Karaca, Seda ErişenCangür, ŞengülArslanoğlu, İlknur2021-12-012021-12-0120201308-57271308-5735https://doi.org/10.4274/jcrpe.galenos.2020.2019.0161https://app.trdizin.gov.tr/makale/TXpjNU9UQTJOZz09https://hdl.handle.net/20.500.12684/9230Objective: To determine internipple distance and internipple index in prepubertal Turkish girls.Methods: The internipple distance and chest circumference of 667 healthy prepubertal Turkish girls aged 6 to 11 years were measuredin a school screening program in Düzce. Measurements were performed at the end of expiration with a standard non-stretch tapemeasure graduated in millimeters with the arms hanging in a relaxed position on the sides of the body. The internipple distance wasmeasured between the centers of both nipples, and chest circumference was measured across the internipple line. The internipple indexwas calculated by dividing the internipple distance (cm) x100 by the chest circumference (cm). Age specific internipple index referencecurves were constructed and smoothed with the Lambda-Mu-Sigma method. Mean and standard deviations of internipple distance andinternipple index were calculated according to decimal ages.Results: Age was found to be positively correlated with internipple distance and chest circumference, while it was negatively correlatedwith internipple index. The reference values of internipple index, including 3rd, 10th, 25th, 50th, 75th, 90th, and 97th percentiles, andstandard deviations were calculated for prepubertal girls.Conclusion: The reference ranges provided by this study might be helpful for the evaluation of syndromic cases by serving as normativedata for internipple index in prepubertal girls aged 6-11 years in Turkey although ethnic differences may affect applicability to othercountries.en10.4274/jcrpe.galenos.2020.2019.0161info:eu-repo/semantics/openAccess[No Keywords]Article123269274319481892-s2.0-85090093822WOS:000565866100007Q2Q3