TY - JOUR A1 - Scheffler, Christiane A1 - Hermanussen, Michael T1 - What does stunting tell us? JF - Human biology and public health N2 - Stunting is commonly linked with undernutrition. Yet, already after World War I, German pediatricians questioned this link and stated that no association exists between nutrition and height. Recent analyses within different populations of Low- and middle-income countries with high rates of stunted children failed to support the assumption that stunted children have a low BMI and skinfold sickness as signs of severe caloric deficiency. So, stunting is not a synonym of malnutrition. Parental education level has a positive influence on body height in stunted populations, e.g., in India and in Indonesia. Socially disadvantaged children tend to be shorter and lighter than children from affluent families. Humans are social mammals; they regulate growth similar to other social mammals. Also in humans, body height is strongly associated with the position within the social hierarchy, reflecting the personal and group-specific social, economic, political, and emotional environment. These non-nutritional impact factors on growth are summarized by the concept of SEPE (Social-Economic-Political-Emotional) factors. SEPE reflects on prestige, dominance-subordination, social identity, and ego motivation of individuals and social groups. KW - SEPE Factors KW - physical fitness KW - height in history KW - malnutrition Y1 - 2023 U6 - https://doi.org/10.52905/hbph2022.3.36 SN - 2748-9957 VL - 2022 IS - 3 SP - 1 EP - 15 PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Boeker, Sonja A1 - Hermanussen, Michael A1 - Scheffler, Christiane ED - Scheffler, Christiane ED - Koziel, Slawomir ED - Hermanussen, Michael ED - Bogin, Barry T1 - Westernization of self-perception in modern affluent Indonesian school children T2 - Human Biology and Public Health N2 - Background Subjective Social Status is used as an important predictor for psychological and physiological findings, most commonly measured with the MacArthur Scale (Ladder Test). Previous studies have shown that this test fits better in Western cultures. The idea of a social ladder itself and ranking oneself “higher” or “lower” is a concept that accords to the Western thinking. Objectives We hypothesize that in a culture where only the elites have adapted to a Western lifestyle, the test results reflect a higher level of accuracy for this stratum. We also expect that self-perception differs per sex. Sample and Methods We implemented the Ladder Test in a study of Indonesian schoolchildren aged between 5 and 13 years (boys N = 369, girls N= 364) from non-private and private schools in Kupang in 2020. Results Our analysis showed that the Ladder Test results were according to the Western expectations only for the private school, as the Ladder Scores significantly decreased with age (LM: p = 0.04). The Ladder Test results are best explained by “Education Father” for the non-private school pupils (p = 0.01) and all boys (p = 0.04), by “School Grades” for the private school cohort (p = 0.06) and by “Household Score” for girls (p =0.09). Conclusion This finding indicates that the concept of ranking oneself “high” or “low” on a social ladder is strongly implicated with Western ideas. A ladder implies social movement by “climbing” up or down. According to that, reflection of self-perception is influenced by culture. KW - self-perception KW - social status KW - westernization KW - cultural dependence Y1 - 2021 U6 - https://doi.org/10.52905/hbph.v1.4 SN - 2748-9957 VL - 2021 IS - 1 SP - 1 EP - 13 PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Hermanussen, Michael A1 - Bilogub, Maria A1 - Lindl, A. C. A1 - Harper, D. A1 - Mansukoski, L. A1 - Scheffler, Christiane T1 - Weight and height growth of malnourished school-age children during re-feeding BT - three historic studies published shortly after World War I JF - European journal of clinical nutrition N2 - Background In view of the ongoing debate on "chronic malnutrition" and the concept of "stunting" as "a better measure than underweight of the cumulative effects of undernutrition and infection (WHO)", we translate, briefly comment and republish three seminal historic papers on catch-up growth following re-feeding after severe food restriction of German children during and after World War I. The observations were published in 1920 and 1922, and appear to be of particular interest to the modern nutritionist. Results The papers of Abderhalden (1920) and Bloch (1920) describe German children of all social strata who were born shortly before World War I, and raised in apparently "normal" families. After severe long-standing undernutrition, they participated in an international charity program. They experienced exceptional catch-up growth in height of 3-5 cm within 6-8 weeks. Goldstein (1922) observed 512 orphans and children from underprivileged families. Goldstein described very different growth patterns. These children were much shorter (mean height between -2.0 