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Genetic polymorphism of 15 STR loci in agropastoral communities from central-northern Chile and relationships with other South American populations. 智利中北部农牧群落15个STR位点的遗传多态性及其与其他南美人群的关系
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-04-29 DOI: 10.1080/03014460.2025.2486156
Margarita Reyes-Madrid, Francisca Vásquez-Estay, Valentina Gutiérrez, Nicolás Montalva

Background: The agropastoral communities of Coquimbo, Chile, are characterised by their goat herding-based livelihoods, admixed ancestry, and transhumant mobility.

Aim: To explore the impact of these features on genetic diversity and interactions with neighbouring populations.

Subjects and methods: Genotypic polymorphisms of 15 STRs were analysed in 466 individuals from 15 communities. Forensic parameters were estimated. Genetic structure was assessed using RST, Nei's distances, MDS, dendrograms, and STRUCTURE, with 23 reference populations from Chile, South America and globally.

Results: A total of 158 alleles were observed, with frequencies ranging from 0.0011 to 0.5172. CSF1PO, D18S51, and Penta E showed deviation from Hardy-Weinberg equilibrium. The panel demonstrated high forensic performance (combined power of discrimination CPD > 0.999999999, combined power of exclusion CPE = 0.99999713817). No clear genetic structure was found within the Coquimbo communities. Regionally, Coquimbo clustered with northern Chile and north-west Argentina. Globally, it resembled other South American admixed populations, slightly differentiated from those from other regions.

Conclusions: The STRs analysed show high forensic potential, low genetic structure within the agropastoral communities, and important similarities with populations in northern Chile and north-west Argentina, supporting the relevance of trans-Andean mobility in shaping their genetic landscape.

背景:智利科金博的农牧社区的特点是以放牧山羊为基础的生计、混合血统和迁移流动性。目的:探讨这些特征对遗传多样性和与邻近种群相互作用的影响。对象与方法:对来自15个社区的466例个体的15个str进行基因型多态性分析。估计了法医参数。采用RST、Nei’s距离、MDS、树突图和structure等方法对来自智利、南美和全球的23个参考种群进行遗传结构评估。结果:共检测到158个等位基因,频率范围为0.0011 ~ 0.5172。CSF1PO、D18S51和Penta E均偏离Hardy-Weinberg平衡。该面板具有较高的法医学性能(综合辨别能力CPD > 0.999999999,综合排除能力CPE = 0.99999713817)。在科金博部落中没有发现明确的遗传结构。在地区上,科金博与智利北部和阿根廷西北部聚集在一起。在全球范围内,它与其他南美混血儿相似,与其他地区的混血儿略有区别。结论:分析的STRs显示出很高的法医鉴定潜力,农牧群落内的遗传结构较低,与智利北部和阿根廷西北部的种群具有重要的相似性,支持跨安第斯山脉迁移与形成其遗传景观的相关性。
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引用次数: 0
Drought-compounded stress and immune function in Kenyan pastoralist boys and girls occupying contrasting climate zones. 居住在不同气候区的肯尼亚牧民男孩和女孩的干旱复合压力和免疫功能。
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-02-18 DOI: 10.1080/03014460.2025.2455698
Bilinda Straight, Charles E Hilton, Charles Owuor Olungah, Belinda L Needham, Erica Tyler, Lora Iannotti, Theodore Zava, Melanie A Martin, Eleanor Brindle

Background and aim: We provide ethnographic, photovoice, and psychosocial stress data (food and water insecurity, potentially traumatic events, stress biomarkers) documenting the joys, hazards, and stressors of adolescents engaging in climate-sensitive pastoralist livelihoods in a global climate change hot spot. We aim to holistically capture socio-environmental relationships characterised by climate sensitive livelihoods and forms of precarity exacerbated by climate change.

Subjects and methods: Qualitative and quantitative methods were integrated to understand the embodied toll of hazards that Samburu pastoralists faced based on a sample of 161 young people. Quantitatively, we tested for associations of psychosocial stressors with both psychological distress and cell-mediated immune function (assessed through differences in IgG antibodies to Epstein-Barr virus).

Results: Qualitatively, young Samburu reported drought, food and water insecurity, wildlife encounters, and war exposure. Girls overall endorsed more posttraumatic stress symptoms, although boys reported relatively more stressors; girls overall and young people in the hotter subregion manifested more immune dysregulation.

