GROWTH AND DEVELOPMENT OF PERUVIAN CHILDREN

One hundred nine school children from 2 rural areas in the coastal area of Peru were measured and weighed and roentgenograms of the hand and wrist were obtained. Three-fourths of the children were below Stuart's tenth percentile in height. Roughly, a third of the children were below the tenth percentile in weight. Fifteen per cent of the girls and 30 per cent of the boys were above the fiftieth percentile in weight. Forty to forty-five per cent of the children were in the stocky to obese channels of the Wetzel grid; 5 to 10 per cent would be classified as fair to poor, and roughly half would be considered average. Developmental age (Wetzel) was 7.5 ± 15.6 months less than chronological age for boys, 10.5 ± 11.3 months less for girls. A third of the boys and 15 per cent of the girls were advanced in Wetzel developmental age. It was apparent that the heavier children were generally advanced in Wetzel developmental age. Roentgenograms of the hand and wrist were assessed by comparing the films to the Greulich-Pyle Standards. Skeletal age was -11.3 ± 12.7 months for boys and -7.1 ± 9.8 for girls. Eighteen per cent of the population were advanced in skeletal age. Boys were more retarded than girls in skeletal age. The correlation and partial correlation coefficients for all combinations of the 4 measurements (retardation in weight, retardation in height, retardation in skeletal age and retardation in developmental age) were calculated. The various pairs were all rather highly correlated, this being particularly true of weight and Wetzel developmental age. The partial correlation coefficients show, however, that skeletal age was not closely correlated with any of the other 3 measurements. Height and developmental age were negatively correlated to a significant degree, and developmental age and weight were so closely related that they appear to be measures of the same characteristic in this population. Individual dietary histories are not available from these children, but it is known that the diets in the area are considerably below recommended levels in certain nutriients. Whether dietary deficiencies are factors in the apparently abnormal developmental patterns, or if the patterns are truly abnormal for the Peruvian child or indicate an adverse effect on health, remain to be shown. It is pointed out that there are probably advantages in studies upon growth and development in different areas of the world where a variety of dietary or environmental factors may have specific effects.