and -2.8 SDS, modern WHO reference). They mostly failed to catch-up in height, but tended to excessively increase in weight particularly during adolescence. Y1 - 2018 U6 - https://doi.org/10.1038/s41430-018-0274-z SN - 0954-3007 SN - 1476-5640 VL - 72 IS - 12 SP - 1603 EP - 1619 PB - Nature Publ. Group CY - London ER - TY - JOUR A1 - Mumm, Rebekka A1 - Hermanussen, Michael A1 - Scheffler, Christiane T1 - voice break as the marker of biological age JF - Acta paediatrica : nurturing the child N2 - Aim: We aimed to develop the first references for body height, body weight and body mass index (BMI) for boys based on the individual developmental tempo with respect to their voice break status. Methods: We re-analysed data from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS study) on body height, body weight and body mass index based on the voice break, or mutation, in 3956 boys aged 10-17 years. We used the LMS method to construct smoothed references centiles for the studied variables in premutational, mutational and postmutational boys. Results: Body height, body weight and BMI differed significantly (p < 0.001) between the different stages of voice break. On average, boys were 5.9 cm taller, 5.8 kg heavier and had a 0.7 kg/m(2) higher BMI with every higher stage of voice break. Currently used growth references for chronological age in comparison with maturity-related references led to an average of 5.4% of boys being falsely classified as overweight. KW - Body mass index KW - Developmental tempo KW - Growth reference values KW - Overweight KW - Voice break Y1 - 2016 U6 - https://doi.org/10.1111/apa.13488 SN - 0803-5253 SN - 1651-2227 VL - 105 SP - e459 EP - e463 PB - Wiley-Blackwell CY - Hoboken ER - TY - JOUR A1 - Scheffler, Christiane A1 - Nguyen, Thi Hong A1 - Hermanussen, Michael T1 - Vietnamese migrants are as tall as they want to be JF - Human biology and public health N2 - Background: Members of the same social group tent to have the same body height. Migrants tend to adjust in height to their host communities. Objectives: Social-Economic-Political-Emotional (SEPE) factors influence growth. We hypothesized that Vietnamese young adult migrants in Germany (1) are taller than their parents, (2) are as tall as their German peers, and (3) are as tall as predicted by height expectation at age 13 years. Sample: The study was conducted in 30 male and 54 female Vietnamese migrants (mean age 26.23 years. SD=4.96) in Germany in 2020. Methods: Information on age, sex, body height, school and education, job, height and ethnicity of best friend, migration history and cultural identification, parental height and education, and recalled information on their personal height expectations at age 13 years were obtained by questionnaire. The data were analyzed by St. Nicolas House Analysis (SNHA) and multiple regression. Results: Vietnamese young adults are taller than their parents (females 3.85cm, males 7.44cm), but do not fully attain height of their German peers. The body height is positively associated with the height of best friend (p < 0.001), the height expectation at age 13 year (p < 0.001), and father’s height (p=0.001). Conclusion: Body height of Vietnamese migrants in Germany reflects competitive growth and strategic growth adjustments. The magnitude of this intergenerational trend supports the concept that human growth depends on SEPE factors. KW - body height KW - regulation of growth KW - migrants KW - Social-Economic-Political-Emotional (SEPE) factors Y1 - 2021 U6 - https://doi.org/10.52905/hbph.v2.12 SN - 2748-9957 IS - 2 PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Gomula, Aleksandra A1 - Nowak-Szczepanska, Natalia A1 - Hermanussen, Michael A1 - Scheffler, Christiane A1 - Koziel, Slawomir T1 - Trends in growth and developmental tempo in boys aged 7 to 18 years between 1966 and 2012 in Poland JF - American journal of human biology : the official journal of the Human Biology Council N2 - Objectives: To assess trends in growth in different developmental periods and trends in developmental tempo in Polish boys between 1966 and 2012. Methods: Data on 34 828 boys aged 7 to 18 years were collected during Polish Anthropological Surveys conducted in 1966, 1978, 1988, and 2012. Biological parameters, related to onset of adolescent growth spurt (OGS) and peak height velocity (PHV), were derived from a Preece-Baines 1 model (PB1). Childhood (height at 7 years of age), pre-adolescent (height at OGS) and adolescent growth (adult height minus height at OGS) were identified. Results: Positive secular trend between 1966 and 2012 in adult height accounted for, on average, 1.5 cm/decade, with varying intensity between the Surveys. Decline in both age at OGS and APHV between 1966 and 2012 (1.5 and 1.4 years, respectively) indicated an acceleration in developmental tempo, on average, by 0.3 year/decade. Increases in the contribution to the trend in adult height gained during growth in particular developmental periods between 1966 and 2012 were as followed-childhood: 