Conclusion: In spite of important differences between climate subregions, the common elements throughout the Samburu pastoralist leanscape include food and water insecurity and overall precarity exacerbated by drought and climate change. Community-driven interventions are needed to reduce precarity for young people pursuing pastoralist livelihoods.

背景与目的:我们提供人种学、照片语音和社会心理压力数据(食物和水不安全、潜在创伤事件、压力生物标志物),记录在全球气候变化热点地区从事气候敏感牧民生计的青少年的快乐、危险和压力源。我们的目标是全面捕捉以气候敏感生计和因气候变化而加剧的不稳定形式为特征的社会环境关系。研究对象和方法:综合定性和定量方法,以161名年轻人为样本,了解桑布鲁牧民面临的具体危害损失。定量地,我们测试了心理社会压力源与心理困扰和细胞介导的免疫功能的关联(通过对爱泼斯坦-巴尔病毒IgG抗体的差异进行评估)。结果:从质量上讲,年轻的Samburu报告了干旱、粮食和水不安全、野生动物遭遇和战争暴露。总体而言,女孩更容易出现创伤后应激症状,尽管男孩报告的应激源相对更多;总体而言,女孩和较热次区域的年轻人表现出更多的免疫失调。结论:尽管气候分区之间存在重大差异,但整个桑布鲁牧民景观的共同要素包括粮食和水不安全以及干旱和气候变化加剧的整体不稳定。需要采取社区驱动的干预措施,以减少从事牧民生计的年轻人的不稳定性。
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引用次数: 0
The effect of birth month on body height of Austrian conscripts varies according to educational level. 出生月份对奥地利义务兵身高的影响因受教育程度的不同而不同。
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-03-31 DOI: 10.1080/03014460.2025.2482972
Thomas Waldhoer, Sylvia Kirchengast, Lin Yang

An association between birth month and height has been repeatedly described, but no consistent seasonal patterns can be observed. In this study, the significance of educational level as a modulating cofactor for the association between body height and birth month was analysed using an anonymous data set from 1,179,600 male conscripts born in Austria between 1971 and 2002. A distinct seasonal trend was observed. Conscripts born from June to December had shorter final body height than their counterparts born between January and May. In general, the effect of month of birth on final body height is very small. Considering socioeconomic co-factors, however, this effect was particularly noticeable for the highest and middle education classes, while the observed effect was small among the lowest education class. A low educational level seems to reduce the seasonal effect on growth and finally body height. Consequently, a clear seasonal effect in body height was observed in this Austrian population-based sample, socioeconomic stress factors, such as a low level of education, can reduce the seasonal effects.

出生月份和身高之间的联系已被反复描述,但没有观察到一致的季节性模式。在这项研究中,利用1971年至2002年间在奥地利出生的1,179,600名男性应征入伍者的匿名数据集,分析了教育水平作为身高和出生月份之间关联的调节辅助因素的重要性。观察到明显的季节性趋势。6月至12月出生的应征入伍者的最终身高比1月至5月出生的应征入伍者要短。一般来说,出生月份对最终身高的影响很小。然而,考虑到社会经济的共同因素,这种影响在最高和中等教育阶层中尤为明显,而在最低教育阶层中观察到的影响很小。低教育水平似乎降低了生长的季节性影响,最终降低了身高。因此,在这个以奥地利人口为基础的样本中观察到明显的季节性身高影响,社会经济压力因素,如低教育水平,可以减少季节性影响。
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引用次数: 0
Secular trends in BMI, excess weight and body fat skinfolds in Peruvian children living at high altitude. 生活在高海拔地区的秘鲁儿童BMI、超重和体脂皮褶的长期趋势。
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-05-27 DOI: 10.1080/03014460.2025.2494565
Carla Santos, Alcibíades Bustamante, José Maia, Olga Vasconcelos, Go Tani, Donald Hedeker, Peter T Katzmarzyk, Sara Pereira

Background: There is limited evidence on secular trends in adiposity among high-altitude children.

Aims: To describe secular trends in body mass index (BMI), excess weight and body fat skinfolds (SKF) among Peruvian children living at high altitude and to investigate the risk for excess weight in 2019 relative to 2009.

