@article{GrothSchefflerHermanussen2023, author = {Groth, Detlef and Scheffler, Christiane and Hermanussen, Michael}, title = {Human growth data analysis and statistics - the 5th G{\"u}lpe International Student Summer School}, series = {Human biology and public health}, volume = {1}, journal = {Human biology and public health}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph2023.1.70}, pages = {5}, year = {2023}, abstract = {The Summer School in G{\"u}lpe (Ecological Station of the University of Potsdam) offers an exceptional learning opportunity for students to apply their knowledge and skills to real-world problems. With the guidance of experienced human biologists, statisticians, and programmers, students have the unique chance to analyze their own data and gain valuable insights. This interdisciplinary setting not only bridges different research areas but also leads to highly valuable outputs. The progress of students within just a few days is truly remarkable, especially when they are motivated and receive immediate feedback on their questions, problems, and results. The Summer School covers a wide range of topics, with this year's focus mainly on two areas: understanding the impact of socioeconomic and physiological factors on human development and mastering statistical techniques for analyzing data such as changepoint analysis and the St. Nicolas House Analysis (SNHA) to visualize interacting variables. The latter technique, born out of the Summer School's emphasis on gaining comprehensive data insights and understanding major relationships, has proven to be a valuable tool for researchers in the field. The articles in this special issue demonstrate that the Summer School in G{\"u}lpe stands as a testament to the power of practical learning and collaboration. Students who attend not only gain hands-on experience but also benefit from the expertise of professionals and the opportunity to engage with peers from diverse disciplines.}, language = {en} } @article{HermanussenGrothScheffler2022, author = {Hermanussen, Michael and Groth, Detlef and Scheffler, Christiane}, title = {Human growth data analyses and statistics}, series = {Human biology and public health}, volume = {2021}, journal = {Human biology and public health}, number = {3, Summer School Supplement}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph2021.3.29}, pages = {4}, year = {2022}, abstract = {Students learn by repetition. Repetition is essential, but repetition needs questioning, and questioning the repertoire belongs to the essential tasks of student education. Guiding students to questioning was and is our prime motive to offer our International Student Summer Schools. The data were critically discussed among the students, in the twilight of Just So Stories, common knowledge, and prompted questioning of contemporary solutions. For these schools, the students bring their own data, carry their preliminary concepts, and in group discussions, they may have to challenge these concepts. Catch-up growth is known to affect long bone growth, but different opinions exist to what extent it also affects body proportions. Skeletal age and dental development are considered appropriate measures of maturation, but it appears that both system develop independently and are regulated by different mechanisms. Body weight distributions are assumed to be skewed, yet, historic data disproved this assumption. Many discussions focused on current ideas of global growth standards as a common yardstick for all populations world-wide, with new statistical tools being developed including network reconstruction and evaluation of the reconstructs to determine the confidence of graph prediction methods.}, language = {en} } @article{HermanussenMummRintischetal.2019, author = {Hermanussen, Michael and Mumm, Rebekka and Rintisch, Aileen and Tutkuviene, Janina and Suchomlinov, Andrej and Joubert, K{\´a}lm{\´a}n and Ferrandez Longas, Angel and Scheffler, Christiane}, title = {Height SDS changes (Delta hSDS) in healthy children from birth to 18 years, with correction factors for measurement intervals of less than one year}, series = {Pediatric Endocrinology Reviews}, volume = {16}, journal = {Pediatric Endocrinology Reviews}, number = {4}, publisher = {Medical Media}, address = {Netanya}, issn = {1565-4753}, doi = {10.17458/per.vol16.2019.hmr.heightsdschanges}, pages = {457 -- 467}, year = {2019}, abstract = {Background: Growth is volatile and non-linear. Assessing the instantaneous speed of growth (momentary height velocity) depends on the precision and the number of measurements and the duration of the observation period. Measurements at short intervals reflect both