BackgroundBody posture may be disordered by vestibular dysfunction, neurological disorders, problems with the distribution of muscle tone, brain injuries, and other dysfunctions. Growth hormone deficiency (GHD) can lead to many disorders, particularly of the musculoskeletal system. During treatment with recombinant human growth hormone (rhGH), an increase in muscle mass and an improvement in bone structure can be observed in children suffering from hypopituitarism from GHD.MethodsThe study involved 33 children suffering from hypopituitarism with GHD (9 girls and 24 boys), aged 10–14 years old. Measurements of the magnitude of their anterior–posterior spinal curvatures were made using an inclinometer. The children were examined at the medianus of the sacrum bone, the Th12–L1 intervertebral area, and the C7–Th1 intervertebral area. In order to characterize the anterior–posterior curvature of the spine, the results were compared with the general norms reported by Saunders. Statistical calculations were carried out using the statistical package Statistica 10 PL.ResultsLumbar lordosis angles were higher in the patients currently receiving growth hormone (GH) treatment than in those who had yet to receive it. There is a statistically significant positive correlation between the length of growth hormone treatment and the alpha angle. There are also statistically significant correlations between age at the beginning of growth hormone therapy and the angle of lordosis. Statistically significant correlations were also seen between age at the beginning of growth hormone therapy and the alpha angle.ConclusionsAlthough there may be changes in posture at the beginning of rhGH treatment, the sooner growth hormone therapy begins, the better the body posture. The longer the growth hormone treatment, the better the posture, as expressed by the alpha angle in the sagittal plane.

Zmiany w stylu życia stanowią podstawową metodę leczenia otyłości u dzieci i młodzieży. Modyfi kacja bilansu energetycznego jest niezbędna dla uzyskania normalizacji przyrostów masy ciała u młodszych dzieci i spadku masy ciała u młodzieży. Wprowadzenie zmian wymaga wcześniejszej szczegółowej analizy sposobu żywienia dziecka w zakresie zarówno samego składu diety, jak i aspektów behawioralnych związanych z przyjmowaniem pokarmu, by móc wychwycić i skorygować wszystkie istniejące nieprawidłowości. Modyfi kacje wydatku energetycznego dziecka również wymagają wcześniejszej oceny jego aktywności i wydolności fi zycznej oraz sposobu spędzania wolnego czasu, tak by proponowane zmiany były możliwe do realizacji i pozwalały na realne korzyści zdrowotne [1, 2]. Celem tej pracy było podsumowanie aktualnych zaleceń dotyczących leczenia otyłości u dzieci w różnym wieku w aspekcie możliwych modyfi kacji bilansu energetycznego. Wprowadzenie zasad zdrowego stylu życia, obejmującego w pierwszej kolejności zmiany w sposobie

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Background. Growth hormone plays a vital role in the human body. Its deficiency can lead to numerous disorders, including musculoskeletal system defects. Treatment with recombinant human growth hormone (rhGH) in children suffering from growth hormone deficiency (GHD) increases muscle mass and improves bone structure.Aim. The purpose of this study was to evaluate the angle of trunk rotation (ATR) in patients diagnosed with GHD treated with rhGH and to observe the incidence of scoliosis.Material and Methods. The study was conducted among 50 children diagnosed with GHD. The group consisted of 11 girls and 39 boys aged 6-16. The study group included 50 children: 10 children just qualified for rhGH treatment and 40 patients undergoing this treatment, with different therapy duration. ATR was measured using a Bunnell scoliometer on five levels of the spine: cervical 7 / thoracic 1, thoracic 6, thoracic 12 / lumbar 1, lumbar 3, lumbar 5 / sacral 1.Results. The most numerous asymmetries among the examined group were in the thoracolumbar segment and at the thoracic 6 level. Girls had greater asymmetries compared to boys especially at thoraco – lumbar and lumbar 3 level. There were no statistically significant differences in ATR at any level comparing patients before hormonal treatment and patients undergoing rhGH treatment. The age of the beginning of the therapy, the duration of rhGH therapy, and body mass index (BMI) also had no effect on ATR. Sport activities had a positive impact on the results obtained by scoliometer assessment.Conclusions. The angle of trunk rotation is higher in growth hormone-deficient females than in males. Weight, height, BMI, the time of growth hormone therapy beginning and the duration of this therapy do not influence ATR. The more sport activities, the lower value of the angle of trunk rotation, especially in male patients. Obtained results support the thesis, that treatment with recombinant human growth hormone does not increase the incidence of scoliosis.

Introduction. Food is the basic source of energy for humans. Properly matched for the age and needs of the body, a balanced diet is a condition for proper growth and development during childhood. The aim of the study is to review the current state of knowledge regarding the impact of the nutrition model, diet composition and behavioral aspects related to food intake on the occurrence of obesity in children and adolescents.Conclusions. Too much energy charge in food, disturbing the balance between energy supply and expenditure, is a common cause of childhood obesity. The rate of weight gain in children is also aff ected by other factors, such as the model of feeding during infancy, eating habits in the early years of life, and a number of behavioral aspects related to food intake.Taste preferences and eating habits are formed in a child from the first years of life and are often continued during adulthood, therefore, an essential element of obesity prevention must cover the extensive early education involving parents, caregivers and the children themselves.