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· Umur Tulang dan Prediksi Tinggi Badan

-- - -- - - - - - -- - -

Ada 2 cara untuk menentukan umur tulang :


1 . Menggunakan atlas of Skeletal Development dari
Greulich Pyle "Pusat perkembangan tulang
dibandingkan dengan gambar standar untuk anak
perempuan dan anak laki-laki berurutan menurut
umur yang berbeda".

2. Metode Tanner dkk (1975) membandingkan


dengan standar radiografi menggunakan skor yang
dijumlahkan dan dibandingkan dengan skor
standar menurut umur.
Looking straight ahead
with Frankfurt plane
horizontal

Shoulders relaxed
Shoulder blades,
buttocks, and
heels touching
measurement
board.
Arms at sides

Legs straight and


knees together
'

Feet flat and with


heels almost
together ,·

Just abOve the


supraolbhal
ridges:.

Head in Frankfun plan&


M
_ . ., . _
AIRSUSU
AICA N A H tlA

. . . _...""""""'...,
� I T E
_
ltt lAIK

". -........
--
bo,1'-
Mln..>MSIUIUl8U

,,...
BAWAI.AH KMSSETIAI' KALI
8ERKUNJUNC KE l'OSYANOU
0/IN SA.tANA l'EI.AYANAN KESEHll(AN

f ,,tad ,,... ,,.. .,,,.,, At•luJIS:.I �lut '4·1.ahh·r.,


'Ill I "U I I U I'
lt1,,,,,11 Hltlf·\,1/\�
. .. ,..... .. ....... .. . .

- - --
r WWM\ �
..• . . ,, h l ll l luikf

1>-11
Birth 3 6 g 12 15 18 21 24 27 30 33 36
Birth to 24 months: Girls tw.l£ ---------- ,.
Length-for-age and Weight-for-age percentiles �E<XR>•
AGE MOKTHS . �
IIJrth 3 8 9 12 15 18 21 . '
�,n .._.�m Cfll In I
ltO

39 L
!• t• I• t·
,3···=
-- 8 �,-
39 100 100 38 E ��t

l-38 9537 H
�37-
36 G :,.!"'" 90 36
�38
lc:.._80
35
T
H
'I 35'

1 40

38
17 t-

38
18 : ... +-

.... • 3
28·
Ew
I
,,_

� .
.L.

G
H
T ·1 24·
24 r1a ....
22-
t:t6 1 22
i:,�i-40
'· .
1-15 •• t:15.. 20·
' 20

-� 8 18·
-. B
18

8
16
18
kg lb
33 36

1-1
�.r:. ,....,.

.....,
I

.. - --
,_a • r- 12
AGE (IIIOHTltS)
:::i=:i:: 15 -+--+- 18 t- 21 - 24

,,,,,., • S&&te_
,. ----
- �s�
- ·- 3
--i
-·---- 1--------1
I•
r,;.: kg .. -·
lllrth 3 6 Birth 3 6 B -
��
tou'ICt -. �c.-... ...,...... �"C'I Nl!Clt_ ....
....... ...
. . . ._c..,
... _ . _ � o -... ,_.... 1,,v, ..... �,14,.·•·••0lf'I..•
Birth to 36 months: Girls
Length-for-age and Welght-lor-age percentiles
NMIE �£��,..=---------
RECORD 11 _

Birth 3 6 9 12 15 18 21 24 27 30 33 36
"In
41
cm AG'� (MdNl'Hs> cm- In-.
41
>-40 40
100 100
39
"f3-8- ,
.
:95 �

>-36 36•

37 •37
"
0

>-34
35:

33 �
- ••.. 90 -35
2"'
"32
.. 17· 38


31-

29- 75 .. 1
36

27
-70 ,. 15
32
>-26
6S 14
25-

.
>-=· 3

23 >28·
>-24 13
_60 �

�22. • 12-
26
21_
>-20 �
• . ., -
::.§Q_""' 24
�19-
MB -45 10- ,22
M1.
f-16· -40 20
l:15
16
- a-
>-16 16
7 AGE(MONTHS)


36 kg · lb·

5 ....".

