Comprehensive Physiology Wiley Online Library

Somatic Growth and its Regulation

Full Article on Wiley Online Library



Abstract

The sections in this article are:

1 Variations of Normal Growth
1.1 Normal Variations in Infancy
1.2 Constitutional Delay of Growth and Adolescence
1.3 Constitutional Accelerated Growth
1.4 Premature Adrenarche
1.5 Premature Thelarche
1.6 Gynecomastia
2 Abnormal Growth
2.1 Intrinsic Disorders of Growth Deficiency
2.2 Extrinsic Disorders of Growth Deficiency
2.3 Intrinsic Disorders of Increased Growth
2.4 Extrinsic Disorders of Increased Growth
3 Assessment of Growth
3.1 Growth Standards
3.2 Standards for Pubertal Development
3.3 Terminology
3.4 Measurement Techniques
3.5 Anthropometry
3.6 Body Composition Assessment
3.7 Assessment of Biological Maturity
3.8 Mathematical Modeling of Growth Data and Prediction of Adult Height
3.9 Methods for Assessment of Growth in Laboratory Animals
4 Assessment of the Regulation of Growth
4.1 General Considerations
4.2 Screening Procedures
4.3 Static Hormone Levels
4.4 Serial Growth Hormone Sampling
4.5 Stimulation Testing
4.6 Suppression Tests
5 Summary
Figure 1. Figure 1.

Whole‐year height velocity standards for North American boys. Dashed line at left: 50th percentile for boys 2 SD early. Dashed line at right: 50th percentile for boys 2 SD late, ∧ and ∨: 97th and 3rd percentiles for peak height velocities of early‐and late‐maturers, respectively.

From Tanner and Davies 205 with permission
Figure 2. Figure 2.

Growth chart for girls with Turner's syndrome compared to normal female growth. Dark lines show growth in normal girls: percentiles derived from the National Center for Health Statistics. Fine lines show growth in untreated girls with Turner's syndrome; percentiles derived from Lyon et al. 125.

From Lyon et al. 125 and Genentech, Inc., with permission
Figure 3. Figure 3.

Height attained for North American boys. Superimposed are, top, 50th percentile (solid line) and 95th percentile (dashed line) for boys 2 SD of tempo early and, bottom, 50th percentile (solid line) and 5th percentile (dashed line) for boys 2 SD of tempo late.

From Tanner and Davies 205 with permission
Figure 4. Figure 4.

Height attained for North American girls. Superimposed are, top, 50th percentile (solid line) and 95th percentile (dashed line) for girls 2 SD of tempo early and, bottom, 50th percentile (solid line) and 5th percentile (dashed line) for girls 2 SD of tempo late.

From Tanner and Davies 205 with permission
Figure 5. Figure 5.

Standard length and weight curves from birth to 36 months. (A) boys. (B) girls.

From Ross Laboratories with permission
Figure 6. Figure 6.

Standard height and weight curves for ages 2–18 years. (A) boys. (B) Girls.

From Genentech, Inc., with permission
Figure 7. Figure 7.

Standard deviation curves for height. (A) boys. (B) girls.

From Genentech, Inc., with permission
Figure 8. Figure 8.

Pubertal stages for male genitalia development.

From Tanner 203 with permission
Figure 9. Figure 9.

Pubertal stages for female breast development.

From Tanner 203 with permission
Figure 10. Figure 10.

Pubertal stages for pubic hair development: A, boys; B, girls.

From Tanner 203 with permission
Figure 11. Figure 11.

Development of dentition: top, deciduous teeth; bottom, permanent teeth.

From Simon and Stevenson 192 with permission


Figure 1.

Whole‐year height velocity standards for North American boys. Dashed line at left: 50th percentile for boys 2 SD early. Dashed line at right: 50th percentile for boys 2 SD late, ∧ and ∨: 97th and 3rd percentiles for peak height velocities of early‐and late‐maturers, respectively.

From Tanner and Davies 205 with permission


Figure 2.

Growth chart for girls with Turner's syndrome compared to normal female growth. Dark lines show growth in normal girls: percentiles derived from the National Center for Health Statistics. Fine lines show growth in untreated girls with Turner's syndrome; percentiles derived from Lyon et al. 125.

From Lyon et al. 125 and Genentech, Inc., with permission


Figure 3.

Height attained for North American boys. Superimposed are, top, 50th percentile (solid line) and 95th percentile (dashed line) for boys 2 SD of tempo early and, bottom, 50th percentile (solid line) and 5th percentile (dashed line) for boys 2 SD of tempo late.

From Tanner and Davies 205 with permission


Figure 4.

Height attained for North American girls. Superimposed are, top, 50th percentile (solid line) and 95th percentile (dashed line) for girls 2 SD of tempo early and, bottom, 50th percentile (solid line) and 5th percentile (dashed line) for girls 2 SD of tempo late.

From Tanner and Davies 205 with permission


Figure 5.

Standard length and weight curves from birth to 36 months. (A) boys. (B) girls.

From Ross Laboratories with permission


Figure 6.

Standard height and weight curves for ages 2–18 years. (A) boys. (B) Girls.

From Genentech, Inc., with permission


Figure 7.

Standard deviation curves for height. (A) boys. (B) girls.

From Genentech, Inc., with permission


Figure 8.

Pubertal stages for male genitalia development.

From Tanner 203 with permission


Figure 9.

Pubertal stages for female breast development.

From Tanner 203 with permission


Figure 10.

Pubertal stages for pubic hair development: A, boys; B, girls.

From Tanner 203 with permission


Figure 11.

Development of dentition: top, deciduous teeth; bottom, permanent teeth.

From Simon and Stevenson 192 with permission
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Pamela A. Clark, Alan D. Rogol. Somatic Growth and its Regulation. Compr Physiol 2011, Supplement 24: Handbook of Physiology, The Endocrine System, Hormonal Control of Growth: 37-72. First published in print 1999. doi: 10.1002/cphy.cp070502