青春期轉骨吃補要抓對時機Adolescent eating fill bones, we should pay attention to the timing

青春期轉骨吃補要抓對時機 問：為何青春期被稱為轉骨？什麼是轉骨？男女轉骨期一樣嗎？我有三個小孩，正要進入青春期，他們身高體重比同齡小孩真的差很多，由於父母的身高也不高（父身高170公分，母158公分），很擔心孩子將來長不高。坊間廣告產品琳琅滿目，究竟要如何挑選？男女服用的時間有差別嗎？過早食用是否會出現反效果？ （周女士） 答：邁入青春期，由兒童發育成大人重要階段，也就是所謂的轉骨，在中醫概念上，透過調養可減少後天的失調，尤其是身型較瘦小者，青春期即長高的黃金時間，透過中藥「轉骨湯」調養、可以促進、加速生長。 不過除了後天調養，遺傳也是決定身高的重要因素。一般來說，孩子未來身高，男生大概是父母身高加總，加12、再除以2；女生則是父母身高減12、再除以2，而營養、運動、睡眠等各因素，皆與生長及身高相關，不應高度期待子女一定能長得比自己高許多。 轉骨湯主要成分以健脾固腎藥材為主，如果吸收能力不好，應要先調養脾胃，且轉骨湯是男女有別，男生要喝固腎強精、女生則是要補血養血。喝轉骨湯一定要配合發育時間，過早就是揠苗助長，過晚則沒有太大的幫助。最好是在青春期之前就開始，女生較早一點大約是9、10歲，即初經前後，男生大概是12、13歲，在變聲前後。 不過，每個人轉骨時間、體質皆有差異，周女士有三個小孩，雖是兄弟姊妹，但體質狀況未必相同，建議根據中醫問診後，再依個人體質服用適合的轉骨湯，坊間的偏方無法一概適用。 西醫觀點，認為大部分孩子成長遲緩都與營養、睡眠跟運動習慣不良有關，不用吃藥。家長如果擔心孩子特別矮小，可以到小兒內分泌科照X光、瞭解骨齡。 若因飲食偏差造成營養不良，可詢問醫師後適當補充綜合維他命、礦物質鐵、鋅等，盡量飲食均衡，不太胖的孩子也可以鼓勵多喝牛奶，因其富含鈣、乳糖都對骨骼、生長有幫助，但要減少含糖飲料攝取。如果是慢性疾病或是其他潛在的疾病，則應該透過檢查、及早介入治療。 另外，睡眠需充足，也要運動，生長激素必須要在逾20分鐘、大肌肉的有氧運動下才能生成，因此建議每天至少運動半小時，例如游泳、打球都是刺激生長素的好運動。 廣告說明不應盡信，成長發育的孩子是可能需要高熱量、高蛋白，以前營養不好時代，可能需要透過藥膳來幫孩子補身體，如今最好的方式也許是均衡飲食。 （諮詢醫師：台北市立聯合醫院中醫院區主治醫師羅國正、長庚醫院小兒內分泌科主治醫師羅福松） （劉惠敏） 2008-08-31 Adolescent eating fill bones, we should pay attention to the timing Q: Why was called to adolescent bone » What is to the bone » To the same period of men and women? » I have three children, about to enter puberty, their children the same age, height and weight than a lot of really bad, because the parents is not high (170 cm tall father, mother 158 cm), very worried about the future Zhang Bugao children. The community advertising product range, is how to select » Men and women taking the time difference? » Premature consumption will appear counter-productive » (Zhou) A: enter adolescence, from National Cheng Kung University child development were important stage, which is also referred to the bone, the concept of Chinese medicine, acquired through the tone can reduce the imbalance, in particular body type than瘦小, adolescence is the prime time of high, Through traditional Chinese medicine "to the soup" tone, can promote and accelerate growth. But in addition to the day after tomorrow tone, genetic decision is also an important factor. Generally speaking, the future is the children, boys and is probably the height of their parents, plus 12, divided by 2; girls are standing by 12 parents, and then divided by two, nutrition, exercise, sleep and other factors, and growth are And height-related and should not be high expectations for their children than their own will certainly be able to grow much higher. Soup to the major components of the main ingredients to Jianpi Gushen, if the absorptive capacity of poor, should have to tone spleen and stomach, and the soup is to the men and women are different, boys drink Gushen strong sperm and girls is to the blood Yangxue . To drink soup must meet development time, Yamiaozhuzhang is too early, too late is not much help. Preferably before the beginning of puberty in girls is earlier point about the age of 9, 10, that is, before and after early, probably 12, 13-year-old boys, both before and after changing sound. However, each person to the bone, there are physical differences, Zhou has three children, although brothers and sisters, but not necessarily the same physical condition, according to the proposed Chinese medicine Wenzhen, then by individual physique to take the soup for the community of Pianfang Not all apply. Western medicine view that the majority of children with growth retardation nutrition, sleep with the movement of the bad habits, do not have to take medicine. If parents worry that children in particular small can go to the Pediatric Endocrinology an X-ray, bone age to understand. If eating deviation caused malnutrition, doctors may ask after appropriate supplementary comprehensive vitamins, minerals iron, zinc, etc., as far as possible a balanced diet, not too fat can also encourage children to drink milk, because of their rich in calcium, are the lactose Bones, growth help, but to reduce the intake of sugary drinks. If it is chronic disease or other potential diseases, they should be through the inspection, early intervention therapy. In addition, the need of adequate sleep, but also sports, growth hormone must be in more than 20 minutes of aerobic exercise a muscle can be generated, it is proposed that the daily movement of at least half an hour, for example, swimming, playing to stimulate growth hormone are a good Campaign. Help your letter should not, growth and development of children is likely to need high-calorie, high-protein, nutrition bad times before, it may be necessary to help children through the Medicinal Diet fill the body, now perhaps the best way is a balanced diet. (Consulting physicians: the Taipei District Joint Hospital Dr. Luo is Chinese medicine hospitals, Chang Gung Memorial Hospital Pediatric Endocrinology Dr. Fu-Sung Lo) (LIU Hui-min) 2008-08-31 For more information, see World Journal News ePaper

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