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Chávez-Vázquez AG, Klünder-Klünder M, Garibay-Nieto NG, López-González D, Sánchez-Curiel Loyo M, Miranda-Lora AL. Evaluation of height prediction models: from traditional methods to artificial intelligence. Pediatr Res 2024; 95:308-315. [PMID: 37735232 DOI: 10.1038/s41390-023-02821-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 08/17/2023] [Accepted: 09/02/2023] [Indexed: 09/23/2023]
Abstract
BACKGROUND Traditional methods for predicting adult height (AHP) rely on manual readings of bone age (BA). However, the incorporation of artificial intelligence has recently improved the accuracy of BA readings and their incorporation into AHP models. METHODS This study aimed to identify the AHP model that fits the current average height for adults in Mexico. Using a cross-sectional design, the study included 1173 participants (5-18 yr). BA readings were done by two experts (manually) and with an automated method (BoneXpert®). AHP was carried out using both traditional and automated methods. The best AHP model was the one that was closest to the population mean. RESULTS All models overestimated the population mean (males: 0.7-6.7 cm, females: 0.9-3.7 cm). The AHP models with the smallest difference were BoneXpert for males and Bayley & Pinneau for females. However, the manual readings of BA showed significant interobserver variability (up to 43% of predictions between observers exceeded 5 cm using the Bayley & Pinneau method). CONCLUSION Traditional AHP models relying on manual BA readings have high interobserver variability. Therefore, BoneXpert is the most reliable option, reducing such variability and providing AHP models that remain close to the mean population height. IMPACT Traditional models for predicting adult height often result in overestimated height predictions. The manual reading of bone age is prone to interobserver variability, which can introduce significant biases in the prediction of adult height. The BoneXpert method minimizes the variability associated with traditional methods and demonstrates consistent results in relation to the average height of the population. This study is the first to assess adult height prediction models specifically in the current generations of Mexican children.
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Affiliation(s)
- Ana G Chávez-Vázquez
- Unit of Epidemiological Research in Endocrinology and Nutrition, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
| | - Miguel Klünder-Klünder
- Research Subdirectorate, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
| | - Nayely G Garibay-Nieto
- Pediatric Obesity Clinic and Wellness Unit, Hospital General de México "Dr. Eduardo Liceaga" and Hospital Ángeles del Pedregal, Mexico City, Mexico
| | - Desirée López-González
- Research Unit in Clinical Epidemiology, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
| | | | - América L Miranda-Lora
- Unit of Epidemiological Research in Endocrinology and Nutrition, Hospital Infantil de México Federico Gómez, Mexico City, Mexico.
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陈 曼, 杨 招, 苏 彬, 李 艳, 高 迪, 马 莹, 马 涛, 董 彦, 马 军. [Analysis on the law of height growth spurt in adolescence of children and adolescents in Zhongshan City]. BEIJING DA XUE XUE BAO. YI XUE BAN = JOURNAL OF PEKING UNIVERSITY. HEALTH SCIENCES 2021; 53:506-510. [PMID: 34145852 PMCID: PMC8220054 DOI: 10.19723/j.issn.1671-167x.2021.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVE To analyze the characteristics of the age at peak height velocity and peak height velocity of primary and middle school students in Zhongshan City, Guangdong Province, and to explore the law of the sudden increase in adolescent height in this area, and to understand the law of height growth spurt in adolescence by longitudinal tracking of the height of children and adolescents in Zhong-shan City. METHODS Based on the physical examination database of primary and middle school students in Zhongshan City, Guangdong Province from 2005 to 2016, individuals who had been continuously tracked for more than 6 times were selected as research samples. SITAR model was used to fit the height data of the sample population, and the age at peak height velocity and peak height velocity were calcula-ted. RESULTS A total of 49 579 subjects were included in this study, including 26 524 boys and 26 008 urban students. The median follow-up ages of boys and girls were 7.74 and 7.72 years, respectively. The boy's height spurt peak age was (12.72±0.89) years, and later than the girls at the age of (10.98±0.95) years (t=207.639, P < 0.001), the boy's height spurt peak velocity of (10.12±1.49) cm/year, higher than the girls of (8.35±1.12) cm/year (t=150.826, P < 0.001). The gender differences of height spurt peak age and height spurt peak speed in urban and rural students were consistent with the whole sample. The height surge peak age of urban male students was earlier than that of rural male students, and the height surge peak speed of urban female students was lower than that of rural female students. CONCLUSION The peak age of the surge of girls was earlier than that of boys, but the peak rate of the surge of girls was lower than that of boys, the peak age of urban students was earlier than that of rural students, but the peak rate of urban boys was lower than that of rural boys in Guangdong Province.