the non-linearity of growth and the technical error of measurements (TEM). Material: We reanalyzed longitudinal measurements of body length at age 0, 3 months, 6 months, 9 months, 12 months, 18 months, and 24 months, from 1879 healthy infants (956 girls, 923 boys) from France (180 girls, 173 boys), Vilnius, Lithuania (507 girls, 507 boys), Lublin, Poland (67 girls, 56 boys), Zurich, Switzerland (94 girls, 102 boys) and Spain (108 girls, 95 boys); and longitudinal measurements of annual body height from age 2 to 18 years from 1528 healthy children and adolescents (774 girls, 754 boys) from France (41 girls, 47 boys), Vilnius, Lithuania (23 girls, 27 boys), Lublin, Poland (70 girls, 58 boys), Zurich, Switzerland (111 girls, 120 boys), Spain (94 girls, 74 boys), the Czech Republic (65 girls, 69 boys), Hungary (316 girls, 320 boys), and Berkeley, USA (54 girls, 39 boys). Results: We calculated age- and sex-specific mean values for height and SD for height separately for each country. In addition, we defined the instantaneous speed of growth by the dhSDS(t) difference of two measures of hSDS (v(hSDS(t)) = Delta hSDS(t)/t), or in the case of multiple measurements, by the slope of the linear regression (BhSDS((t))). Based on the longitudinal measurements of body length, we present reference values for annual growth velocity given in the form of SD of annual hSDS changes (Delta hSDS), from birth to maturity. Correction factors are added for validating measurements obtained at intervals of less than one year. The correction factors depend on number of measurements, and duration of the observation period.}, language = {en} } @article{HermanussenGodinaRuehlietal.2010, author = {Hermanussen, Michael and Godina, Elena and Ruehli, Frank J. and Blaha, Pawel and Boldsen, Jesper L. and van Buuren, Stef and MacIntyre, Matthew and Aßmann, Christian and Ghosh, Arunava and de Stefano, Gian Fra nco and Sonkin, Valentin D. and Tresguerres Hern{\´a}ndez, Jes{\´u}s {\´A}ngel Fern{\´a}ndez and Meigen, Christof and Scheffler, Christiane and Geiger, Cherie L. and Lieberman, Leslie Sue}, title = {Growth variation, final height and secular trend : proceedings of the 17th Aschauer Soiree, 7th November 2009}, issn = {0018-442X}, doi = {10.1016/j.jchb.2010.06.001}, year = {2010}, abstract = {Growth and body height have always been topics interesting to the public. In particular, the stupendous increase of some 15-19 cm in final adult height during the last 150 years in most European countries (the "secular trend"), the concomitant changes in body and head proportions, the tendency towards early onset of sexual maturation, the changes in the age when final height is being reached, and the very recent trend in body mass index, have generated much scientific literature. The marked plasticity of growth in height and weight over time causes problems. Child growth references differ between nations, they tend to quickly become out of date, and raise a number of questions regarding fitting methods, effects caused by selective drop-out, etc. New findings contradict common beliefs about the primary importance of nutritional and health related factors for secular changes in growth. There appears to be a broad age span from mid-childhood to early adolescence that is characterised by a peculiar insusceptibility. Environmental factors that are known to influence growth during this age span appear to have only little or no impact on final height. Major re- arrangements in height occur at an age when puberty has almost been completed and final height has almost been reached, implying that factors, which drive the secular trend in height, are limited to early childhood and late adolescence.}, language = {en} } @article{SchefflerRogolIancuetal.2021, author = {Scheffler, Christiane and Rogol, Alan D. and Iancu, Mirela and Hanc, Tomasz and Moelyo, Annang Giri and Suchomlinov, Andrej and Lebedeva, Lidia and Limony, Yehuda and Musalek, Martin and Veldre, Gudrun and Godina, Elena Z. and Kirchengast, Sylvia and Mumm, Rebekka and Groth, Detlef and Tutkuviene, Janina and B{\"o}ker, Sonja and Ozer, Basak Koca and Navazo, Barbara and Spake, Laure and Koziel, Slawomir and Hermanussen, Michael}, title = {Growth during times of fear and emotional stress}, series = {Human biology and public health}, journal = {Human biology and public health}, number = {2}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph.v2.15}, year = {2021}, abstract = {Twenty-one scientists met for this year's virtual conference on Auxology held at the University Potsdam, Germany, to discuss child and adolescent growth during times of fear and emotional stress. Growth within the broad range of normal for