@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{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{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} } @misc{RebekkaMummReimannScheffler2021, author = {Rebekka Mumm, and Reimann, Anna and Scheffler, Christiane}, title = {Estimation of percentage of body fat in field studies - a method based on relative elbow breadth (Frame Index) and BMI}, series = {Human Biology and Public Health}, volume = {2021}, journal = {Human Biology and Public Health}, number = {1}, editor = {Scheffler, Christiane and Koziel, Slawomir and Hermanussen, Michael and Bogin, Barry}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph.v1.3}, pages = {1 -- 12}, year = {2021}, abstract = {Background Over the last 20 years, a decreasing trend in external skeletal robusticity and an increasing trend in overweight and obesity was observed worldwide in adults and children as modern lifestyles in nutritional and activity behavior have changed. However, body mass index (BMI) as a measure for overweight is not an ideal predictor of \% body fat (\%BF) either in children and adolescents or in adults. On the contrary, it disguises a phenomenon called "hidden obesity". Objectives We aim to approximate \%BF by combining skeletal robusticity and BMI and develop an estimation-based tool to identify normal weight obese children and adolescents. Sample and Methods We analyzed cross-sectional data on height, weight, elbow breadth, and skinfold thickness (triceps and subscapular) of German children aged 6 to 18 years (N=15,034). We used modified Hattori charts and multiple linear regression to develop a tool, the "\%BF estimator", to estimate \%BF by using BMI and skeletal robusticity measured as Frame Index. Results Independent of sex and age an increase in BMI is associated with an increase in \%BF, an increase in Frame Index is associated with a decrease in \%BF. The developed tool "\%BF estimator" allows the estimation of \%BF per sex and age group after calculation of BMI and Frame Index. Conclusion The "\%BF estimator" is an easily applicable tool for the estimation of \%BF in respect of body composition for clinical practice, screening, and public health research. It is non-invasive and has high accuracy. Further, it allows the identification of normal weight obese children and adolescents.}, 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{MummGodinaKozieletal.2018, author = {Mumm, Rebekka and Godina, Elena and Koziel, Slawomir and Musalek, Martin and Sedlak, Petr and Wittwer-Backofen, Ursula and Hess, Volker and Dasgupta, Parasmani and Henneberg, Maciej and Scheffler, Christiane}, title = {External skeletal robusticity of children and adolescents}, 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/2018/0826}, pages = {383 -- 391}, year = {2018}, abstract = {Background: In our modern world, the way of life in nutritional and activity behaviour has changed. As a consequence, parallel trends of an epidemic of overweight and a decline in external skeletal robusticity are observed in children and adolescents. Aim: We aim to develop reference centiles for external skeletal robusticity of European girls and boys aged 0 to 18 years using the Frame Index as an indicator and identify population specific age-related patterns. Methods: We analysed cross-sectional \& longitudinal data on body height and elbow breadth of boys and girls from Europe (0-18 years, n = 41.679), India (7-18 years, n = 3.297) and South Africa (3-18 years, n = 4.346). As an indicator of external skeletal robusticity Frame Index after Frisancho (1990) was used. We developed centiles for boys and girls using the LMS-method and its extension. Results: Boys have greater external skeletal robusticity than girls. Whereas in girls Frame Index decreases continuously during growth, an increase of Frame Index from 12 to 16 years in European boys can be observed. Indian and South African boys are almost similar in Frame Index to European boys. In girls, the pattern is slightly different. Whereas South African girls are similar to European girls, Indian girls show a lesser external skeletal robusticity. Conclusion: Accurate references for external skeletal robusticity are needed to evaluate if skeletal development is adequate per age. They should be used to monitor effects of changes in way of life and physical activity levels in children and adolescents to avoid negative health outcomes like osteoporosis and arthrosis.}, 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} } @misc{HermanussenSchefflerMartinetal.2021, author = {Hermanussen, Michael and Scheffler, Christiane and Martin, Lidia and Groth, Detlef and Waxmonsky, James G. and Swanson, James and Nowak-Szczepanska, Natalia and Gomula, Aleksandra and Apanasewicz, Anna and Konarski, Jan M. and Malina, Robert M. and Bartkowiak, Sylwia and Lebedeva, Lidia and Suchomlinov, Andrej and Konstantinov, Vsevolod and Blum, Werner and Limony, Yehuda and Chakraborty, Raja and Kirchengast, Sylvia and Tutkuviene, Janina and Jakimaviciene, Egle Marija and Cepuliene, Ramune and Franken, Daniel and Navazo, B{\´a}rbara and Moelyo, Annang G. and Satake, Takashi and Koziel, Slawomir}, title = {Growth, Nutrition and Economy}, series = {Human Biology and Public Health}, volume = {2021}, journal = {Human Biology and Public Health}, number = {1}, editor = {Scheffler, Christiane and Koziel, Slawomir and Hermanussen, Michael and Bogin, Barry}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph.v1.1}, pages = {1 -- 13}, year = {2021}, abstract = {Twenty-three scientists met at Krobielowice, Poland to discuss the role of growth, nutrition and economy on body size. Contrasting prevailing concepts, re-analyses of studies in Indonesian and Guatemalan school children with high prevalence of stunting failed to provide evidence for an association between nutritional status and body height. Direct effects of parental education on growth that were not transmitted via nutrition were shown in Indian datasets using network analysis and novel statistical methods (St. Nicolas House Analysis) that translate correlation matrices into network graphs. Data on Polish children suggest significant impact of socioeconomic sensitivity on child growth, with no effect of maternal money satisfaction. Height and maturation tempo affect the position of a child among its peers. Correlations also exist between mood disorders and height. Secular changes in height and weight varied across decades independent of population size. Historic and recent Russian data showed that height of persons whose fathers performed manual work were on average four cm shorter than persons whose fathers were high-degree specialists. Body height, menarcheal age, and body proportions are sensitive to socioeconomic variables. Additional topics included delayed motherhood and its associations with newborn size; geographic and socioeconomic indicators related to low birth weight, prematurity and stillbirth rate; data on anthropometric history of Brazil, 1850-1950; the impact of central nervous system stimulants on the growth of children with attention-deficit/hyperactivity disorder; and pituitary development and growth hormone secretion. Final discussions debated on reverse causality interfering between social position, and adolescent growth and developmental tempo.}, 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{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{NovinaHermanussenScheffleretal.2020, author = {Novina, Novina and Hermanussen, Michael and Scheffler, Christiane and Pulungan, Aman B. and Ismiarto, Yoyos Dias and Andriyana, Yudhie and Biben, Vitriana and Setiabudiawan, Budi}, title = {Indonesian National Growth Reference Charts better reflect height and weight of children in West Java, Indonesia, than WHO Child Growth Standards}, series = {Journal of Clinical Research in Pediatric Endocrinology}, volume = {12}, journal = {Journal of Clinical Research in Pediatric Endocrinology}, number = {4}, publisher = {Galenos Yayincilik}, address = {Istanbul}, issn = {1308-5727}, doi = {10.4274/jcrpe.galenos.2020.2020.0044}, pages = {410 -- 419}, year = {2020}, abstract = {Objective: The Indonesia Basic Health Research 2018 indicates that Indonesian children are still among the shortest in the world. When referred to World Health Organization Child Growth Standards (WHOCGS), the prevalence of stunting reaches up to 43\% in several Indonesian districts. Indonesian National Growth Reference Charts (INGRC) were established in order to better distinguish between healthy short children and children with growth disorders. We analyzed height and weight measurements of healthy Indonesian children using INGRC and WHOCGS. Methods: 6972 boys and 5800 girls (n = 12,772), aged 0-59 months old, from Bandung District were measured. Z-scores of length/height and body mass index were calculated based on INGRC and WHOCGS. Results: Under 5-year-old Indonesian children raised in Bandung are short and slim. Mean height z-scores of boys is -2.03 [standard deviation (SD) 1.31], mean height z-scores of girls is -2.03 (SD 1.31) when referred to WHOCGS indicating that over 50 \% of these children are stunted. Bandung children are heterogeneous, with substantial subpopulations of tall children. Depending on the growth reference used, between 9\% and 15\% of them are wasted. Wasted children are on average half a SD taller than their peers. Conclusion: WHOCGS seriously overestimates the true prevalence of undernutrition in Indonesian children. The present investigation fails to support evidence of undernutrition at a prevalence similar to the over 50\% prevalence of stunting (WHOCGS) versus 13.3\% (INGRC). We suggest refraining from using WHOCGS, and instead applying INGRC that closely mirror height and weight increments in Bandung children. INGRC appear superior for practical and clinical purposes, such as detecting growth and developmental disorders.}, language = {en} } @article{MummSchefflerHermanussen2022, author = {Mumm, Rebekka and Scheffler, Christiane and Hermanussen, Michael}, title = {Locally structured correlation (LSC) plots describe inhomogeneity in normally distributed correlated bivariate variables}, series = {Archives of Public Health}, volume = {80}, journal = {Archives of Public Health}, publisher = {Springer Nature BMC}, address = {Bruxelles}, issn = {0778-7367}, doi = {10.1186/s13690-021-00748-4}, pages = {6}, year = {2022}, abstract = {Background The association between bivariate variables may not necessarily be homogeneous throughout the whole range of the variables. We present a new technique to describe inhomogeneity in the association of bivariate variables. Methods We consider the correlation of two normally distributed random variables. The 45° diagonal through the origin of coordinates represents the line on which all points would lie if the two variables completely agreed. If the two variables do not completely agree, the points will scatter on both sides of the diagonal and form a cloud. In case of a high association