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Many mothers are concerned about whether their baby grows or not. However, there are certain criteria for growth retardation. International Hospital Istanbul Child Health and Diseases Specialist Şebnem Ersoy, Büyüme If there are disruptions in regular height and weight measurements, and it is seen that this continues in several measurements, growth retardation should be suspected, ”he says.
: What are the hormones that affect growth in children?
Dr. Sebnem Ersoy: Many hormones, especially growth hormone and thyroid hormone, are effective on growth and development in children. Sex hormones such as androgen and estrogen also have an effect.
: How do these hormones work more or less have an impact on the growth trend?
Dr. Sebnem Ersoy: Of these hormones, growth hormone and thyroid hormones stimulate growth and cortisol hormone has a suppressing effect. The effect of sex hormones (androgens and estrogens) is growth-accelerating, but they lead to premature closure of growth cartilage, resulting in short stature in adults.
: What role do genes play in growth?
Dr. Sebnem Ersoy: Genetic effects in lengthening are multifaceted. The genes that determine the height of a child pass through the parents. There is a 50% similarity between the mother's, father's and siblings' genes. The shorter individuals in the family, the closer the child to the child, the more likely the child is to be short. Since the genes passing through the mother and father are the most important factors in the growth of the child, the height (target height) in which the child can be reached according to the genetic structure of the child can be calculated approximately. However, there is not always a close relationship between parental height and adult height, since the potential for lengthening is related to more than one gene.
: What are the effects of nutrition on growth?
Dr. Sebnem Ersoy: Nutrition is also one of the important factors affecting growth. Inadequate nutritional deficiency of protein and calories required for growth causes short stature. If the nutritional deficiency is short-term, the growth of the child returns to normal when feeding is regulated. Nutritional deficiency begins in the early period and if it becomes chronic, short stature persists permanently.
: How to tell if a baby has grown enough?
Dr. Sebnem Ersoy: Weight, height and head circumference measurements should be carried out at regular intervals to determine the growth of an infant and marked on standard growth curves.
: At what age and in what age and weight should a child be in 6 years of life?
Dr. Sebnem Ersoy: Average values may vary in girls and boys. On average; A 1-year-old boy weighs 9.5-10 kg and weighs 73-74 cm. tall, 2 years old 12 kg.-85 cm, 3 years 14 kg-95 cm., 4 years 16kg-102 cm, 5 years 18 kg-108 cm., 6 years 20 kg-115 cm. can.
: When should I suspect growth retardation?
Dr. Sebnem Ersoy: Growth disruptions should be suspected when disruptions are detected in regular height and weight measurements and it is observed that this condition persists in several measurements.
: How is growth retardation diagnosed?
Dr. Sebnem Ersoy: In order to diagnose growth retardation, a detailed history of the patient is taken, physical examination is performed, growth is evaluated and then necessary laboratory tests (blood, radiographs and hormonal tests) are diagnosed.
: How is it treated?
Dr. Sebnem Ersoy: Treatment is carried out for the cause of growth retardation. Nutritional disorders are corrected if there is, hormonal disorders are necessary hormone treatment.