age and sex is considered a sign of good general health whereas fear and emotional stress can lead to growth faltering. Stunting is a sign of social disadvantage and poor parental education. Adverse childhood experiences affect child development, particularly in families with low parental education and low socioeconomic status. Negative effects were also shown in Indian children exposed prenatally and in early postnatal life to the cyclone Aila in 2009. Distrust, fears and fake news regarding the current Corona pandemic received particular attention though the effects generally appeared weak. Mean birth weight was higher; rates of low, very and extremely low birth weight were lower. Other topics discussed by the participants, were the influences of economic crises on birth weight, the measurement of self-confidence and its impact on growth, the associations between obesity, peer relationship, and behavior among Turkish adolescents, height trends in Indonesia, physiological neonatal weight loss, methods for assessing biological maturation in sportsmen, and a new method for skeletal age determination. The participants also discussed the association between acute myocardial infarction and somatotype in Estonia, rural-urban growth differences in Mongolian children, socio-environmental conditions and sexual dimorphism, biological mortality bias, and new statistical techniques for describing inhomogeneity in the association of bivariate variables, and for detecting and visualizing extensive interactions among variables.}, language = {en} } @article{BoginSchefflerHermanussen2017, author = {Bogin, Barry and Scheffler, Christiane and Hermanussen, Michael}, title = {Global effects of income and income inequality on adult height and sexual dimorphism in height}, series = {American journal of human biology : the official journal of the Human Biology Council}, volume = {29}, journal = {American journal of human biology : the official journal of the Human Biology Council}, number = {2}, publisher = {Wiley}, address = {Hoboken}, issn = {1042-0533}, doi = {10.1002/ajhb.22980}, pages = {11}, year = {2017}, abstract = {Objectives: Average adult height of a population is considered a biomarker of the quality of the health environment and economic conditions. The causal relationships between height and income inequality are not well understood. We analyze data from 169 countries for national average heights of men and women and national-level economic factors to test two hypotheses: (1) income inequality has a greater association with average adult height than does absolute income; and (2) neither income nor income inequality has an effect on sexual dimorphism in height. Methods: Average height data come from the NCD-RisC health risk factor collaboration. Economic indicators are derived from the World Bank data archive and include gross domestic product (GDP), Gross National Income per capita adjusted for personal purchasing power (GNI_ PPP), and income equality assessed by the Gini coefficient calculated by the Wagstaff method. Results: Hypothesis 1 is supported. Greater income equality is most predictive of average height for both sexes. GNI_ PPP explains a significant, but smaller, amount of the variation. National GDP has no association with height. Hypothesis 2 is rejected. With greater average adult height there is greater sexual dimorphism. Conclusions: Findings support a growing literature on the pernicious effects of inequality on growth in height and, by extension, on health. Gradients in height reflect gradients in social disadvantage. Inequality should be considered a pollutant that disempowers people from the resources needed for their own healthy growth and development and for the health and good growth of their children.}, language = {en} } @article{LehmannSchefflerHermanussen2010, author = {Lehmann, Andreas and Scheffler, Christiane and Hermanussen, Michael}, title = {Evidence of seasonal variation in longitudinal growth of height in a sample of boys from Stuttgart Carlsschule, 1771-1793, using combined principal component analysis and maximum likelihood principle}, issn = {0018-442X}, doi = {10.1016/j.jchb.2009.11.003}, year = {2010}, abstract = {Recent progress in modelling individual growth has been achieved by combining the principal component analysis and the maximum likelihood principle. This combination models growth even in incomplete sets of data and in data obtained at irregular intervals. We re-analysed late 18th century longitudinal growth of German boys from the boarding school Carlsschule in Stuttgart. The boys aged 6-23 years, were measured at irregular 3-12 monthly intervals during the period 1771-1793. At the age of 18 years, mean height was 1652 mm, but height variation was large. The shortest boy reached 1474 mm, the tallest 1826 mm. Measured height closely paralleled modelled height, with mean difference of 4 mm, SD 7 mm. Seasonal height variation was found. Low growth rates occurred in spring and high growth rates in summer and autumn. The present study demonstrates that combining the principal component analysis and the maximum likelihood principle enables growth modelling in historic height data also.