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Brazilian Pediatric Reference Data for Quantitative Ultrasound of Phalanges According to Gender, Age, Height and Weight
Author(s) -
Ezequiel Moreira Gonçalves,
Roberto Régis Ribeiro,
Wellington Roberto Gomes de Carvalho,
Anderson Márques de Moraes,
Everton Paulo Roman,
Keila Donassolo Santos,
Pedro Augusto Rodrigues Medaets,
Nélio Neves Veiga-Junior,
Adrielle Caroline Lace de Moraes Coelho,
Tathyane Krahenbühl,
Letícia E. Sewaybricker,
Antônio de Azevedo Barros Filho,
André Moreno Morcillo,
Gil GuerraJúnior
Publication year - 2015
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0127294
Subject(s) - percentile , medicine , phalanx , age groups , demography , body mass index , body height , reference values , body weight , pediatrics , orthodontics , surgery , statistics , mathematics , sociology
Aims To establish normative data for phalangeal quantitative ultrasound (QUS) measures in Brazilian students. Methods The sample was composed of 6870 students (3688 females and 3182 males), aged 6 to 17 years. The bone status parameter, Amplitude Dependent Speed of Sound (AD-SoS) was assessed by QUS of the phalanges using DBM Sonic BP (IGEA, Carpi, Italy) equipment. Skin color was obtained by self-evaluation. The LMS method was used to derive smoothed percentiles reference charts for AD-SoS according to sex, age, height and weight and to generate the L, M, and S parameters. Results Girls showed higher AD-SoS values than boys in the age groups 7–16 (p<0.001). There were no differences on AD-SoS Z-scores according to skin color. In both sexes, the obese group showed lower values of AD-SoS Z-scores compared with subjects classified as thin or normal weight. Age (r 2 = 0.48) and height (r 2 = 0.35) were independent predictors of AD-SoS in females and males, respectively. Conclusion AD-SoS values in Brazilian children and adolescents were influenced by sex, age and weight status, but not by skin color. Our normative data could be used for monitoring AD-SoS in children or adolescents aged 6–17 years.

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