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Thursday, April 2, 2020
Influences On Normal Physical Essays - Growth Disorders,
  Influences On Normal Physical    Physical growth in early childhood is partially easy to measure and  gives an idea of how children normally develop during this period. The  average child in North America is less than three feet tall at two years of  age. Physical growth contains no discrete stages, plateaus, or qualitative  changes. Large differences may develop between individual children and  among groups of children. Sometimes these differences affect the  psychological development of young children. These differences create a  nice variety among children.   Most dimensions of growth are influenced by the child's genetic  background. Also, races and ethnic backgrounds around the world differ  in growth patterns. Nutrition can affect growth, but it does not override  genetic factors.   One factor in the cause of slow growth is malnutrition. Malnutrition  can start as early as pregnancy. Low birth weight babies have an  increased risk of infection and death during the first few weeks of life.   Food-deprived children carry a greater risk of neurological deficiencies  that result in poor vision, impaired educational attainment, and cerebral  problems. Such children are also more prone to diseases such as malaria,  respiratory tract infections or pneumonia. The illnesses of malnourished  children can cause more lasting damage than in a healthy child. The  destructive conjunction between low food intake and disease is magnified  at the level of the hungry child. There is evidence, according to The  Journal of Nutrition, that an estimated 50 percent of disease-related  mortality among infants could be avoided if infant malnutrition were  eradicated. It has also been shown that low birth- weight is associated  with increased prevalence of diseases such as stroke, heart disease and   diabetes in adult life. Most damage during the first few years of life  cannot easily be undone.   There are many reasons why some children never reach normal  height. Some causes of short stature are well understood and can be  corrected, but most are subjects of ongoing research. Achondroplasia is  the most common growth defect in which abnormal body proportions are  present. Achondroplasia is a genetic disorder of bone growth. It affects  about one in every 26,000 births. It occurs in all races and in both  sexes. It is one of the oldest recorded birth defects found as far back as  Egyptian art. A child with achondroplasia has a relatively normal torso  but short arms and legs. People sometimes think the child is mentally  retarded because they are slow to sit, stand, and walk alone. In most  cases, however, a child with achondroplasia has normal intelligence.   Children with achondroplasia occasionally die suddenly in infancy or early  childhood. These deaths usually occur during sleep and are thought to  result from compression of the upper end of the spinal cord, which can  interfere with breathing. This disease is caused by an abnormal gene.   The discovery of the gene allowed the development of highly accurate  prenatal tests that can diagnose or rule out achondroplasia. There is  currently no way to normalize skeletal development of children with  achondroplasia, so there is no cure. Growth hormone treatments, which  increase height in some forms of short stature, do not substantially  increase the height of children with achondroplasia. There is no way to  prevent the majority of cases of achondroplasia, since these births result  from totally unexpected gene mutations in unaffected parents.   One treatment available for children is known as growth hormone  therapy. The policy governing the use of growth hormone (GH) therapy  has shifted from treating only those children with classic growth hormone  deficiency to treating short children to improve their psycho social  functioning. This has caused quite a controversy. Parents have described  shorter boys as less socially competent and having more behavioral  problems than that of the normal sample. Shorter boys describe  themselves as less socially active but not having more behavioral  problems than that of the normal group. This is according to a study  conducted by the Children's Hospital of Buffalo and the State University  of New York at Buffalo. The researchers conclude growth hormone  therapy should not be administered routinely to all short children for the  purpose of improving their psychological health. They urge that  physicians consider both a child's short stature and psycho social  functioning before making a referral for growth hormone therapy.   Another factor in the growth of children is their change of appetite.   Young preschoolers may eat less than they did as a toddler. This is also  when they will become more selective and choosy with the foods they  eat. These changes are normal and result from the slowing down of  growth after infancy. Preschool children simply do not need as many  calories    
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