}, language = {en} } @article{HermanussenScheffler2022, author = {Hermanussen, Michael and Scheffler, Christiane}, title = {Evidence of chronic undernutrition in late 19th century German infants of all social classes}, series = {Human biology and public health}, volume = {2022}, journal = {Human biology and public health}, number = {2}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph2022.2.42}, pages = {9}, year = {2022}, abstract = {125 years ago, European infants grew differently from modern infants. We show weight gains of 20 healthy children weighed longitudinally from birth to age 1 year, published by Camerer in 1882. The data illustrate the historically prevalent concepts of infant nutrition practiced by German civil servants, lawyers, merchants, university professors, physicians, foresters and farmers. Breastfeeding by the mother was not truly appreciated in those days; children were often breastfed by wet nurses or received bottled milk. Bottle feeding mainly used diluted cow's milk with some added carbohydrates, without evidence that appropriate amounts of oil, butter or other fatty components were added. French children from 1914 showed similar weight gain patterns suggesting similar feeding practices. The historical data suggest that energy deficient infant formula was fed regularly in the late 19th and early 20th century Europe, regardless of wealth and social class. The data question current concerns that temporarily feeding energy deficient infant formula may warrant serious anxieties regarding long-term cognitive, social and emotional behavioral development.}, language = {en} } @article{HermanussenSchefflerPulunganetal.2023, author = {Hermanussen, Michael and Scheffler, Christiane and Pulungan, Aman B. and Bandyopadhyay, Arup Ratan and Ghosh, Jyoti Ratan and {\"O}zdemir, Ay{\c{s}}eg{\"u}l and Koca {\"O}zer, Ba{\c{s}}ak and Musalek, Martin and Lebedeva, Lidia and Godina, Elena and Bogin, Barry and Tutkuviene, Janina and Budrytė, Milda and Gervickaite, Simona and Limony, Yehuda and Kirchengast, Sylvia and Buston, Peter and Groth, Detlef and R{\"o}sler, Antonia and Gasparatos, Nikolaos and Erofeev, Sergei and Novine, Masiar and Navazo, B{\´a}rbara and Dahinten, Silvia and Gomuła, Aleksandra and Nowak-Szczepańska, Natalia and Kozieł, Sławomir}, title = {Environment, social behavior, and growth}, series = {Human biology and public health}, volume = {1}, journal = {Human biology and public health}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph2023.1.59}, pages = {14}, year = {2023}, abstract = {Twenty-four scientists met for the annual Auxological conference held at Krobielowice castle, Poland, to discuss the diverse influences of the environment and of social behavior on growth following last year's focus on growth and public health concerns (Hermanussen et al., 2022b). Growth and final body size exhibit marked plastic responses to ecological conditions. Among the shortest are the pygmoid people of Rampasasa, Flores, Indonesia, who still live under most secluded insular conditions. Genetics and nutrition are usually considered responsible for the poor growth in many parts of this world, but evidence is accumulating on the prominent impact of social embedding on child growth. Secular trends not only in the growth of height, but also in body proportions, accompany the secular changes in the social, economic and political conditions, with major influences on the emotional and educational circumstances under which the children grow up (Bogin, 2021). Aspects of developmental tempo and aspects of sports were discussed, and the impact of migration by the example of women from Bangladesh who grew up in the UK. Child growth was considered in particular from the point of view of strategic adjustments of individual size within the network of its social group. Theoretical considerations on network characteristics were presented and related to the evolutionary conservation of growth regulating hypothalamic neuropeptides that have been shown to link behavior and physical growth in the vertebrate species. New statistical approaches were presented for the evaluation of short term growth measurements that permit monitoring child growth at intervals of a few days and weeks.