Subjects and methods: We sampled 1585 Peruvians aged 6-11 years from the Junín region. Height and weight were measured, and BMI was calculated. WHO cut-offs were used to classify children by weight status. The sum of SKF was used for analysis. BMI and sum SKF were log-transformed. Two-factor ANOVA and post-hoc contrasts were used together with trend plots for BMIlog and SKFlog. Relative risks for excess weight were estimated with 95% confidence intervals. All analyses were done in STATA.

Results: BMIlog and SKFlog means increased in both sexes from 2009 to 2019, with age-specific variation. Between 2009 and 2019, BMI values shifted from near P50 to P75 on WHO percentiles for both sexes in most age groups. The risk of excess weight was not significantly higher for most children in 2019 compared to 2009.

Conclusions: Positive secular trends in BMIlog and SKFlog were observed, with significant increases at specific ages.

背景:关于高海拔地区儿童肥胖的长期趋势的证据有限。目的:描述生活在高海拔地区的秘鲁儿童的体重指数(BMI)、超重和体脂皮褶(SKF)的长期趋势,并调查2019年相对于2009年超重的风险。对象和方法:我们从Junín地区抽样了1585名6-11岁的秘鲁人。测量身高、体重,计算BMI。使用世卫组织的截止值按体重状况对儿童进行分类。SKF之和用于分析。对BMI和SKF进行对数变换。双因素方差分析和事后对比与BMIlog和SKFlog的趋势图一起使用。超重的相对风险估计为95%置信区间。所有分析均在STATA中完成。结果:从2009年到2019年,BMIlog和SKFlog均值在两性中均有所增加,但存在年龄特异性差异。在2009年至2019年期间,在大多数年龄组中,男女的身体质量指数在世卫组织百分位数上从接近P50变为P75。与2009年相比,2019年大多数儿童超重的风险并没有明显增加。结论:BMIlog和SKFlog长期呈阳性趋势,在特定年龄显著增加。
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引用次数: 0
Measurement of deciduous molar crowns and arches using digital imaging technology in pre-school children from Xiamen, China. 应用数字成像技术测量厦门学龄前儿童乳牙冠和牙弓。
IF 1.3 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-08-12 DOI: 10.1080/03014460.2025.2539259
Mei Chen, Yanru Hong, Peipei Huang, Junzhen Li, Lu Yin

Background: Deciduous teeth are closely associated with the development of the permanent teeth, drawing concern and emphasis in dental restoration and endodontics. The deciduous teeth arches and crowns can serve as a clinical diagnostic reference that contributes to the manufacture of dental restoration and dental therapy.

Aim: This study measured dimensions of deciduous molar teeth in pre-school children using digital imaging technology.

Subjects and methods: From November to December 2023, a total of 121 digital models of pre-school (3-6 years old) children in Xiamen were obtained using a digital oral scanner. The data were derived from the 3-Shape software based on the measurements on the models.

Results: There were sex differences in crown width of most deciduous teeth, but not in antimeres. There were also statistical differences in the following measurements: a) mesial-distal diameter of mandibular second deciduous molar; b) occlusal-gingival distance of the right first deciduous molar; c) the upper left first deciduous molar in different sex controls; and d) girls were all smaller than boys. There were statistical differences in maxillary and mandibular arch width at 3, 4, 5 and 6 years of age and in the maxillary arch length at different ages, but not in the mandibular arch length. There was no statistical difference in maxillary arch length between boys and girls, but a statistical difference in arch width was detected between boys and girls.

Conclusion: Significant differences existed in deciduous molar crowns and arches between children of different ages and sexes.

背景:乳牙与恒牙的发育密切相关,是牙体修复和牙髓学研究的重点。乳牙牙弓和牙冠可以作为临床诊断参考,有助于牙修复和治疗的制作。目的:应用数字成像技术对学龄前儿童乳牙进行尺寸测量。对象与方法:于2023年11 - 12月,采用数字口腔扫描仪获取厦门市学龄前(3-6岁)儿童数字模型121份。数据由3-Shape软件根据模型的测量结果导出。结果:乳牙冠宽存在性别差异,乳牙冠宽无性别差异。两组在以下指标上也有统计学差异:a)下颌第二乳牙内、远端直径;B)右侧第一乳牙合牙龈距离;C)不同性别对照组左上第一乳牙;d)女孩都比男孩小。3岁、4岁、5岁、6岁上颌弓宽度及不同年龄上颌弓长度差异均有统计学意义,但下颌弓长度差异无统计学意义。男女上颌弓长差异无统计学意义,而男女上颌弓宽差异有统计学意义。结论:乳牙牙冠和牙弓在不同年龄和性别的儿童中存在显著差异。
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引用次数: 0
Development of disease-specific growth charts for Argentine Prader-Willi syndrome without growth hormone treatment. 未接受生长激素治疗的阿根廷普瑞德-威利综合征疾病特异性生长图表的制定。
IF 1.3 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-04 DOI: 10.1080/03014460.2025.2534345
Silvia Caino, Carolina Caminiti, Rocio Rabosto Moleón, Gabriela Krochik, Mariana Del Pino

