Skeletal Maturation in the Current Pediatric Mexican Population
| Autor: | Mariana Sánchez Curiel Loyo, Desiree Lopez-Gonzalez, Miguel Klünder-Klünder, Montserrat Espinosa-Espindola, Pilar Dies Suárez, América L Miranda-Lora |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Adolescent Endocrinology Diabetes and Metabolism MEDLINE 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Endocrinology Age Determination by Skeleton Humans Medicine 030212 general & internal medicine Child Caucasian population business.industry Puberty Bone age General Medicine Hand Mexican population Secular variation Skeletal maturation Child Preschool Female business human activities Demography |
| Zdroj: | Endocrine Practice. 26:1053-1061 |
| ISSN: | 1530-891X |
| DOI: | 10.4158/ep-2020-0047 |
| Popis: | The most commonly used methods for bone age (BA) reading were described in the Caucasian population decades ago. However, there are secular trends in skeletal maturation and different BA patterns between ethnic groups. Automated BA reading makes updating references easier and more precise than human reading. The objective of the present study was to present automated BA reference curves according to chronological age and gender in the Mexican population and compare the maturation tempo with that of other populations.The study included 923 healthy participants aged 5 to 18 years between 2017 and 2018. A hand radio-graph was analyzed using BoneXpert software to obtain the automated BA reading according to Greulich and Pyle (GP) and Tanner-Whitehouse 2 (TW2) references. We constructed reference curves using the average difference between the BA and chronological age according to sex and age.The GP and TW2 automated reference curves showed that Mexican boys exhibit delays in BA during middle childhood by 0.5 to 0.7 (95% confidence intervallsqb;CI], -0.9 to -0.2) years; however, they demonstrate an advanced BA of up to 1.1 (95% CI, 0.8 to 1.4) years at the end of puberty. Mexican girls exhibited a delay in BA by 0.3 to 0.6 (95% CI, -0.9 to -0.1) years before puberty and an advanced BA of up to 0.9 (95% CI, 0.7 to 1.2) years at the end of puberty.Mexican children aged10 years exhibited a delay in skeletal maturity, followed by an advanced BA by approximately 1 year at the end of puberty. This may affect the estimation of growth potential in this population. |
| Databáze: | OpenAIRE |
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