between the variables, the band width of this cloud will be narrow, in case of a low association, the band width will be wide. The band width directly relates to the magnitude of the correlation coefficient. We then determine the Euclidean distances between the diagonal and each point of the bivariate correlation, and rotate the coordinate system clockwise by 45°. The standard deviation of all Euclidean distances, named "global standard deviation", reflects the band width of all points along the former diagonal. Calculating moving averages of the standard deviation along the former diagonal results in "locally structured standard deviations" and reflect patterns of "locally structured correlations (LSC)". LSC highlight inhomogeneity of bivariate correlations. We exemplify this technique by analyzing the association between body mass index (BMI) and hip circumference (HC) in 6313 healthy East German adults aged 18 to 70 years. Results The correlation between BMI and HC in healthy adults is not homogeneous. LSC is able to identify regions where the predictive power of the bivariate correlation between BMI and HC increases or decreases, and highlights in our example that slim people have a higher association between BMI and HC than obese people. Conclusion Locally structured correlations (LSC) identify regions of higher or lower than average correlation between two normally distributed variables.}, language = {en} } @article{MummSchefflerHermanussen2022, author = {Mumm, Rebekka and Scheffler, Christiane and Hermanussen, Michael}, title = {Locally structured correlation (LSC) plots describe inhomogeneity in normally distributed correlated bivariate variables}, series = {Archives of public health = Archives belges de sant{\´e} publique = Belgisch archief voor volksgezondheid}, volume = {80}, journal = {Archives of public health = Archives belges de sant{\´e} publique = Belgisch archief voor volksgezondheid}, number = {1}, publisher = {BMC}, address = {London}, issn = {0778-7367}, doi = {10.1186/s13690-021-00748-4}, pages = {6}, year = {2022}, abstract = {Background The association between bivariate variables may not necessarily be homogeneous throughout the whole range of the variables. We present a new technique to describe inhomogeneity in the association of bivariate variables. Methods We consider the correlation of two normally distributed random variables. The 45 degrees diagonal through the origin of coordinates represents the line on which all points would lie if the two variables completely agreed. If the two variables do not completely agree, the points will scatter on both sides of the diagonal and form a cloud. In case of a high association between the variables, the band width of this cloud will be narrow, in case of a low association, the band width will be wide. The band width directly relates to the magnitude of the correlation coefficient. We then determine the Euclidean distances between the diagonal and each point of the bivariate correlation, and rotate the coordinate system clockwise by 45 degrees. The standard deviation of all Euclidean distances, named "global standard deviation", reflects the band width of all points along the former diagonal. Calculating moving averages of the standard deviation along the former diagonal results in "locally structured standard deviations" and reflect patterns of "locally structured correlations (LSC)". LSC highlight inhomogeneity of bivariate correlations. We exemplify this technique by analyzing the association between body mass index (BMI) and hip circumference (HC) in 6313 healthy East German adults aged 18 to 70 years. Results The correlation between BMI and HC in healthy adults is not homogeneous. LSC is able to identify regions where the predictive power of the bivariate correlation between BMI and HC increases or decreases, and highlights in our example that slim people have a higher association between BMI and HC than obese people. Conclusion Locally structured correlations (LSC) identify regions of higher or lower than average correlation between two normally distributed variables.}, language = {en} } @article{RoeslerSchefflerHermanussen2023, author = {R{\"o}sler, Antonia and Scheffler, Christiane and Hermanussen, Michael}, title = {No evidence of growth impairment after forced migration in Polish school children after World War II}, 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/hbph2023.1.68}, pages = {8}, year = {2023}, abstract = {Background: Migration is omnipresent. It can come hand in hand with emotional stress which is known to influence the growth of children. Objective: The aim of this study was to analyse whether type of migration (forced or voluntary) and the geographic direction had influenced the growth of Polish children after World War II. Sample and Methods: A sub dataset of 2,208 individuals between the ages of 2-20, created from data of the 2nd Polish Anthropological Survey carried out in 1966-1969, including anthropometrical data and social and demographic information based on questionnaire, was used to analyse migration effects. Results: No association could be found between the direction of migration and the height of the children. The confidence intervals of the means of all classified migration categories overlap significantly and the effect size of the influence of migration category on height is ds=.140, which is too low to see any effects, even if there were one. Conclusion: Neither forced nor voluntary migration in Poland after World War II led to a change in height in children of migrating families.