}, language = {en} } @article{HermanussenLiebermanSchoenfeldJanewaetal.2012, author = {Hermanussen, Michael and Lieberman, L. S. and Sch{\"o}nfeld Janewa, U. and Scheffler, Christiane and Ghosh, A. and Bogin, Barry and Godina, E. and Kaczmarek, M. and El-Shabrawi, M. and Salama, E. E. and R{\"u}hli, F. J. and Staub, K. and Woitek, U. and Blaha, Pawel and vanBuurren, S. and Lehmann, A. and Satake, T. and Thodberg, H. H. and Jopp, E. and Kirchengast, S. and Tutkuviene, J. and McIntyre, M. H. and Wittwer-Backofen, U. and Boldsen, J. L. and Martin, D. D. and Meier, J.}, title = {Diversity in auxology: between theory and practice Proceedings of the 18th Aschauer Soiree, 13th November 2010}, issn = {0003-5548}, year = {2012}, language = {en} } @article{HermanussenLiebermanJanewaetal.2012, author = {Hermanussen, Michael and Lieberman, Leslie Su and Janewa, V. Schoenfeld and Scheffler, Christiane and Ghosh, Arunava and Bogin, Barry and Godina, Elena and Kaczmarek, M. and El-Shabrawi, M. and Salama, E. E. and R{\"u}hli, Frank J. and Staub, Kaspar and Woitek, U. and Blaha, Pawel and Aßmann, Christian and van Buuren, Stef and Lehmann, A. and Satake, T. and Thodberg, H. H. and Jopp, E. and Kirchengast, S. and Tutkuviene, J. and McIntyre, M. H. and Wittwer-Backofen, U. and Boldsen, Jesper L. and Martin, D. D. and Meier, J.}, title = {Diversity in auxology between theory and practice}, series = {Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft f{\"u}r Anthropologie}, volume = {69}, journal = {Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft f{\"u}r Anthropologie}, number = {2}, publisher = {Schweizerbart}, address = {Stuttgart}, issn = {0003-5548}, doi = {10.1127/0003-5548/2012/0133}, pages = {159 -- 174}, year = {2012}, abstract = {Auxology has developed from mere describing child and adolescent growth into a vivid and interdisciplinary research area encompassing human biologists, physicians, social scientists, economists and biostatisticians. The meeting illustrated the diversity in auxology, with the various social, medical, biological and biostatistical aspects in studies on child growth and development.}, language = {en} } @article{FrankeGrombergSchuelerHermanussenetal.2010, author = {Franke-Gromberg, Christine and Sch{\"u}ler, Grit and Hermanussen, Michael and Scheffler, Christiane}, title = {Digital 2D-photogrammetry and direct anthropometry : a comparing study on test accomplishment and measurement data}, issn = {0003-5548}, doi = {10.1127/0003-5548/2010/0012}, year = {2010}, abstract = {The aim of this methodological anthropometric study was to compare direct anthropometry and digital two- dimensional photogrammetry in 18 male and 27 female subjects, aged 24 to 65 years, from Potsdam, Germany. In view of the rising interest in reliable biometric kephalofacial data, we focussed on head and face measurements. Out of 34 classic facial anatomical landmarks, 27 landmarks were investigated both by direct anthropometry and 2D-photogrammetry; 7 landmarks could not be localized by 2D-photogrammetry. Twenty-six kephalofacial distances were analysed both by direct anthropometry and digital 2D-photogrammetry. Kephalofacial distances are on average 7.6\% shorter when obtained by direct anthropometry. The difference between the two techniques is particularly evident in total head height (vertex-gnathion) due to the fact that vertex is usually covered by hair and escapes from photogrammetry. Also the distances photographic sellion-gnathion (1.3 cm, i. e. 11.6\%) and nasal-gnathion (1.2 cm, i. e. 9.4\%) differ by more than one centimetre. Differences below 0.5 cm between the two techniques were found when measuring mucosa-lip-height (2.2\%), gonia (3.0\%), glabella-stomion (3.9\%), and nose height (glabella-subnasal) (4.0\%). Only the estimates of forehead width were significantly narrower when obtained by 2D-photogrammetry (-1.4 cm, -13.1\%). The methodological differences increased with increasing magnitude of the kephalometric distance. Apart from these limitations, both techniques are similarly valid and may replace each other.