0.6%, pre-adolescent growth: -3.1%, adolescent growth: 3.1%. Conclusions: Secular trend in developmental tempo and growth among boys reflects changes in living conditions and socio-political aspirations in Poland during nearly 50 years. Acceleration in tempo is already visible at age at OGS, whereas the trend in adult height occurs largely during adolescence, pointing to different regulation of developmental tempo and growth in body height. This finding emphasizes the importance of extending public health intervention into children's growth up until adolescence. Y1 - 2020 U6 - https://doi.org/10.1002/ajhb.23548 SN - 1042-0533 SN - 1520-6300 VL - 33 IS - 6 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Apanasewicz, Anna A1 - Groth, Detlef A1 - Scheffler, Christiane A1 - Hermanussen, Michael A1 - Piosek, Magdalena A1 - Wychowaniec, Patrycja A1 - Babiszewska, Magdalena A1 - Barbarska, Olga A1 - Ziomkiewicz, Anna T1 - Traumatized women’s infants are bigger than children of mothers without traumas JF - Journal of biological and clinical anthropology : Anthropologischer Anzeiger N2 - Life history theory predicts that experiencing stress during the early period of life will result in accelerated growth and earlier maturation. Indeed, animal and some human studies documented a faster pace of growth in the offspring of stressed mothers. Recent advances in epigenetics suggest that the effects of early developmental stress might be passed across the generations. However, evidence for such intergenerational transmission is scarce, at least in humans. Here we report the results of the study investigating the association between childhood trauma in mothers and physical growth in their children during the first months of life. Anthropometric and psychological data were collected from 99 mothers and their exclusively breastfed children at the age of 5 months. The mothers completed the Early Life Stress Questionnaire to assess childhood trauma. The questionnaire includes questions about the most traumatic events that they had experienced before the age of 12 years. Infant growth was evaluated based on the anthropometric measurements of weight, length, and head circumference. Also, to control for the size of maternal investment, the composition of breast milk samples taken at the time of infant anthropometric measurements was investigated. The children of mothers with higher early life stress tended to have higher weight and bigger head circumference. The association between infant anthropometrics and early maternal stress was not affected by breast milk composition, suggesting that the effect of maternal stress on infant growth was independent of the size of maternal investment. Our results demonstrate that early maternal trauma may affect the pace of growth in the offspring and, in consequence, lead to a faster life history strategy. This effect might be explained via changes in offspring epigenetics. KW - maternal trauma KW - early life trauma KW - breastfed infant development KW - POLS Y1 - 2020 U6 - https://doi.org/10.1127/anthranz/2020/1285 SN - 0003-5548 SN - 2363-7099 VL - 77 IS - 5 SP - 359 EP - 374 PB - Schweizerbart science publishers CY - Stuttgart ER - TY - JOUR A1 - Lehmann, Andreas A1 - Scheffler, Christiane A1 - Hermanussen, Michael T1 - The variation in age at menarche : an indicator of historic developmental tempo N2 - Ample literature describes the history of the association between the advances in the health and wealth of people, and mortality rates, life expectancy and adult height. Twentynine German studies with n > 200 subjects published since 1848 on menarcheal age, were reanalyzed, and 101 studies from various other European and non-European countries. On average, mean age at menarche declined since the mid-19(th) century. Historic urban samples tended to decline earlier than rural groups, upper class women earlier than working class women. In Germany, minimum values for the age at menarche were seen already between the two World Wars (Leipzig 12.6 years in 1934, Halle 13.3 years in 1939). Values for mean age and SD for age at menarche were strongly associated. With improving historic circumstances, the two parameters declined in parallel. The standard deviation for menarcheal age dropped from over 2.5 years in mid-19th century France to little more or even less than 1 year in most modern countries. In the German studies the correlation between menarcheal age and SD was almost complete with r = 0.96 (y = 0.35x - 3.53). Similar associations between mean age at menarche and SD for age were found in other European countries. The obvious and immediate effects of historic events on menarcheal age, and particularly on the age distribution, indicate that menarche is a sensitive indicator of public health and wealth, and may be an appropriate estimator for the socio-economic background of historic populations. Y1 - 2010 UR - http://www.ingentaconnect.com/content/schweiz/aa U6 - https://doi.org/10.1127/0003-5548/2010/0086 SN - 0003-5548 ER - TY - JOUR A1 - Hermanussen, Michael