Background: Prader-Willi syndrome (PWS) is a complex genetic disorder characterised by infantile hypotonia, early-onset obesity, intellectual disability, hypopigmentation, small hands and feet, short stature, hypogonadism, and distinctive facial features.

Aim: To generate and report growth curves for height, sitting height, hands and feet length for Argentine children with Prader-Willi syndrome (PWS) without growth hormone treatment.

Subjects and methods: A total of 1174 anthropometric measures were obtained from 167 children (82 boys) aged 0-19 years attending Hospital Garrahan between 1992 and 2019. Standardised techniques were used in patients with molecularly confirmed PWS. The 3rd, 10th, 25th, 50th, 75th, 90th, and 97th percentiles were estimated using the LMS method, which adjusts for skewness. Height data were plotted for comparison with the 50th percentile of the Argentine general population and German PWS without growth hormone treatment.

Results: Growth curves for height, sitting height, hands and feet length were developed from 169 children. Mean adult height was 145.3 cm in females (n = 88) and 153.2 cm in males (n = 81), which are 15.4 and 19.6 cm below the 50th percentile of the Argentine non-PWS population for girls and boys, respectively. Compared with German PWS, Argentine PWS references were 3.3 and 5.9 cm shorter in girls and boys, respectively. Mean sitting height was 9.03 cm in boys and 9.61 cm in girls, shorter than the Argentine non-PWS population.

Conclusion: Differences in adult height between Argentine and German PWS references highlight the importance of local growth standards. Country-specific reference charts are essential tools for identifying growth-impacting conditions and monitoring response to therapy.

背景:普瑞德-威利综合征(PWS)是一种复杂的遗传性疾病,其特征为婴儿性张力低下、早发性肥胖、智力残疾、色素沉着、手脚小、身材矮小、性腺功能减退和面部特征明显。目的:生成并报告未接受生长激素治疗的阿根廷普瑞德-威利综合征(PWS)儿童的身高、坐高、手和脚长生长曲线。对象和方法:从1992年至2019年在Garrahan医院就诊的167名0-19岁儿童(82名男孩)中获得1174项人体测量数据。标准化技术用于分子证实的PWS患者。第3、第10、第25、第50、第75、第90和第97百分位使用LMS方法进行估计,该方法对偏度进行了调整。绘制身高数据,与未接受生长激素治疗的阿根廷普通人群和德国PWS的第50百分位数进行比较。结果:对169例儿童进行身高、坐高、手、脚长生长曲线的测定。成年女性平均身高为145.3 cm (n = 88),男性平均身高为153.2 cm (n = 81),分别比阿根廷非pws人群的50百分位数低15.4 cm和19.6 cm。与德国PWS相比,阿根廷PWS参考文献在女孩和男孩中分别短3.3和5.9 cm。男孩和女孩的平均坐高分别为9.03 cm和9.61 cm,均低于阿根廷非pws人群。结论:阿根廷和德国PWS参考文献的成人身高差异突出了当地生长标准的重要性。具体国家参考图表是确定影响生长的条件和监测治疗反应的重要工具。
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引用次数: 0
Screen time and pubertal development: a systematic review and meta-analysis. 屏幕时间与青春期发育:一项系统回顾和荟萃分析。
IF 1.3 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-11-06 DOI: 10.1080/03014460.2025.2577891
Erdenetuya Bolormaa, Yusra Mirghani Aljailani Fadhulalla, Hyun Jung Kim, Seung-Ah Choe

Background: Several mechanisms have been proposed to explain how screen time may affect pubertal development.

Aim: To quantify the association between screen time exposure and timing of pubertal onset in children.