}, language = {en} } @article{MummSchefflerHermanussen2014, author = {Mumm, Rebekka and Scheffler, Christiane and Hermanussen, Michael}, title = {Developing differential height, weight and body mass index references for girls that reflect the impact of the menarche}, series = {Acta paediatrica : nurturing the child}, volume = {103}, journal = {Acta paediatrica : nurturing the child}, number = {7}, publisher = {Wiley-Blackwell}, address = {Hoboken}, issn = {0803-5253}, doi = {10.1111/apa.12625}, pages = {e312 -- e316}, year = {2014}, abstract = {Aim Growth is both a matter of amplitude and tempo. We aimed to develop references for body height, body weight and body mass index (BMI) with respect to tempo of maturity. Methods Data obtained from the German KiGGS study (2003-2006) on body height, body weight and presence or absence of the menarche were re-analysed in 3776 girls, aged 10-17years. We developed smoothed centiles for BMI-, body-height- and body-weight-for-age using the LMS method for premenarcheal and postmenarcheal girls. Results Body height, body weight and BMI differed significantly between premenarcheal and postmenarcheal girls. On average, postmenarcheal girls aged 11-17years were 5.3cm taller and 9.7kg heavier, and their BMI was 2.9kg/m2 higher than in premenarcheal girls of the same calendar age. Conclusion Adolescent BMI rises with calendar age and biological age. New reference charts for adolescent girls aged 10-18years were generated to be inserted into the currently used references to avoid misclassifying underweight and overweight pubertal girls.}, language = {en} } @article{BoekerHermanussenScheffler2022, author = {Boeker, Sonja and Hermanussen, Michael and Scheffler, Christiane}, title = {Dental age is an independent marker of biological age}, series = {Human biology and public health}, volume = {2021}, journal = {Human biology and public health}, number = {3, Summer School Supplement}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph2021.3.24}, pages = {9}, year = {2022}, abstract = {Background: Biological age markers are a crucial indicator whether children are decelerated in growth tempo. Skeletal maturation is the standard measure. Yet, it relies on exposing children to x-radiation. Dental eruption is a potential, but highly debated, radiation free alternative.  Objectives: We assess the interrelationship between dental eruption and other maturational markers. We hypothesize that dental age correlates with body height and skeletal age. We further evaluate how the three different variables behave in cohorts from differing social backgrounds. Sample and Method: Dental, skeletal and height data from the 1970s to 1990s from Guatemalan boys were converted into standard deviation scores, using external references for each measurement. The boys, aged between 7 and 12, derived from different social backgrounds (middle SES (N = 6529), low-middle SES (N = 736), low SES Ladino (N = 3653) and low SES Maya (N = 4587). Results: Dental age shows only a weak correlation with skeletal age (0.18) and height (0.2). The distinction between cohorts differs according to each of the three measurements. All cohorts differ significantly in height. In skeletal maturation, the middle SES cohort is significantly advanced compared to all other cohorts. The periodically malnourished cohorts of low SES Mayas and Ladinos are significantly delayed in dental maturation compared to the well-nourished low-middle and middle class Ladino children. Conclusion: Dental development is an independent system, that is regulated by different mechanisms than skeletal development and growth. Tooth eruption is sensitive to nutritional status, whereas skeletal age is more sensitive to socioeconomic background.}, language = {en} } @article{SchefflerBoginHermanussen2021, author = {Scheffler, Christiane and Bogin, Barry and Hermanussen, Michael}, title = {Catch-up growth is a better indicator of undernutrition than thresholds for stunting}, series = {Public health nutrition : PHN / The Nutrition Society}, volume = {24}, journal = {Public health nutrition : PHN / The Nutrition Society}, number = {1}, publisher = {Cambridge University Press}, address = {Cambridge ; New York, NY}, issn = {1475-2727}, doi = {10.1017/S1368980020003067}, pages = {52 -- 61}, year = {2021}, abstract = {Objective: Stunting (height-for-age < -2 SD) is one of the forms of undernutrition and is frequent among children of low- and middle-income countries. But stunting perSe is not a synonym of undernutrition. We investigated association between body height and indicators of energetic undernutrition at three critical thresholds for thinness used in public health: (1) BMI SDS < -2; (2) mid-upper arm circumference divided by height (MUAC (mm) × 10/height (cm) < 1·36) and (3) mean skinfold thickness (SF) < 7 mm and to question the reliability of thresholds as indicators of undernutrition. Design: Cross-sectional study; breakpoint analysis. Setting: Rural and urban regions of Indonesia and Guatemala - different socio-economic status (SES). Participants: 1716 Indonesian children (6·0-13·2 years) and 3838 Guatemalan children (4·0-18·9 years) with up to 50 \% stunted children. Results: When separating