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8/3/2019 Lecture 1 KULIAH Physcl Growth 2007
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PHYSICAL DEVELOPMENT INCHILDHOOD AND PUBERTY
PUBERTY ANDADOLESCENCE
PHYSICAL DEVELOPMENTIN EARLY CHILHOOD
PHYSICAL DEVELOPMENTIN MIDDLE AND LATE
CHILDHOOD
HEALTH NUTRITION AND
EXERCISE
Heightand
WeightThe
Brain MotorDevelopment
HandednessPuberty
Sexuality
Some AdolescentProblem and
Disorders
StereotypingAdolescents
and TodaysYouth
A DevelopmentalPerspective on
Childrens Health
Poverty
Illness and Healthin the Worlds
Children Nutritionand Obesity
Exercise
SportsSkeletal and
MuscularSystems
Motor Skills
Fig.1
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PHYSICAL PROPORTION
Changes in the proportions of the human
body during growthThe most striking changes is that the headbecome smaller in proportion to the rest ofthe body
The increasing leg proportion is almostexactly the reverse of decreasing headproportion (Fig.2)
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Fig 2. Changes in body proportions from the 2nd fetal mo to
adulthood. (From Robbins WJ, Brody S, Hogan AG, et al:Growth New Haven, Yale University Press, 1928)
2 mo (fetal) 5 mo Newborn 2 yr 6 yr 12 yr 25 yr
1/2 1/3 1/4 1/5 1/6 1/7 1/8
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Fig 3. Velocity curves of the various components of human brain growth.Solid line with two peaks = DNA; dashed line = brain weight; singlepeak solid line = cholesterol. (From Brasel JA, Gruen RK. In; Falkner F,
Tanner JM (eds) : Human Growth: A Comprehensive Treatise. NewYork, Plenum Press, 1986, pp 78 -95 ).
INCREMENTS
PercentAdult/fiveweeks
WEEKS
10
BIRTH MONTHS
2.5
0
40C
5
7.5
20 6 12 18 24
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Ukuran pertumbuhan otak
3 bulan dalamkandungan
Cepat
Padasaat lahir
1 tahun
Lambat
2 tahun
SangatLambat
5 tahun
Jaringan sel otak(tiap sel menjadi 14000 sel otak)
2 tahunLahir
Fig 4. Pertumbuhan Otak Anak(Dikutip dari Morley, 1986)
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Average HC : 34 cm at birth
HC increases : 1 cm / mo for first yr (2 cm / mo
for first 3 mo, then slower); 10 cm for rest of life
At birth : 34 cm
6 months : 44 cm
Adult : 54 cm
Head Circumference (HC)
increased 50%
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Fig 5. Head Circumference of girl (Nellhaus)
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Fig 6. Head Circumference of boy (Nellhaus)
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Average length : 50 cm at birth, 75 cm at 1 yr
At age 3 yr, the average child is 95 cm tall
At age 4 yr, the average child is 100 cm tall
(double birth length)
Average annual height increase : 5 7,5 cm
between age 4 yr and puberty
HEIGHT
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APPROXIMATE AVERAGE ADULT HEIGHTBASED ON FATHER AND MOTHER
HEIGHT (GENETIC POTENTIAL)Girl : (Father height - 13cm) + Mother height +/- 8.5 cm
2
Boy : (Father height + 13cm) + Mother height+/- 8.5 cm2
1 - year : 1.5 x birth length4 - year : 2 x birth length6 - year : 1.5 x height at 1 year13 - year : 3 x birth length
Adult : 3.5 x height at 2 year
RULES OF THUMB FOR HEIGHT
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Weight loss in first days : 5 - 10%
Return to birthweight: 7 - 10 days
Double : 4 - 5 moTriple : 1 yearQuadruple : 2 yr
Average : 3.5 kg at birth10 kg at 1 yr20 kg at 5 yr30 kg at 10 yr
RULES OF THUMB FOR WEIGHT
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WEIGHT KILOGRAMS (POUNDS)
(a) At birth
(b) 3 12 mo
(c) 1 6 yr
(d) 7 12 yr
3.25
age (mo) + 9
2
age (yr) x 2 + 8
age (yr) x 7 - 52
(7)
(age [mo] + 11)
(age [yr] x 5 + 17)
(age) [yr] x 7 + 5)
HEIGHT CENTIMETERS (INCHES)
(e) At birth(f) At 1 yr
(g) 2 12 yr
5075
age (yr) x 6 + 77
(20)(30)
(age [yr] x 2 + 30)
Table 1. Formulas for Approximate Average Height and
Weight of Normal Infants and Children
*Adapted from Tanner JM: Growth at Adolescence, 2nd ed. Oxford, Blackwell
Scientific Publications, 1962
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Fig 7. Height velocity of boy (Philibert de Montbeillard)
22
20
18
16
14
12
10
8
UMUR, TAHUN
0 2 4 6 8 10 12 14 16 18
5
4
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UMUR, TAHUN
200
180
160
140
120
100
80
60
0 2 4 6 8 10 12 14 16 18
Fig 8. Distance curve of height in boy (Philibert de
Montbeillard)
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Fig 9. Growth velocity, in centimeters per year, at different ages of the boy and girlwhose statures are shown in figure 1. (Reproduced from Tanner et al., 1966)
13 14 1615 172 43 75 6 1281 11109 1918
242322
21
20
1918
17
16151413
12
11
109
8
7
6
5
43
21
BoysGirls
Age, years
Height
gain,cm/yr
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Fig 10. Height at different ages of a hypothetical boy and girl of mean birthlength, who grew at the mean rate and experienced the adolescentgrowth spurt at the mean age for their sex. Each finally reached themean adult stature. (Reproduced from Tanner et al., 1966)
190
100
90
60
110
120
130
140
150
160
170
180
70
60
50
13 14 1615 172 43 75 6 1281 11109 1918
Boys
Girls
H
eight,cm
Age, years
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ERUPTION
Maxillary Mandible
Primary (month 1 SD)Central incisorLateral incisorCanineFirst molar
Second molar
10 (8-12)
11 (9-13)
19 (16-22)
16 (13-19 boys)
(14-19 girls)
29 (25-33)
8 (6-10)
13 (10-16)
20 (17-23)
16 (14-18)
27 (23-31 boys)(24-30 girls)
Table 2. Chronology of Tooth Eruption
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Fig 11. Normal (gaussian) distribution curve. This curve representsthe theoretical distribution of values for many biologicmeasurements. The percentiles indicate certain positions withinthis distribution, as do the standard deviations from the mean
NORMAL
DISTRIBUTION
CURVE
PERCENTILESSTANDARDDEVIATION
- 30 - 20 - 10
MEAN
+ 30+ 10 + 203 10 25 50 75 90 97
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Fig 12. Relationship between percentile lines on the growth curve and
frequency distributions of height at different ages
Growth Chart
Height(cm)
Age (years)3 4 5
95
505
95
50
5
Height (cm) 89 94.9 102.0Percentile 5 50 95
Frequency Distribution for 3-Year-Olds
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