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Affiliation(s)
- 曼曼 陈
- 北京大学公共卫生学院,北京大学儿童青少年卫生研究所,北京 100191Institute of Child and Adolescent Health, Peking University School of Public Health, Beijing 100191, China
| | - 招庚 杨
- 北京大学公共卫生学院,北京大学儿童青少年卫生研究所,北京 100191Institute of Child and Adolescent Health, Peking University School of Public Health, Beijing 100191, China
| | - 彬彬 苏
- 北京大学人口研究所,北京 100871Institute of Population Research, Peking University, Beijing 100871, China
| | - 艳辉 李
- 北京大学公共卫生学院,北京大学儿童青少年卫生研究所,北京 100191Institute of Child and Adolescent Health, Peking University School of Public Health, Beijing 100191, China
| | - 迪 高
- 北京大学公共卫生学院,北京大学儿童青少年卫生研究所,北京 100191Institute of Child and Adolescent Health, Peking University School of Public Health, Beijing 100191, China
| | - 莹 马
- 北京大学公共卫生学院,北京大学儿童青少年卫生研究所,北京 100191Institute of Child and Adolescent Health, Peking University School of Public Health, Beijing 100191, China
| | - 涛 马
- 北京大学公共卫生学院,北京大学儿童青少年卫生研究所,北京 100191Institute of Child and Adolescent Health, Peking University School of Public Health, Beijing 100191, China
| | - 彦会 董
- 北京大学公共卫生学院,北京大学儿童青少年卫生研究所,北京 100191Institute of Child and Adolescent Health, Peking University School of Public Health, Beijing 100191, China
| | - 军 马
- 北京大学公共卫生学院,北京大学儿童青少年卫生研究所,北京 100191Institute of Child and Adolescent Health, Peking University School of Public Health, Beijing 100191, China
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Cossio-Bolaños MA, Vidal-Espinoza R, Minango-Negrete J, Olivares PR, Urzua-Alul L, de Campos LFCC, Fuentes-López J, Sanchez-Macedo L, Diaz-Bonilla E, Torres-Galvis C, Gomez-Campos R. Estimation of Pubertal Growth Spurt Parameters in Children and Adolescents Living at Moderate Altitude in Colombia. Front Endocrinol (Lausanne) 2021; 12:718292. [PMID: 34603203 PMCID: PMC8485727 DOI: 10.3389/fendo.2021.718292] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Accepted: 07/01/2021] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE Knowledge of the biological parameters of pubertal growth spurt allows verification of secular changes and exploration of the timing of puberty. The aim of the study was to estimate final height, age at peak height velocity (APHV), and peak height velocity PHV (cm/y) in children and adolescents living at moderate altitude in Colombia. METHODS A cross-sectional study was designed in 2.295 schoolchildren from Bogotá (Colombia) with an age range from 5.0 to 18.9 years. Height (cm) was assessed. Preece-Baines model 1 (1PB) was used to make inferences about mathematical and biological parameters. RESULTS The five mathematical parameters estimated in general have reflected quality in the fit to the model, reflecting a small residual error. Final height was reached in boys at 170.8 ± 0.4 cm and in girls at 157.9 ± 0.2 cm. APHV was estimated at 12.71 ± 0.1 years in boys and 10.4 ± 0.2 years in girls. Girls reached APHV 2.2 years earlier than boys. In relation to PHV (cm/y), boys reached higher growth speed in height (7.4 ± 0.4 cm/y), and in girls it was (7.0 ± 0.2 cm/y). CONCLUSION It was determined that final height was reached at 170.8 ± 0.4 cm in boys and 157.9 ± 0.2 cm in girls, and APHV (years) and PHV (cm/ye) were reached relatively early and with average peak velocity similar to Asian and Western populations. A large-scale longitudinal study is needed to confirm these findings.