}, language = {en} } @article{HermanussenScheffler2023, author = {Hermanussen, Michael and Scheffler, Christiane}, title = {Nutrition, size, and tempo}, series = {Human biology and public health}, volume = {2022}, journal = {Human biology and public health}, number = {3}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph2022.3.37}, pages = {11}, year = {2023}, abstract = {Nutrition is a prerequisite, but not a regulator of growth. Growth is defined as increase in size over time. The understanding of growth includes an understanding of the binary concept of physical time and individual tempo. Excess food causes tempo acceleration. Food restriction delays tempo. Tempo reflects the pace of life. It is a dynamic physical response to a broad spectrum of social, economic, political, and emotional (SEPE) factors and can affect life expectancy. Variations in tempo create distortions of the z-score patterns of height and weight. Illness or intermediate food shortage lead to intermediate halts in development and create short dips in the z-score patterns. Children who develop throughout life at delayed pace usually run at lower z-scores for height and weight, and show a characteristic adolescent trough; children who develop throughout life at faster than average pace usually run at higher z-scores and show a characteristic adolescent peak in their z-score patterns. During adolescence, almost half of the height variance is due to tempo variation. There is not one tempo for the whole body. Different organ systems grow and mature at different pace.}, language = {en} } @article{RoeslerGasparatosHermanussenetal.2022, author = {R{\"o}sler, Antonia and Gasparatos, Nikolaos and Hermanussen, Michael and Scheffler, Christiane}, title = {Practicability and user-friendliness of height measurements by proof of concept APP using Augmented Reality, in 22 healthy children}, 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/hbph2022.2.48}, pages = {9}, year = {2022}, abstract = {Background: Child growth is a dynamic process. When measured at short intervals, children's growth shows characteristic patterns that can be of great importance for clinical purposes. Objective: To study whether measuring height on a daily basis using an APP is practicable and user-friendly. Methods: Recruitment took place via Snowball Sampling. Thirteen out of 14 contacted families signed up for a study period of 12 weeks with altogether 22 healthy children aged 3 to 13 years (response rate 93\%). The study started with a visit to the family home for the setup of the measurement site, conventional height measuring and initial training of the new measurement process. Follow-up appointments were made at four, eight and 12 weeks. The children's height was measured at daily intervals at their family homes over a period of three months. Results: The parents altogether recorded 1704 height measurements and meticulously documented practicability and problems when using the device. A 93\% response rate in recruitment was achieved by maintaining a high motivation within the families. Contact with the principal investigator was permanently available, including open communication, personal training and attendance during the appointments at the family homes. Conclusion: Measuring height by photographic display is interesting for children and parents and can be used for height measurements at home. A positive response rate of 13 out of 14 families with altogether 22 children highlights feasible recruitment and the high convenience and user-friendliness of daily APP-supported height measurements. Daily APP measurements appear to be a promising new tool for longitudinal growth studies.}, language = {en} } @article{SchefflerHermanussen2021, author = {Scheffler, Christiane and Hermanussen, Michael}, title = {Stunting does not impair physical fitness in Indonesian school children}, 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.v2.19}, year = {2021}, abstract = {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.}, language = {en} } @article{SchefflerNguyenHermanussen2021, author = {Scheffler, Christiane and Nguyen, Thi Hong and Hermanussen, Michael}, title = {Vietnamese migrants are as tall as they want to be}, 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.v2.12}, year = {2021}, abstract = {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.}, language = {en} } @misc{BoekerHermanussenScheffler2021, author = {Boeker, Sonja and Hermanussen, Michael and Scheffler, Christiane}, title = {Westernization of self-perception in modern affluent Indonesian school children}, series = {Human Biology and Public Health}, volume = {2021}, journal = {Human Biology and Public Health}, number = {1}, editor = {Scheffler, Christiane and Koziel, Slawomir and Hermanussen, Michael and Bogin, Barry}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph.v1.4}, pages = {1 -- 13}, year = {2021}, abstract = {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.}, language = {en} } @article{SchefflerHermanussen2023, author = {Scheffler, Christiane and Hermanussen, Michael}, title = {What does stunting tell us?}, series = {Human biology and public health}, volume = {2022}, journal = {Human biology and public health}, number = {3}, publisher = {Universit{\"a}tsverlag Potsdam}, address = {Potsdam}, issn = {2748-9957}, doi = {10.52905/hbph2022.3.36}, pages = {1 -- 15}, year = {2023}, abstract = {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.}, language = {en} }