TY - JOUR A1 - Hermanussen, Michael A1 - Scheffler, Christiane T1 - Nutrition, size, and tempo JF - Human biology and public health N2 - 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. KW - food access KW - physical time KW - SEPS factors KW - pace of life KW - catch-up-growth Y1 - 2023 U6 - https://doi.org/10.52905/hbph2022.3.37 SN - 2748-9957 VL - 2022 IS - 3 PB - Universitätsverlag Potsdam CY - Potsdam ER -