A1 - Erofeev, Sergei A1 - Scheffler, Christiane T1 - The socio-endocrine regulation of human growth JF - Acta paediatrica : nurturing the child N2 - Aim Growth is a multifarious phenomenon that has been studied by nutritionists, economists, paediatric endocrinologists; archaeologists, child psychologists and other experts. Yet, a unifying theory of understanding growth regulation is still lacking. Method Critical review of the literature. Results We summarise evidence linking social competition and its effect on hierarchies in social structures, with the neuronal networks of the ventromedial hypothalamus and body size. The endocrine signalling system regulating growth hormone, Insulin-like-Growth-Factor1 and skeletal growth, is well conserved in the evolution of vertebrata for some 400 million years. The link between size and status permits adaptive plasticity, competitive growth and strategic growth adjustments also in humans. Humans perceive size as a signal of dominance with tallness being favoured and particularly prevalent in the upper social classes. Conclusion Westernised societies are competitive. People are tall, and "open to change." Social values include striving for status and prestige implying socio-economic domination. We consider the transition of political and social values following revolutions and civil wars, as key elements that interact with the evolutionarily conserved neuroendocrine competence for adaptive developmental plasticity, overstimulate the hypothalamic growth regulation and finally lead to the recent historic increases in average height. KW - competitive growth KW - developmental plasticity KW - evolution KW - growth KW - hormone-releasing hormone KW - strategic growth adjustments Y1 - 2022 U6 - https://doi.org/10.1111/apa.16504 SN - 0803-5253 SN - 1651-2227 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Lebedeva, Lidia A1 - Groth, Detlef A1 - Hermanussen, Michael A1 - Scheffler, Christiane A1 - Godina, Elena T1 - The network effects on conscripts' height in the central provinces of Russian empire in the middle of XIX century BT - at the beginning of XX century JF - Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft für Anthropologie N2 - Background: We investigated average body height in the central provinces of the Russian empire in the middle of XIX century in view of the concept of "community effects on height". We analyzed body height correlations between neighboring districts at this time. We added information about secular changes in body height during the 19th century of this territory. Material and methods: The study used height data of conscripts, which were born in the years 1853-1863, and age 21 at the time of measurement. The territory of seven provinces was considered as a network with 105 nodes, each node representing one district with information on average male body height. In order to define neighboring districts three different approaches were used: based on the "common borders" method, based on Euclidean distances (from 60 to 120 km), based on real road connections. Results: Small but significant correlation coefficients were observed between 1st order districts in the network based on Euclidean distance of 100 km (r = 0.256, p-value = 0.006) and based on "the common borders" approach (r = 0.25, p-value = 0.02). Wherein no significant correlations were observed in the network based on road connections and between second order neighbors regardless of the method. Conclusion: Height correlation coefficients between 1st order neighboring districts observed in the Russian districts were very similar to values observed in the Polish study (r = 0.24). The considered Russian territory and the territory of Poland have a lot in common. They consist of both plains without mountains. In contradistinction to Poland the transport infrastructure in Russia was weakly developed in the middle of XIX century. In addition, the mobility of people was limited by serfdom. In this context the absent of significant correlation of second order neighbors can be explained by low population density and lack of migration and communication between the districts. KW - body height KW - correlation KW - conscripts KW - community effect on height KW - Russian empire Y1 - 2019 U6 - https://doi.org/10.1127/anthranz/2019/0984 SN - 0003-5548 VL - 76 IS - 5 SP - 371 EP - 377 PB - Schweizerbart CY - Stuttgart ER - TY - JOUR A1 - Hermanussen, Michael A1 - Greil, Holle A1 - Blaha, Pawel A1 - Vignerova, Jana T1 - The impact of the social group on growth Y1 - 2001 SN - 3-89873-228-2 ER - TY - GEN A1 - Hermanussen, Michael A1 - Bogin, Barry A1 - Scheffler, Christiane T1 - The impact of social identity and social dominance on the regulation of human growth: A viewpoint T2 - Acta paediatrica : nurturing the child Y1 - 2019 U6 - https://doi.org/10.1111/apa.14970 SN - 0803-5253 SN - 1651-2227 VL - 108 IS - 12 SP - 2132 EP - 2134 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Hermanussen, Michael A1 - Alt, Christoph A1 - Staub, Kaspar A1 - Aßmann, Christian