the regression of BMI, MUAC or SF, on height into distinguishable segments (breakpoint analysis), we failed to detect relevant associations between height, and BMI, MUAC or SF, even in the thinnest and shortest children. For BMI and SF, the breakpoint analysis either failed to reach statistical significance or distinguished at breakpoints above critical thresholds. For MUAC, the breakpoint analysis yielded negative associations between MUAC/h and height in thin individuals. Only in high SES Guatemalan children, SF and height appeared mildly associated with R2 = 0·017. Conclusions: Currently used lower thresholds of height-for-age (stunting) do not show relevant associations with anthropometric indicators of energetic undernutrition. We recommend using the catch-up growth spurt during early re-feeding instead as immediate and sensitive indicator of past undernourishment. We discuss the primacy of education and social-economic-political-emotional circumstances as responsible factors for stunting.}, language = {en} } @article{GrothSchefflerHermanussen2019, author = {Groth, Detlef and Scheffler, Christiane and Hermanussen, Michael}, title = {Body height in stunted Indonesian children depends directly on parental education and not via a nutrition mediated pathway}, series = {Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft f{\"u}r Anthropologie}, volume = {76}, journal = {Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft f{\"u}r Anthropologie}, number = {5}, publisher = {Schweizerbart}, address = {Stuttgart}, issn = {0003-5548}, doi = {10.1127/anthranz/2019/1027}, pages = {445 -- 451}, year = {2019}, abstract = {Background: Multiple linear correlations between parameters can be shown in correlation matrices. Correlations can be ranked, but can also be visualized in network graphs. Yet, translating a correlation matrix into a network graph is not trivial. In view of a popular child game, we propose to name this method St. Nicolas House Analysis. Material and methods: We present a new method (St. Nicolas House Analysis) that helps translating correlation matrices into network graphs. The performance of this and other network reconstruction methods was tested in randomly created virtual scale-free networks, networks consisting of bands or hubs, using balanced classification rate and the F1-Score for correctly predicting existing and non-existing edges. Thereafter we analyzed anthropometric data and information on parental education, obtained from an anthropometric survey in 908 Indonesian boys and 808 Indonesian girls. Seven parameters were analyzed: child height standard deviation score (hSDS), child BMI standard deviation scores (BMI_SDS), mid-upper-arm circumference (MUAC), mean thickness of subscapular and triceps skinfold (mean SF), and elbow breadth; as well as maternal and paternal education (years of schooling). The parameters were considered as the nodes of the network; the edges represent the correlations between the nodes. Results: Performance measures, balanced classification rate and the F1-score, showed that St. Nicolas' House Analysis was superior to methods using sophisticated correlation value thresholds and methods based on partial correlations for analyzing bands and hubs. We applied this method also in an Indonesia data set. Ranking correlations showed the direct association between parental education and child growth. Conclusion: St. Nicolas House Analysis confirmed that growth of Indonesian school children directly depends on maternal education, with no evidence that this effect is mediated by the state of nutrition.}, language = {en} } @article{GasparatosSchefflerHermanussen2023, author = {Gasparatos, Nikolaos and Scheffler, Christiane and Hermanussen, Michael}, title = {Assessing the applicability of changepoint analysis to analyse short-term growth}, series = {Human biology and public health}, volume = {1}, journal = {Human biology and public health}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph2023.1.62}, pages = {15}, year = {2023}, abstract = {Background: Assessing short-term growth in humans is still fraught with difficulties. Especially when looking for small variations and increments, such as mini growth spurts, high precision instruments or frequent measurements are necessary. Daily measurements however require a lot of effort, both for anthropologists and for the subjects. Therefore, new sophisticated approaches are needed that reduce fluctuations and reveal underlying patterns. Objectives: Changepoints are abrupt variations in the properties of time series data. In the context of growth, such variations could be variation in mean height. By adjusting the variance