spurt later at 12.5 years and reach a peak HV at 14 years. The curves for weight velocity (WV) show a peak before the first year of age for both boys and girls. The male WV is greater at birth, but reaches an equilibrium with female WV at about 8 months and then gradually lags behind the female WV until adolescence. During pubertal development WV peaks at about 12.9 years in girls and 14.3 years in boys; peak WV generally occurs at a slightly older age than peak HV. Growth velocity is central to the diagnosis of growth retardation. In the presence of a very low single value for HV (3rd centile), the paediatrician should start a prompt endocrinological evaluation. When height is >3rd centile and more than one HV value is available, an endocrinological evaluation is warranted when the values are persistently under the 25th centile. An HV value consistently above the 75th centile should be checked and correlated to signs of precocious puberty and elevated body weight. In conclusion, growth velocity charts are valuable tools for the paediatrician and can be used by clinicians in the screening and assessment of metabolic/endocrinological disorders.

Keywords

Celiac Disease Down Syndrome Growth Velocity Turner Syndrome Marfan Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

GHD

Growth hormone deficiency

HV

Height velocity

SD

Standard deviation

WV

Weight velocity

Notes

Acknowledgements

The authors are grateful to Laurene Kelly for English revision of the paper.

References

  1. Baumgartner RN, Roche AF, Himes JH. Incremental growth tables: supplementary to previously published charts. Am J Clin Nutr. 1986;43:711–22.PubMedGoogle Scholar
  2. Benso L. Auxologia dal feto all’uomo: la crescita fisica dal concepimento alla maturità. Torino: UTET; 1981.Google Scholar
  3. Betts PR, Voss LD, Bailey BJ. Measuring the heights of very young children. Br Med J. 1992;304:1351–2.CrossRefGoogle Scholar
  4. Brook CGD. Growth assessment in childhood and adolescence. Oxford: Blackwell; 1982.Google Scholar
  5. Brook CGD, Hindmarsh PC, Healy MJR. A better way to detect growth failure. Br Med J. 1986;293:1186.CrossRefGoogle Scholar
  6. Cole TJ. Growth charts for both cross-sectional and longitudinal data. Stat Med. 1994;13:2477–92.PubMedCrossRefGoogle Scholar
  7. Danner E, Joeckel R, Michalak S, Phillips S, Goday PS. Weight velocity in infants and children. Nutr Clin Pract. 2009;24:76–9.PubMedCrossRefGoogle Scholar
  8. De Sanctis V. Manual of growth charts and body standard measurements. 2nd ed. Pisa: Pacini Editore; 2001.Google Scholar
  9. Falkner F. Some physical measurements in the first three years of life. Arch Dis Child. 1958;33:1–9.PubMedCrossRefGoogle Scholar
  10. Falorni A, Galmacci G, Bini V, Faraoni F, Molinari D, Cabiati G, Sanasi M, Celi F, Di Stefano G, Berioli MG, Contessa G, Bacosi ML. Using obese-specific charts of height and height velocity for assessment of growth in obese children and adolescents during weight excess reduction. Eur J Clin Nutr. 1999;53:181–8.PubMedCrossRefGoogle Scholar
  11. Guo S, Roche AF, Fomon SJ, Nelson SE, Chumlea WC, Rogers RR, Baumgartner RN, Ziegler EE, Siervogel RM. Reference data on gains in weight and length during the first two years of life. J Pediatr. 1991;119:355–62.PubMedCrossRefGoogle Scholar
  12. Hall DM. Growth monitoring. Arch Dis Child. 2000;82:10–5.PubMedCrossRefGoogle Scholar
  13. Meguid NA, El-Kotoury AI, Abdel-Salam GM, El-Ruby MO, Afifi HH. Growth charts of Egyptian children with Down syndrome (0–36 months). East Mediterr. Health J. 2004;10:106–5.PubMedGoogle Scholar
  14. Parent AS, Teilmann G, Juul A, Skakkebaek NE, Toppari J, Bourguignon JP. The timing of normal puberty and the age limits of sexual precocity: variations around the world, secular trends, and changes after migration. Endocr Rev. 2003;24:668–93.PubMedCrossRefGoogle Scholar
  15. Prader A, Largo RH, Molinari L, Issler C. Physical growth of Swiss children from birth to 20 years of age. First Zurich longitudinal study of growth and development. Helv Paediatr Acta Suppl. 1989;52:1–125.PubMedGoogle Scholar
  16. Rigon F, Bianchin L, Bernasconi S, Bona G, Bozzola M, Buzi F, Cicognani A, De Sanctis C, De Sanctis V, Radetti G, Tatò L, Tonini G, Perissinotto E. Update on age at menarche in Italy: toward the leveling off of the secular trend. J Adolesc Health. 2009; 46:238–244.PubMedCrossRefGoogle Scholar
  17. Roche AF, Guo S, Moore WM. Weight and recumbent length from 1 to 12 mo of age: reference data for 1-mo increments. Am J Clin Nutr. 1989;49:599–607.PubMedGoogle Scholar
  18. Rongen-Westerlaken C, Corel L, van den Broeck J, Massa G, Karlberg J, Albertsson-Wikland K, Naeraa RW, Wit JM. Reference values for height, height velocity and weight in Turner’s syndrome. Swedish Study Group for GH treatment. Acta Paediatr. 1997;86:937–42.PubMedCrossRefGoogle Scholar
  19. Tanner JM, Whitehouse RH, Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children. Arch Dis Child. 1966a;41:454–71.PubMedCrossRefGoogle Scholar
  20. Tanner JM, Whitehouse RH, Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children. Arch Dis Child. 1966b;41:613–35.PubMedCrossRefGoogle Scholar
  21. Van den Broeck J, Hokken-Koelega A, Wit J. Validity of height velocity as a diagnostic criterion for idiopathic growth hormone deficiency and Turner syndrome. Horm Res. 1999;51:68–73.PubMedCrossRefGoogle Scholar
  22. Voss LD. The reliability of height and height velocity in the assessment of growth (the Wessex Growth Study). J Med Screen. 1995;2:164–7.PubMedGoogle Scholar
  23. Voss LD, Wilkin TJ, Bailey BJ, Betts PR. Can we measure growth? Arch Dis Child. 1991;66:833–7.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of PaediatricsUniversity of PaviaPaviaItaly

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