Subjects and methods: We conducted a systematic review and random-effects meta-analysis of observational studies identified through PubMed, Embase, and the Cochrane Library up to 1 May 2025. Pooled odds ratios (ORs) for early or precocious puberty per additional hour of screen time and for categorical comparisons (≥ 2 vs < 2 h/day) were estimated, along with weighted mean differences (WMDs) in daily screen hours.

Results: Of 1,284 unique records, 10 studies enrolling 97,898 children aged 2-19 years met inclusion criteria, most conducted in China. Each additional hour of screen exposure was associated with higher odds of early pubertal development (OR = 1.35; 95% CI = 1.05-1.73). The comparison of ≥ 2 vs < 2 h/day did not reach significance (1.07; 95% CI = 0.90-1.26). In girls, pooled ORs were 1.07 (95% CI = 0.84-1.37) for early puberty and 1.27 (95% CI = 0.85-1.90) for precocious puberty. Children experiencing early puberty spent on average 0.63 additional screen-hours per day compared with peers (WMD = 0.63 h; 95% CI = 0.24-1.02).

Conclusions: Screen time is associated with pubertal onset in both boys and girls, although substantial heterogeneity and cross-sectional designs limit causal inference. Future longitudinal and experimental studies are needed to clarify underlying mechanisms and inform evidence-based guidelines for healthy pubertal development.

背景:人们提出了几种机制来解释屏幕时间如何影响青春期发育。目的:量化屏幕时间暴露与儿童青春期开始时间之间的关系。研究对象和方法:我们对PubMed、Embase和Cochrane图书馆截至2025年5月1日的观察性研究进行了系统评价和随机效应荟萃分析。估计了每增加一小时屏幕时间的性早熟或性早熟的合并优势比(ORs)和分类比较(≥2小时/天vs < 2小时/天),以及每日屏幕时间的加权平均差异(wmd)。结果:在1284项独特记录中,10项研究纳入了97,898名年龄在2-19 岁的儿童,符合纳入标准,大多数在中国进行。每增加一个小时的屏幕暴露与较高的青春期早期发育的几率相关(OR = 1.35;95% CI = 1.05-1.73)。≥2 vs < 2 h/day的比较没有达到显著性(1.07;95% CI = 0.90-1.26)。在女孩中,性早熟的合并or值为1.07(95% CI = 0.84-1.37),性早熟的合并or值为1.27(95% CI = 0.85-1.90)。与同龄人相比,青春期早期的儿童平均每天多花0.63小时看屏幕(WMD = 0.63 h; 95% CI = 0.24-1.02)。结论:屏幕时间与男孩和女孩的青春期发病有关,尽管实质性的异质性和横断面设计限制了因果推理。未来的纵向和实验研究需要阐明潜在的机制,并为健康的青春期发育提供循证指南。
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引用次数: 0
Altered gut microbiota composition and feeding behaviours in children with Autism Spectrum Disorder: a comparative pilot study. 自闭症谱系障碍儿童肠道菌群组成和喂养行为的改变:一项比较试点研究。
IF 1.3 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-08-29 DOI: 10.1080/03014460.2025.2535430
Marina Toscano de Oliveira, Marco Antônio Borges Scriboni Gonzalez, João Victor Rosetto Boiate, Victoria Mesa, Daniel Henrique Gonçalves, Mariana Gisse Pinto, Camila Ramos da Silva Pinto, José Elderaldo Costa Gomes Filho, Katia Sivieri

Background: Autism Spectrum Disorder (ASD) is a prevalent condition with poorly understood aetiology. Studies indicate that children with ASD exhibit more gastrointestinal alterations, nutritional deficiencies due to selective eating, and distinct gut microbiota profiles compared to neurotypical peers.

Aim: To investigate the differences in gut microbiota composition and feeding behaviours between children with ASD and their typically developing peers.

Subjects and methods: Faecal samples from 10 male children with ASD (mean age 6.2 years), and 10 male neurotypical controls (mean age 6.1 years) were analysed using 16S rRNA sequencing to assess gut microbiota composition. Guardians completed questionnaires on demographics, birth data, initial feeding habits (i.e. feeding practices after breastfeeding), gastrointestinal symptoms, stool characteristics, and feeding behaviours, which were assessed using the Brief Autism Mealtime Behaviour Inventory (BAMBI) scale. Additionally, a 48-hour dietary recall was collected to analyse the children's nutritional intake.