and using different growth models, we assessed the ability of changepoint analysis to analyse short-term growth and detect mini growth spurts. Sample and Methods: We performed Bayesian changepoint analysis on simulated growth data using the bcp package in R. Simulated growth patterns included stasis, linear growth, catch-up growth, and mini growth spurts. Specificity and a normalised variant of the Matthews correlation coefficient (MCC) were used to assess the algorithm's performance. Welch's t-test was used to compare differences of the mean. Results: First results show that changepoint analysis can detect mini growth spurts. However, the ability to detect mini growth spurts is highly dependent on measurement error. Data preparation, such as ranking and rotating time series data, showed negligible improvements. Missing data was an issue and may affect the prediction quality of the classification metrics. Conclusion: Changepoint analysis is a promising tool to analyse short-term growth. However, further optimisation and analysis of real growth data is needed to make broader generalisations.}, language = {en} } @article{BoginHermanussenScheffler2018, author = {Bogin, Barry and Hermanussen, Michael and Scheffler, Christiane}, title = {As tall as my peers}, series = {Journal of biological and clinical anthropology}, volume = {74}, journal = {Journal of biological and clinical anthropology}, number = {5}, publisher = {Schweizerbart}, address = {Stuttgart}, issn = {0003-5548}, doi = {10.1127/anthranz/2018/0828}, pages = {365 -- 376}, year = {2018}, abstract = {Background: We define migrants as people who move from their place of birth to a new place of residence. Migration usually is directed by "Push-Pull" factors, for example to escape from poor living conditions or to find more prosperous socio-economic conditions. Migrant children tend to assimilate quickly, and soon perceive themselves as peers within their new social networks. Differences exist between growth of first generation and second generation migrants. Methods: We review body heights and height distributions of historic and modern migrant populations to test two hypotheses: 1) that migrant and adopted children coming from lower social status localities to higher status localities adjust their height growth toward the mean of the dominant recipient social network, and 2) social dominant colonial and military migrants display growth that significantly surpasses the median height of both the conquered population and the population of origin. Our analytical framework also considered social networks. Recent publications indicate that spatial connectedness (community effects) and social competitiveness can affect human growth. Results: Migrant children and adolescents of lower social status rapidly adjust in height towards average height of their hosts, but tend to mature earlier, and are prone to overweight. The mean height of colonial/military migrants does surpass that of the conquered and origin population. Conclusion: Observations on human social networks, non-human animal strategic growth adjustments, and competitive growth processes strengthen the concept of social connectedness being involved in the regulation of human migrant growth.}, language = {en} } @article{MummHermanussen2021, author = {Mumm, Rebekka and Hermanussen, Michael}, title = {A short note on the BMI and on secular changes in BMI}, series = {Human biology and public health}, journal = {Human biology and public health}, number = {2}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph.v2.17}, year = {2021}, abstract = {Human size changes over time with worldwide secular trends in height, weight, and body mass index (BMI). There is general agreement to relate the state of nutrition to height and weight, and to ratios of weight-to-height. The BMI is a ratio. It is commonly used to classify underweight, overweight and obesity in adults. Yet, the BMI is inappropriate to provide any immediate information on body composition. It is accepted that the BMI is "a simple index to classify underweight, overweight and obesity in adults". It is stated that "policies, programmes and investments need to be "nutrition-sensitive", which means they must have positive impacts on nutrition". It is also stated that "a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions". But these statements are neither warranted by arithmetic considerations, nor by historic evidence. Measuring the BMI is an appropriate screening tool for detecting an unusual weight-to-height ratio, but the BMI is an inappropriate tool for estimating body composition, or suggesting medical and health policy decisions.}, language = {en} }