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Affiliation(s)
- Marco Antonio Cossio-Bolaños
- Department of Physical Activity Sciences, Faculty of Education Sciences, Catholic University of the Maule, Talca, Chile
| | | | | | - Pedro R. Olivares
- Faculty of Education, Psychology and Sport Sciences University of Huelva, Huelva, Spain
- EFISAL Research Group, Universidad Autonoma de Chile, Talca, Chile
| | - Luis Urzua-Alul
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile
| | | | - Jose Fuentes-López
- Instituto de Investigación en Ciencias de la Educación (IICE), Universidad Nacional del Altiplano de Puno, Puno, Perú
| | - Lucila Sanchez-Macedo
- Instituto de Investigación en Ciencias de la Educación (IICE), Universidad Nacional del Altiplano de Puno, Puno, Perú
| | | | | | - Rossana Gomez-Campos
- Department of Educational Diversity and Inclusivity, Catholic University of the Maule, Talca, Chile
- *Correspondence: Rossana Gomez-Campos,
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Tsukagoshi Y, Kamegaya M, Tatsumura M, Tomaru Y, Kamada H, Morita M, Saisu T, Nomura S, Ikezawa Y, Yamazaki M. Characteristics and diagnostic factors associated with fresh lumbar spondylolysis in elementary school-aged children. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2020; 29:2465-2469. [PMID: 32737580 DOI: 10.1007/s00586-020-06553-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 07/10/2020] [Accepted: 07/23/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE We often encounter elementary school-aged children with fresh lumbar spondylolysis and non-union of bone. They may have factors that impede healing, and treatment outcomes need improvement. The purpose of this study was to investigate elementary school-aged patients with fresh lumbar spondylolysis and to identify characteristics that can aid in prompt diagnosis and proper therapy. METHODS We retrospectively compared the characteristics of fresh lumbar spondylolysis in elementary school-aged children with those of older patients. We included patients aged 6-18 years with lower back pain and evidence of bone marrow oedema of lumbar pedicles on magnetic resonance imaging (MRI). The elementary school-aged group (group E) included 100 patients aged 6-12 years, and the senior group (group S) included 251 patients aged 13-18 years. We recorded patient sex, duration of lower back pain, injured site (lumbar level, unilateral/bilateral), presence of contralateral pars defect with evidence of high signal change on MRI (short tau inversion recovery), presence of spina bifida occulta (SBO), and follow-up treatment interruption rate. RESULTS One-third of the patients in group E were female, and there was an even smaller proportion of females in group S. L5 lumbar spondylolysis was more common in group E. The treatment interruption rate was lower in group E. L5 SBO and contralateral pars defect were more common in group E. CONCLUSION L5 lumbar spondylolysis, L5 SBO, and contralateral pars defect were important diagnostic factors in elementary school-aged patients. Identification of these characteristics will aid in prompt diagnosis and proper therapy.
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Affiliation(s)
- Yuta Tsukagoshi
- Department of Paediatric Orthopaedic Surgery, Ibaraki Children's Hospital (Tsukuba Pediatric Orthopaedic Group), Mito City, Ibaraki, Japan.
