The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
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Cut-off Values for Diagnosing Kidney Weak Children using Height, Body Weight, Bone Age

신계허약아 진단을 위한 절단값 산정 연구-신장, 체중, 골연령을 기준으로

  • Kim Tae Hwan (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Seo Hae Sun (Department of Pediatrics, Kyung Hee University Korean Medicine Hospital) ;
  • Doh Tae Yun (Department of Pediatrics, Kyung Hee University Korean Medicine Hospital) ;
  • Lee Sun Haeng (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Lee Jin Yong (Korea Institute of Oriental Medicine)
  • 김태환 (경희대학교 대학원 소아과학교실) ;
  • 서혜선 (경희대학교한방병원 한방소아과) ;
  • 도태윤 (경희대학교한방병원 한방소아과) ;
  • 이선행 (경희대학교 대학원 소아과학교실) ;
  • 이진용 (한국한의학연구원)
  • Received : 2023.10.16
  • Accepted : 2023.11.23
  • Published : 2023.11.30
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Abstract

Objectives This study aimed to evaluate the correlation between pediatric weakness scale scores and growth indices. Furthermore, we intended to calculate the cut-off values for diagnosing Kidney Weak Children through growth indices. Methods A total of 193 patients, aged 6 - 12 years, underwent both the pediatric weakness scale and bone age assessment, and the correlations between the pediatric weakness scale and growth indices were analyzed. Moreover, the cut-off values for diagnosing Kidney Weak Children were calculated. Differences in bone age and predicted height between the normal group and Kidney Weak Children, classified according to the calculated cut-off values, were analyzed. Results The weakness of the Shin or kidney system was significantly correlated with the height percentile, weight percentile, differences in current height percentile and mid parental height percentile, differences in predicted height and mid parental height, and differences in bone age and chronological age. When the criteria for diagnosing Kidney Weak Children is set at "height percentile of ≤25% and weight percentile of ≤25%", the sensitivity and specificity of the cut-off value were maximized. The cut-off values for weakness of the Shin or kidney system were 9 in children aged 6 - 9 years and 10 in children aged 10 - 12 years. Conclusions To diagnose Kidney Weak Children, the cut-off values of weakness of the Shin or kidney system were 9 in children aged 6 - 9 years and 10 in children aged 10 - 12 years.

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