Will I Grow Taller? Growth Spurts in Adolescence - Pediatrics

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Puberty - Growth Spurts


Hello, doctor.
I am thirteen years old and in the first year of junior high school.
I am 170 cm tall (shoe size: 26.5), which is considered tall among my classmates, and I play as a center on the basketball team.
However, I am currently facing a problem that seems unlikely to happen to me: will I continue to grow taller? All of my secondary sexual characteristics have developed, and I started developing at the age of six.
Does this mean I have experienced early maturation? I grew quickly at the beginning, sometimes almost a centimeter in a month.
I go to bed before 10 PM and take calcium and protein supplements.
However, my growth rate seems to have slowed down recently.
Doctor, will I still grow taller? I cannot bear to see my classmates surpass me in height, and being 170 cm is not enough for playing basketball.
Doctor, please help me; I am very scared.
Should I drink growth soup? What signs can confirm that I will not grow any taller? Does waking up early affect height? I am seeking help...

Chengwei, 10~19 year old female. Ask Date: 2016/05/10

Dr. He Shenglong reply Pediatrics


Hello: During adolescence, there is a significant increase in height, which then slows down.
Currently in the first year of junior high school, the height is 170 cm, and it is expected to increase a bit more in the future.
Secondary sexual characteristics have developed, which is not considered precocious puberty, so there is no need to worry too much.
Weight is significantly related to height, genetics, and body constitution; health is the most important factor.
It is essential to have good sleep, adequate nutrition, and exercise.
I suggest you relax, focus on your studies, and leverage your strengths (such as basketball).
The concept of "growth soup" is not discussed here.
For any concerns regarding height, it is most appropriate to consult an endocrinologist.
I hope this helps clarify your doubts.
Thank you for your letter!

Reply Date: 2016/05/10

More Info


At 13 years old and standing at 170 cm, you are already quite tall for your age, especially among your peers. It's understandable to be concerned about your growth potential, especially since you are actively involved in basketball and want to maintain an advantage in height. Let's break down your concerns regarding growth spurts, puberty, and what you can do to maximize your potential height.

Firstly, it's important to understand that growth during adolescence is influenced by several factors, including genetics, nutrition, physical activity, and hormonal changes. The growth plates in your bones, known as epiphyseal plates, are responsible for height increase. These plates remain open during periods of growth, allowing for the elongation of bones. Typically, boys experience their most significant growth spurts during puberty, which can start as early as age 9 and continue into their late teens.

From what you've described, it seems you have already entered puberty, as indicated by the development of secondary sexual characteristics. This is a crucial period for growth, and many boys experience rapid height increases during this time. However, the rate of growth can vary significantly from one individual to another. It's common for growth rates to fluctuate; you may have experienced a rapid increase in height initially, but as you progress through puberty, the rate may slow down.

To assess whether you will continue to grow, you can consider a few factors:
1. Bone Age Assessment: A doctor can perform an X-ray of your hand and wrist to determine your bone age. If your bone age is younger than your chronological age, it may indicate that you still have growth potential. Conversely, if your bone age is advanced, it might suggest that your growth plates are nearing closure.

2. Family History: Genetics play a significant role in determining height. If your parents are of average height, it is possible that you may not grow much taller than your current height. However, if there are taller relatives, you might still have the potential to grow.

3. Nutrition and Lifestyle: You mentioned that you are consuming calcium and protein, which are essential for bone health and growth. A balanced diet rich in vitamins and minerals, particularly Vitamin D, is crucial. Regular physical activity, especially weight-bearing exercises like basketball, can also stimulate growth hormone production.

4. Sleep Patterns: Adequate sleep is vital for growth, as growth hormone is primarily released during deep sleep. Aim for 8-10 hours of quality sleep each night. Waking up too early or having irregular sleep patterns can affect your growth hormone levels.

Regarding your question about "turning bone soup" or other remedies, it's essential to approach such solutions with caution. While some traditional remedies claim to promote growth, there is limited scientific evidence to support their effectiveness. Instead, focus on maintaining a healthy lifestyle, including a balanced diet and regular exercise.

Lastly, it's normal to feel anxious about your height, especially in a competitive environment like sports. However, remember that height is just one aspect of athletic performance. Skills, teamwork, and determination are equally important in basketball. Embrace your current height and focus on improving your game.

In summary, while you may still have potential for growth, it is essential to monitor your development through medical assessments and maintain a healthy lifestyle. If you have ongoing concerns about your growth or development, consider consulting a healthcare professional who can provide personalized advice and guidance.

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