12 15 18
.........
21 !-1-24....--27 30 33
>-14
Me1t,w·a Suu• 1 ft. 0 1tl
F"*S$1..t o. r.. � � .. Ago..ll_W-
�12-

1-10-
4
6 t6L!JJ.
8 l6'IO
>--'�
4
21.0
23,0
8/ln

1-5 l 2',
>--
3
>-6
2
lb. kg
Blr111 3 6 9
.,)O.tQ0 0 �
t, i, ,..,
..11
� o . ,, . ,._..e,o1!/Jll(Jl(Jr•011w1t1
Q. Q I �

....,. ........
...�C...bOwo,,e ��-,....-..�f2CIOQ
..,. , , 0 ..
"'·�-�...... fl'Ol"'l"'t,11..,.
MENENTUKAN
Weig t-fo age GIRLS di WOl'ld Health
'lfl Organization
Birth to 5 years (z-scores)
- -- =--
INDIKATOR
PB/U
BB/U IMT/U
TB/U
obesitas
Diatas + 3 obesitas
Diatas + 2
Gizi lebih Gizi lebih

0 (median)

Dibawah - 1

I awa -
Under weight Kurus Kurus
Pendek
Dibawah - 3
Sangatpendek Sangat
Sangat kurus Sangat kurus
underweight
ength/height-for-age Wol1d Health
GIRLS IOrgan zation
Birth to 5 years (z-scores)

I f I
- -- =--
INDIKATOR
PB/U
BB/U IMT/U
TB/U
obesitas
Diatas + 3 obesitas
Diatas + 2
Gizi lebih Gizi lebih

0 (median)

Dibawah - 1

I awa -
Under weight Kurus Kurus
Pendek
Dibawah - 3
Sangatpendek Sangat
Sangat kurus Sangat kurus
underweight
gth GIRLS World Health
Birth to 2 years (z-scores) ,Organization
- -- =--
INDIKATOR
PB/U
BB/U IMT/U
TB/U
obesitas
Diatas + 3 obesitas
Diatas + 2
Gizi lebih Gizi lebih

0 (median)

Dibawah - 1

I awa -
Under weight Kurus Kurus
Pendek
Dibawah - 3
Sangatpendek Sangat
Sangat kurus Sangat kurus
underweight
CHILO OEVELOf>MENT & BEHAVIOR I 66

62 "

60 •-7 - 24
50
56 - 23

-
• c- 22

l
2,1
52 r t2ff<> �>
50
• - Me�" t&O"fol• 20

--
- ·-
=-
46
t- I
19 §'
44
-· 98%)
.... 18
i
..0

--
42 - 17

" - e
,
-
38

c �
15

16 0
36
34 .... 1 ..
32
3
. . . . - 13
....
.... 12
2 4 6 8 10 12 14 16 18 2 4 6 8 10 12 14 16 18
-------Months--------,-----Yffars-�---
Figuro 2-6. Head <:ircurnf'er� of girts. (Moctified a.na reproOOCOd With perrnlNSon 1..-otn Nelhaus G: Pediatrics
1988:41 :106.

62
t-
r
-
60
S8
t-
23, .. ·.-:.
t-

SG
r - �2
.

- -
- ... -� 19

17
S4
• +2 so (913%) . 21

62
....
20
!
_J�I $0°-4)
50
- ,,. �-
� • I I I ,_ 18 .e�,,,
• -2so(�)
- ... -
1

g
40
·44
.... 10
� ....
e-
42 e-
40
> 1
38
36
CJ �- � 14
15

34 I �

.. ....
32
30 •.2 . . 6. 8 10·12·14 16 16 . 2 4 6 6 10 1 14 16 1B
12

-------Moo«h$-------'----Yeara------
Flgvre 2-4i. Head oircumforonce ol boys. (Modified and reproduced wffh .,... .. lnlan fTom -lhaue G:
1908;-41: 1 06.
.._tries
Over part
Just above the of oociput
supraorbital
ridges.

Head in Frankfurt plane

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