[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-564944-105":53,"doc-detail-564944-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","2013-child-growth-background-factors-affecting-growth","2013 Child Growth - Background - Factors affecting growth","","Child growth is presented as a key marker of health and development, with poor growth in utero and early childhood linked to short- and long-term outcomes such as higher infection risk and later life-style diseases including coronary heart disease, high blood pressure, and diabetes. Growth assessment through weight, length/height, and head circumference with accurate charting is described as quick, non-invasive, and vital, while limitations in equipment and interpretation are noted. The document then explains major growth determinants—genetics, ethnicity, birthweight, prematurity, gestational factors, hormone anomalies, and nutrition—highlighting how these relate to later health risks and the need for appropriate monitoring and guidance.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/2013-child-growth-background-factors-affecting-growth/564944/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/2013-child-growth-background-factors-affecting-growth/564944.png","ImageObject",442,249,{"name":88,"@type":89},"Mia  ","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-25","2026-10-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Why is child growth considered an important health marker?","Question",{"text":109,"@type":110},"Children’s growth reflects health and development. Poor growth in utero and early childhood is associated with increased infection risk and later life-style diseases, including coronary heart disease, high blood pressure, and diabetes.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How is growth assessment typically performed using growth charts?",{"text":114,"@type":110},"Growth assessment measures weight, length or height, and infants’ head circumference, then uses accurate plotting on a growth chart. It is described as quick, non-invasive, and useful for assessing general well-being.",{"name":116,"@type":107,"acceptedAnswer":117},"What factors discussed can influence a child’s growth?",{"text":118,"@type":110},"The document covers genetics, ethnicity, birthweight, prematurity and small for gestational age, hormone anomalies, intrauterine environments, and nutrition as key contributors to growth patterns and later health risks.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},564944,1792097034,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":142},687207024478,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","2013 Child Growth  \nChild growth and growth charts in the early years  \nBackground  \nChildren’s growth is an important marker of their health and development. Poor growth inutero and early childhood is associated with short and long term effects including increased rate of childhood infection, and development of ‘life-style’ diseases including coronary heart  \ndisease, high blood pressure and diabetes [1, 2] . Over-nutrition and obesity is also linked to poorer health outcomes [3] . Both infant body size during the early years of life and infant growth velocity have been shown to be associated with risk of later overweight and obesity in childhood and adulthood [4] . Growth assessment is the single measurement that defines the health and nutritional status of children because disturbances in health and nutrition almost always affect growth [5] . However growth charts are not a sole diagnostic tool but rather contribute to forming an overall clinical impression for the child being measured [6] .  \nGrowth assessment involving the measuring of weight, length or height and (infants’ head circumference) followed by accurate plotting on a growth chart is quick, non-invasive and provides valuable information about the general health and well being of the child. At times it can be perceived by some health professionals as a low priority, as reflected by absence of functional equipment in some settings for weighing and measuring children [7] . At other times parameters are recorded but not plotted onto growth charts resulting in missed opportunities for the early detection of health conditions related to altered growth [8, 9] . This is concerning given the increasing rates of childhood obesity [8] .  \nFor parents growth assessment can be reassuring if their child is gaining weight steadily; however monitoring too frequently, focusing on weight gain can lead to anxiety and unnecessary referral to secondary services [10] . Growth charts are frequently used to educate parents about their children’s growth. However many parents have difficulty understanding the data presented on a chart [11] . Health professionals are encouraged to teach parents how to interpret a growth chart and involve them in decisions on the management of altered growth patterns [12] .  \nFactors affecting growth  \nGenetics  \nParental size has a direct influence on a child’s growth potential and predicted adult height; more so for height than weight. A child with short stature may be of concern because of possible illness or poor nutrition, but for a short child with short parents they are possibly genetically small. Extreme shortness may be due to a combination of genetic and non-genetic factors and should be assessed by an endocrine specialist. Charts may be used to determine a child’s predicted height based on mid-parental height. (Refer to the Australian Endocrine [Society ](Society www.endocrinesociety.org.au)[www.endocrinesociety.org.au](Society www.endocrinesociety.org.au) accessed 11/4/13). A child whose adjusted stature is still low should be investigated further for illness or poor nutrition [13] . Three percent of all children will grow below the 3 rd percentile on height for age charts and still be healthy. Genetic disorders and chromosomal abnormalities can also have the potential to alter children’s growthe.g. Trisomy 2, Prader-Willi syndrome and others.  \nEthnicity  \nTraditionally it was believed that different ethnic groups show different patterns of growth; on average African-Caribbean groups were believed to be taller and heavier, and Asian and Chinese groups shorter and lighter when compared with Caucasians [14] . However the  \n2013 Child Growth  \nMulticentre Growth Reference Study (MGRS) has refuted this belief showing that variability in infant growth was greater within population groups than between the different country groups (Figure 1) [15] .  \nFigure 1 Effect of ethnicity on infant growth-Mean length from 0 – 24 months for the six MGRS sites  ","cbCailTKSN8Es89C","https://ap.wps.com/l/cbCailTKSN8Es89C","pdf",679034,22,"English","# Background\n## Growth assessment and practical challenges\n# Factors affecting growth\n## Genetics\n## Ethnicity\n## Birthweight\n## Prematurity and gestational age\n## Hormones and intrauterine environment\n## Nutrition","[{\"question\":\"Why is child growth considered an important health marker?\",\"answer\":\"Children’s growth reflects health and development. Poor growth in utero and early childhood is associated with increased infection risk and later life-style diseases, including coronary heart disease, high blood pressure, and diabetes.\"},{\"question\":\"How is growth assessment typically performed using growth charts?\",\"answer\":\"Growth assessment measures weight, length or height, and infants’ head circumference, then uses accurate plotting on a growth chart. It is described as quick, non-invasive, and useful for assessing general well-being.\"},{\"question\":\"What factors discussed can influence a child’s growth?\",\"answer\":\"The document covers genetics, ethnicity, birthweight, prematurity and small for gestational age, hormone anomalies, intrauterine environments, and nutrition as key contributors to growth patterns and later health risks.\"}]","2013 Child Growth - Background - Factors affecting growth | PDF",1791845275,8]