SECULAR CHANGES IN GROWTH OF SCHOOL CHILDREN AND ADOLESCENTS
Main researcher
: PREBEG, ŽIVKA (38594) Assistants
JUREŠA, VESNA (95000)
Type of research: applied Duration from: 01/01/91. to 12/31/94. Papers on project (total): 19
Papers on project quoted in Current Contents: 3
Institution name: Medicinski fakultet, Zagreb (108) Department/Institute: DEPARTMENT OF HEALTH CARE "ANDRIJA STAMPAR" SCHOOL OF PUBLIC HEALTH Address: ROCKEFELLEROVA 4 City: 10000 - Zagreb, Croatia
Communication
Phone: +385-(0)1/276-822
Fax: +385-(0)1-275-415
Summary: The objectives of this study are to find out whether the
secular changes in growth and development of school children and
adolescents in different parts of Croatia are observed ie, whether there
are changes in the mean height and weight of boys and girls aged 7 to 18
years and in the menarcheal age of girls in relation to their peers
observed in the period 1981 to 1984. If changes exist, in which regions,
and which socioeconomic groups are mostly pronounced. The survey covers a
total of 25,000 boys and girls in different parts of the country. In the
period of 1991 to 1993 data collection was completed in the regions of
Zagreb, Rijeka, Island of Hvar, Split, and some parts of Slavonija
(Požega). Data are still in the course of processing. However, preliminary
results show the slight increase in height in some age groups of Zagreb
girls and boys compared to analogous generation observed about a decade
earlier - in 1982. The increase in weight is somewhat higher, specially in
boys. Menarche appears in the average a little later than in the 1982
generation (12,69 years in 1982, and 12,80 years in 1991). That suggests a
relative independance of secular changes in growth and maturation.
Collection of data has been continued in Međimurje, Hrvatsko Zagorje and
Moslavina. The research work in Osijek region is in preparatory phase. An
extra question will be considered there - whether the stressful war events
to which majority of children were exposed had influenced the patterns of
their growth and development.
Research goals: Secular changes in growth and development of
children over the last decades vary in different populations. In some, a
pronounced trend towards greater height and weight of children and
adolescents together with an earlier onset of menarche has been observed.
In others the mean height of boys and girls is increasing compared with
previous generations but the onset of first menstruation remains the same.
In other still, there are no changes either by way of increase in size or
lowering of menarcheal age. The scope of this study is to find out whether
the secular changes in growth and development of school children and
adolescents in Croatia in the last decade are observed. If changes exist -
are the general trends in growth and maturation similar or do the changes
differ in trend and intensity in different geographic regions and different
socioeconomic groups. It is expected that results of this study could
contribute to the better understanding of complex and still unclear mutual
influence of genetic and environmental factors to the model and variability
of growth and development. From the public health point of view secular
trend in growth is a very reliable index of children's health. Besides,
data about variations in maturational age in certain populations are
important for planning of appropriate health care for children and
adolescents. Other information about the project.