Results: Significant differences in gut microbiota beta diversity were observed. Bacteroidota predominated in the control group, while Firmicutes, Actinobacteriota, and Proteobacteria were dominant in the ASD group. Genera Blautia and Bifidobacterium were enriched in controls, whereas Clostridium sensu stricto 1, Ruminococcus_torques_group, Lachnospiraceae_UCG004, and Bifidobacterium breve were more prevalent in ASD. Comorbidities, sodium intake, and BAMBI scale scores highlighted greater feeding-related behavioural issues in the ASD group.

Conclusion: Children with ASD show notable differences in gut microbiota composition and feeding behaviours. The findings emphasise the need to address gastrointestinal and nutritional factors in ASD management.

背景:自闭症谱系障碍(ASD)是一种常见的疾病,但病因尚不清楚。研究表明,与神经正常的同龄人相比,患有ASD的儿童表现出更多的胃肠道改变,选择性饮食导致的营养缺乏,以及不同的肠道微生物群。目的:探讨ASD患儿肠道菌群组成和摄食行为的差异。研究对象和方法:采用16S rRNA测序技术对10例ASD男性儿童(平均年龄6.2岁)和10例男性神经正常对照组(平均年龄6.1岁)的粪便样本进行分析,评估肠道微生物群组成。监护人填写有关人口统计、出生数据、初始喂养习惯(即母乳喂养后的喂养习惯)、胃肠道症状、粪便特征和喂养行为的问卷,并使用简短自闭症用餐时间行为量表(BAMBI)对这些问卷进行评估。此外,还收集了48小时的饮食记录来分析儿童的营养摄入量。结果:观察到肠道微生物群多样性的显著差异。对照组以拟杆菌门(Bacteroidota)为主,ASD组以厚壁菌门(Firmicutes)、放线菌门(Actinobacteriota)和变形菌门(Proteobacteria)为主。对照组中富集了蓝藻属和双歧杆菌,而严格感梭菌1、Ruminococcus_torques_group、Lachnospiraceae_UCG004和短双歧杆菌在ASD中更为普遍。合并症、钠摄入量和BAMBI量表得分突出了ASD组更大的喂养相关行为问题。结论:ASD患儿肠道菌群组成和摄食行为存在显著差异。研究结果强调了在ASD管理中解决胃肠道和营养因素的必要性。
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引用次数: 0
Delayed skeletal maturation is a major contributor to child height deficits in a low-income setting. 骨骼发育迟缓是低收入家庭儿童身高不足的主要原因。
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-06-04 DOI: 10.1080/03014460.2025.2510499
Liina Mansukoski, Barry Bogin, J Andres Galvez-Sobral, Luis Furlán, William Johnson

Background: Studying the extent to which delayed skeletal maturation may contribute to childhood height deficits is important for assessing potential for recovery in heights.

Aim: To investigate the discrepancy in height-for-age Z-scores (HAZ) based on chronological age (HAZ-CA) compared to bone age (HAZ-BA) and estimate proportion of HAZ deficits attributable to delayed maturation in both sexes.

Subjects and methods: Using the WHO Growth References, HAZ-CA and HAZ-BA were calculated for Guatemala City children aged 6-8.99 years participating in the Universidad del Valle de Guatemala Longitudinal Study and attending a low or a very low SEP study school. A mixed effects model was developed to describe 1638 HAZ observations (Level 1) in 1107 children (Level 2) by HAZ-type, with interaction terms for HAZ-type by age, sex, school, and birth year.

Results: On average, skeletal age was delayed by 1.1 (SD 1.0) years. Mean HAZ-CA was -1.7 (0.9) and HAZ-BA -0.6 (0.9). Greater proportions of the total height deficit were attributable to delayed skeletal maturation in males (60-87%) versus females (49-63%), and at low- (58-87%) versus very low-SES school (49-71%).

Conclusion: Delayed maturation contributes to height deficits, supporting the idea that opportunity for catch-up growth continues past early childhood in both sexes.