| | - Makoto Kamegaya
- Chiba Child and Adult Orthopaedic Clinic (Chiba Pediatric Orthopaedic Group), Chiba City, Chiba, Japan
| | - Masaki Tatsumura
- Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito City, Ibaraki, Japan
| | - Yohei Tomaru
- Department of Orthopaedic Surgery, University of Tsukuba (Tsukuba Pediatric Orthopaedic Group), Tsukuba City, Ibaraki, Japan
| | - Hiroshi Kamada
- Department of Orthopaedic Surgery, University of Tsukuba (Tsukuba Pediatric Orthopaedic Group), Tsukuba City, Ibaraki, Japan
| | - Mitsuaki Morita
- Chiba Child and Adult Orthopaedic Clinic (Chiba Pediatric Orthopaedic Group), Chiba City, Chiba, Japan
| | - Takashi Saisu
- Chiba Child and Adult Orthopaedic Clinic (Chiba Pediatric Orthopaedic Group), Chiba City, Chiba, Japan
| | - Shinsen Nomura
- Department of Orthopaedic Surgery, Mito Saiseikai General Hospital, Mito City, Ibaraki, Japan
| | - Yoshiyasu Ikezawa
- Department of Orthopaedic Surgery, Mito Saiseikai General Hospital, Mito City, Ibaraki, Japan
| | - Masashi Yamazaki
- Department of Orthopaedic Surgery, University of Tsukuba (Tsukuba Pediatric Orthopaedic Group), Tsukuba City, Ibaraki, Japan
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Santos C, Bustamante A, Katzmarzyk PT, Vasconcelos O, Garganta R, Freitas D, Mirzaei-Salehabadi S, Maia J. Growth velocity curves and pubertal spurt parameters of Peruvian children and adolescents living at different altitudes. The Peruvian health and optimist growth study. Am J Hum Biol 2019; 31:e23301. [PMID: 31397029 DOI: 10.1002/ajhb.23301] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Revised: 05/06/2019] [Accepted: 07/07/2019] [Indexed: 11/05/2022] Open
Abstract
OBJETIVE To estimate the growth parameters of Peruvian children and adolescents living at different altitudes. METHODS The sample comprised 10 795 Peruvian children and adolescents (5781 girls, aged 6-7 years) from sea level, the Amazon region, and high altitude. Height was measured with standardized techniques. Mathematical and biological growth parameters were estimated using the Preece-Baines growth model I. RESULTS Sea-level children and adolescents experienced peak height velocity (PHV) at an earlier age (girls, 8.56 ± 2.37 years; boys, 12.03 ± 0.58 years) were taller at the time of PHV (girls, 144.1 ± 1.9 cm; boys, 154.3 ± 1.4 cm), had higher PHV (girls, 6.23 ± 3.87 cm/year; boys, 7.52 ± 2.31 cm/year), and had a taller estimated final height (girls, 154.2 ± 0.3 cm; boys, 166.3 ± 1.0 cm) compared to those living at high altitude (girls, 152.7 ± 0.7 cm; boys, 162.8 ± 0.8 cm) or in the Amazon region (152.1 ± 0.4 cm; boys, 162.2 ± 0.6 cm). Across all geographical areas, PHV occurred approximately 2 years earlier in girls (9.68 ± 0.99 years) than in boys (12.61 ± 0.42 years), their estimated PHV was 5.88 ± 1.92 cm/year vs 6.45 ± 1.09 cm/year, their size at PHV was 142.2 ± 1.4 cm vs 152.8 ± 0.7 cm, and their final adult height was estimated to be 153.1 ± 0.3 cm vs 164.2 ± 0.7 cm. CONCLUSIONS Peruvian children and adolescents' physical growth timing and tempo were influenced by their living altitudes. Those living at sea level experienced an earlier age at PHV were taller at time of PHV, had a higher PHV, and had a taller estimated final height compared to those living at higher altitudes. Girls and boys also differed significantly in their growth parameters.
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Affiliation(s)
- Carla Santos
- CIFI2D, Faculty of Sport, University of Porto, Porto, Portugal
| | - Alcibíades Bustamante
- Faculty of Physical Culture and Sports, National University of Education Enrique Guzmán y Valle, Lima, Peru
| | - Peter T Katzmarzyk
- Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana
| | | | - Rui Garganta
- CIFI2D, Faculty of Sport, University of Porto, Porto, Portugal
| | - Duarte Freitas
- Department of Physical Education and Sport, University of Madeira, Funchal, Portugal.,Department of Mathematical Sciences, University of Essex, Colchester, UK
| | | | - José Maia
- CIFI2D, Faculty of Sport, University of Porto, Porto, Portugal
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