A1 - Groth, Detlef T1 - The impact of physical connectedness on body height in Swiss conscripts JF - Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft für Anthropologie N2 - Background: Human populations differ in height. Recent evidence suggests that social networks play an important role in the regulation of adolescent growth and adult height. We further investigated the effect of physical connectedness on height. Material and methods: We considered Switzerland as a geographic network with 169 nodes (district capitals) and 335 edges (connecting roads) and studied effects of connectedness on height in Swiss conscript from 1884-1891, 1908-1910, and 2004-2009. We also created exponential-family random graph models to separate possible unspecific effects of geographic vicinity. Results: In 1884-1891, in 1908-1910, and in 2004-2009, 1st, 2nd and 3rd order neighboring districts significantly correlate in height (p<0.01). The correlations depend on the order of connectedness, they decline with increasing distance. Short stature districts tend to have short, tall stature districts tend to have tall neighbors. Random network analyses suggest direct road effects on height. Whereas in 1884-1891, direct road effects were only visible between 1st order neighbors, direct road effects extended to 2nd and 3rd in 1908-1910, and in 2004-2009, also to 4th order neighbors, and might reflect historic improvements in transportation. The spatial correlations did not significantly change when height was controlled for goiter (1884-1889) and for median per capita income (2006), suggesting direct road effects also in goiter-allowed-for height and income-allowed-for height. Conclusion: Height in a district depends on height of physically connected neighboring districts. The association decreases with increasing distance in the net. The present data suggest that people can be short because their neighbors are short; or tall because their neighbors are tall (community effect on growth). Psycho-biological effects seem to control growth and development within communities that go far beyond our current understanding of growth regulation. KW - body height KW - connectedness KW - community effect KW - conscripts KW - Switzerland Y1 - 2014 U6 - https://doi.org/10.1127/0003-5548/2014/0466 SN - 0003-5548 VL - 71 IS - 4 SP - 313 EP - 327 PB - Schweizerbart CY - Stuttgart ER - TY - JOUR A1 - Mumm, Rebekka A1 - Hermanussen, Michael T1 - The dilemma of misclassifying weight in short and in historic population JF - Human biology and public health N2 - Background: Clinicians often refer anthropometric measures of a child to so-called “growth standards” and “growth references. Over 140 countries have meanwhile adopted WHO growth standards. Objectives: The present study was conducted to thoroughly examine the idea of growth standards as a common yardstick for all populations. Weight depends on height. We became interested in whether also weight-for-height depends on height. First, we studied the age-group effect on weight-for-height. Thereafter, we tested the applicability of weight-for-height references in short and in historic populations. Sample and Methods: We analyzed body height and body weight and weight-for-height of 3795 healthy boys and 3726 healthy girls aged 2 to 5 years measured in East-Germany between 1986 and 1990. We chose contemporary height and weight charts from Germany, the UK, and the WHO growth chart and compared these with three geographically commensurable growth charts from the end of the 19th century. Results: We analyzed body height and body weight and weight-for-height of 3795 healthy boys and 3726 healthy girls aged 2 to 5 years measured in East-Germany between 1986 and 1990. We chose contemporary height and weight charts from Germany, the UK, and the WHO growth chart and compared these with three geographically commensurable growth charts of the end of the 19th century. Conclusion: Weight-for-height depends on age and sex and apart from the nutritional state, reflects body proportion and body built particularly during infancy and early childhood. Populations with a relatively short average height are prone to high values of weight-for-height for arithmetic reasons independent of the nutritional state. KW - growth standards KW - growth references KW - body mass index KW - nutritional status Y1 - 2022 U6 - https://doi.org/10.52905/hbph2021.3.28 SN - 2748-9957 VL - 2021 IS - 3, Summer School Supplement PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Mumm, Rebekka A1 - Ipsen, Marie Josephin A1 - Hermanussen, Michael T1 - The association of weight, weight variability and socioeconomic situation among children JF - European journal of clinical nutrition N2 - BACKGROUND/OBJECTIVES: We studied the association of body weight and weight variability among populations from different geographic, historic and socioeconomic background. SUBJECTS/METHODS: We reanalyzed data from 833 growth studies of 78 different countries from 1920 to 2013. We used data from two age groups-infants (age 2 years) and juvenile (age 7 years)-and divided the studies into two geographic-socioeconomic groups. RESULTS: Multiple regressions showed significant interactions between weight, sex, historic year of study, continent and within-study standard deviation. Multiple regression revealed R-2 = 0.256 (P<0.001) at age 2 years and R-2 = 0.478 (P<0.001) at age 7 years. Although infants and juveniles in more affluent countries are heavier than children in less affluent countries (P<0.001), the within-study standard deviation of the two geographic-socioeconomic groups differs at age 7 years (P<0.001) but not at age 2 years (P>0.15). CONCLUSIONS: The general impression that prosperous conditions lead to growth improvements in height and weight appears to be true only at a large scale: wealthy countries have tall and heavy children. At small scale, the situation is different. Whereas economic and nutritional improvements can exhibit substantial effects in weight gains, the discrepancy between the within-population variation in height and weight strongly suggests that height gains and weight gains are subject to different regulations. Y1 - 2016 U6 - https://doi.org/10.1038/ejcn.2016.21 SN - 0954-3007 SN - 1476-5640 VL - 70 SP - 650 EP - 652 PB - Nature Publ. Group CY - London ER - TY - JOUR A1 - Ipsen, Marie Josephin A1 - Nowak-Szczepanska, Natalia A1 - Gomula, A. A1 - Assmann, Christian A1 - Hermanussen, Michael T1 - The association of body height, height variability and inequality JF - Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft für Anthropologie N2 - Body height is associated with environmental conditions. It has been suggested that under poor conditions when inequality within a population increases, also the variability in height tends to increase. We studied the association of body height, within-country variability in height and geographic and historic origin in 767 growth studies carried out in 80 countries, published between 1794 and 2013, with data on N = 78,184 infants age 2 years, and N = 2,130,729 juveniles age 7 years. The studies represent almost the whole spectrum of economic diversity in human societies since the end-18 th century. 207 studies contained data for both infants and juveniles with 50,819 subjects (age 2), and 123,078 subjects (age 7). Multiple linear regressions showed significant interactions between height, sex, historic year of the study, geographic origin, and within-study standard deviation for height with multiple R-squared = 0.527, p < 0.001, at age 2, and multiple R-squared = 0.436, p < 0.001, at age 7. Yet, the two age groups differed in respect to within-study standard deviation for height. We found a significant association between body height and within-study standard deviation for height only at age 2: tall infant populations are less variable in height (r = –0.27, p < 0.01). There was no such association in children aged 7 years. Tall children from affluent and short children from less affluent countries do not differ in the variability of body height. The data suggest that the 'environmental adversity' hypothesis for variation in growth: small mean values for height go along with large standard deviations for height, does not apply for children at age 7. KW - standard deviation for height KW - historic growth studies KW - environmental adversity KW - inequality Y1 - 2016 U6 - https://doi.org/10.1127/anthranz/2015/0623 SN - 0003-5548 VL - 73 SP - 1 EP - 6 PB - Schweizerbart CY - Stuttgart ER - TY - JOUR A1 - Scheffler, Christiane A1 - Greil, Holle A1 - Hermanussen, Michael T1 - The association between weight, height, and head circumference reconsidered JF - Pediatric Research N2 - BACKGROUND: Under normal nutritional and health conditions, body height, weight and head circumference are significantly related. We hypothesize that the apparent general association between weight, height, and head circumference of the growing child might be misleading. METHODS: We reanalyzed data of 7,444 boys and 7,375 girls measured in East-Germany between 1986 and 1990, aged from 0 to 7 y with measurements of body length/height, leg length, sitting height, biacromial shoulder breadth, thoracic breadth, thoracic depth, thoracic circumference, body weight, head volume, percentage of body fat, and hip skinfold vertical, using principal component analysis. RESULTS: Strong associations exist between skeletal growth, fat accumulation, and head volume increments. Yet in spite of this general proportionality, skeletal growth, fat acquisition, and head growth exhibit different patterns. Three components explain between almost 60% and more than 75% of cumulative variance between birth and age 7 y. Parameters of skeletal growth predominantly load on the first component and clearly separate from indicators of fat deposition. After age of 2 y, head volume loads on a separate third component in both sexes indicating independence of head growth. CONCLUSION: Under appropriate nutritional and health circumstances, nutritional status, body size, and head