背景:研究骨骼成熟延迟在多大程度上可能导致儿童身高缺陷,对于评估身高恢复的潜力非常重要。目的:研究基于实足年龄(HAZ- ca)的身高-年龄z分数(HAZ- ba)与基于骨年龄(HAZ- ba)的HAZ分数(HAZ- ca)的差异,并估计男女中由于延迟成熟而导致的HAZ缺陷的比例。对象和方法:使用WHO生长参考资料,计算危地马拉市参加危地马拉山谷大学纵向研究并就读于低或极低SEP研究学校的6-8.99岁儿童的HAZ-CA和HAZ-BA。建立了一个混合效应模型,以HAZ类型描述1107名儿童(2级)的1638个HAZ观察值(1级),并以年龄、性别、学校和出生年份作为HAZ类型的相互作用项。结果:骨龄平均延迟1.1年(SD 1.0)。平均HAZ-CA为-1.7 (0.9),HAZ-BA为-0.6(0.9)。男性(60-87%)比女性(49-63%)更大比例的总身高缺陷可归因于骨骼成熟延迟,而低经济地位学校(58-87%)比非常低经济地位学校(49-71%)。结论:发育迟缓会导致身高不足,这支持了一种观点,即两性在童年早期之后仍有机会进行追赶性生长。
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引用次数: 0
Comparative effects of growth hormone, testosterone, and aromatase inhibitors on height gain in children and adolescents with idiopathic short statures: a network meta-analysis. 生长激素、睾酮和芳香酶抑制剂对特发性矮小儿童和青少年身高增加的比较作用:一项网络荟萃分析
IF 1.3 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-17 DOI: 10.1080/03014460.2025.2551531
Tingting Zhang, Yingli Si, Xiangyu Wang

Background: Idiopathic short stature (ISS) is defined as height more than two standard deviations below the mean for age and sex, without an identifiable pathological cause. Pharmacologic options such as growth hormone (GH), testosterone, and aromatase inhibitors (AIs) have been studied for their potential to promote height gain in affected children and adolescents.

Aim: To compare the efficacy of GH, testosterone, and AIs in promoting height gain in children and adolescents with ISS, considering both individual and combination treatments using a network meta-analysis.

Subjects and methods: This meta-analysis was conducted in accordance with the PRISMA 2020 guidelines. A systematic search was performed across PubMed, Embase, Web of Science, Google Scholar, Semantic Scholar, and ResearchRabbit. Eligible studies were selected on the basis of predefined inclusion criteria. Standardised mean differences (SMDs) and 95% confidence intervals (CIs) were calculated. Heterogeneity was assessed via the chi-square test and I2 index. Publication bias was evaluated via funnel plots and Egger's test.

Results: All the treatment groups (GH, anastrozole, letrozole, AI+GH) demonstrated significantly greater height gains than did the placebo group. Letrozole was associated with the greatest increase in height (SMD = 0.83, 95% CI = 0.38-1.28). No statistically significant differences were observed among the active treatments. Oxandrolone did not significantly differ from the placebo (SMD = 0.52, 95% CI = -0.03-1.07).

Conclusion: GH, AIs, and combination therapies improve height in children and adolescents with ISS, with letrozole showing a modest advantage but no clear superiority, highlighting the need for individualised treatment.

背景:特发性身材矮小(ISS)被定义为身高低于年龄和性别的平均值两个标准差以上,没有明确的病理原因。药物选择,如生长激素(GH)、睾酮和芳香酶抑制剂(AIs),已经研究了它们在受影响的儿童和青少年中促进身高增加的潜力。目的:通过网络荟萃分析,比较生长激素、睾酮和人工智能在促进ISS儿童和青少年身高增加方面的疗效,包括单独治疗和联合治疗。受试者和方法:本荟萃分析按照PRISMA 2020指南进行。通过PubMed、Embase、Web of Science、b谷歌Scholar、Semantic Scholar和ResearchRabbit进行系统搜索。根据预先确定的纳入标准选择符合条件的研究。计算标准化平均差(SMDs)和95%置信区间(ci)。通过卡方检验和I2指数评估异质性。通过漏斗图和Egger检验评估发表偏倚。结果:所有治疗组(GH、阿那曲唑、来曲唑、AI+GH)的身高增加均明显高于安慰剂组。来曲唑与身高增加最大相关(SMD = 0.83, 95% CI = 0.38-1.28)。两组间差异无统计学意义。奥胺龙与安慰剂无显著差异(SMD = 0.52, 95% CI = -0.03-1.07)。结论:GH、AIs和联合治疗可改善患有ISS的儿童和青少年的身高,来曲唑显示出适度的优势,但没有明显的优势,突出了个性化治疗的必要性。
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Annals of Human Biology
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