circumference are not related. Y1 - 2017 U6 - https://doi.org/10.1038/pr.2017.3 SN - 0031-3998 SN - 1530-0447 VL - 81 SP - 825 EP - 830 PB - Nature Publ. Group CY - New York ER - TY - JOUR A1 - Hermanussen, Michael A1 - Stec, Karol A1 - Amann, Christian A1 - Meigen, Christof A1 - Van Buuren, Stef T1 - Synthetic Growth Reference Charts JF - American journal of human biology : the official journal of the Human Biology Council N2 - Objectives: To reanalyze the between-population variance in height, weight, and body mass index (BMI), and to provide a globally applicable technique for generating synthetic growth reference charts. Methods: Using a baseline set of 196 female and 197 male growth studies published since 1831, common factors of height, weight, and BMI are extracted via Principal Components separately for height, weight, and BMI. Combining information from single growth studies and the common factors using in principle a Bayesian rationale allows for provision of completed reference charts. Results: The suggested approach can be used for generating synthetic growth reference charts with LMS values for height, weight, and BMI, from birth to maturity, from any limited set of height and weight measurements of a given population. Conclusion: Generating synthetic growth reference charts by incorporating information from a large set of reference growth studies seems suitable for populations with no autochthonous references at hand yet. (C) 2015 Wiley Periodicals, Inc. Y1 - 2016 U6 - https://doi.org/10.1002/ajhb.22759 SN - 1042-0533 SN - 1520-6300 VL - 28 SP - 98 EP - 111 PB - Wiley-Blackwell CY - Hoboken ER - TY - JOUR A1 - Hermanussen, Michael A1 - Bogin, Barry A1 - Scheffler, Christiane T1 - Stunting, starvation and refeeding BT - a review of forgotten 19th and early 20th century literature JF - Acta paediatrica : nurturing the child N2 - Aim: To scrutinize to what extent modern ideas about nutrition effects on growth are supported by historic observations in European populations. Method: We reviewed 19th and early 20th century paediatric journals in the Staatsbibliothek zu Berlin, the third largest European library with an almost complete collection of the German medical literature. During a three-day visit, we inspected 15 bookshelf meters of literature not available in electronic format. Results: Late 19th and early 20th century breastfed European infants and children, independent of social strata, grew far below World Health Organisation (WHO) standards and 15-30% of adequately-fed children would be classified as stunted by the WHO standards. Historic sources indicate that growth in height is largely independent of the extent and nature of the diet. Height catch-up after starvation was greater than catch-up reported in modern nutrition intervention studies, and allowed for unimpaired adult height. Conclusion: Historical studies are indispensable to understand why stunting does not equate with undernutrition and why modern diet interventions frequently fail to prevent stunting. Appropriateness and effect size of modern nutrition interventions on growth need revision. KW - Child growth KW - Historic literature KW - Refeeding KW - Stunting KW - Undernutrition Y1 - 2018 U6 - https://doi.org/10.1111/apa.14311 SN - 0803-5253 SN - 1651-2227 VL - 107 IS - 7 SP - 1166 EP - 1176 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Scheffler, Christiane A1 - Hermanussen, Michael T1 - Stunting does not impair physical fitness in Indonesian school children JF - Human biology and public health N2 - Background: Physical fitness is decreased in malnourished children and adults. Poor appearance and muscular flaccidity are among the first signs of malnutrition. Malnutrition is often associated with stunting. Objectives: We test the hypotheses that stunted children of low social strata are physically less fit than children of high social strata. Sample: We investigated 354 school girls and 369 school boys aged 5.83 to 13.83 (mean 9.54) years from three different social strata in Kupang (West-Timor, Indonesia) in 2020. Methods: We measured height, weight, and elbow breadth, calculated standard deviation (SDS) of height and weight according to CDC references, and the Frame index as an indicator of long-term physical fitness, and we tested physical fitness in standing long jump and hand grip strength. Results: Children of low social strata are physically fittest. They jump longer distances, and they have higher values in the Frame index. No association exists between height SDS and physical fitness, neither in respect to standing long jump, nor to hand grip strength. Conclusion: Stunting does not impair physical fitness in Indonesian school children. Our results support the concept that SEPE (social-economic-political-emotional) factors are involved in the regulation of human growth. KW - stunting KW - standing long jump KW - handgrip strength KW - SEPE KW - frame index Y1 - 2021 U6 - https://doi.org/10.52905/hbph.v2.19 SN - 2748-9957 IS - 2 PB - Universitätsverlag Potsdam CY - Potsdam ER -