Can I Still Grow Taller at 20? Growth Plate Closure - Orthopedics

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Short stature?


Hello, doctor.
I am currently 20 years old and my height is only 153 cm.
I started my menstrual period at the age of 12, and since then, I have hardly grown taller, with only minimal height increases measured in fractions of a centimeter each year.
My growth plates have already closed.
I have read online that it is possible to grow taller until the age of 25.
Is there still a chance for me to continue growing? If so, what should I pay attention to? My parents are 171 cm and 163 cm tall, and my sister is also taller than me; I am the shortest in my family.

Wan Nian Chang Bu Gao, 20~29 year old female. Ask Date: 2017/09/27

Dr. Chen Yongxue reply Orthopedics


Hello, at the age of 20, it is normal not to grow taller anymore.
Height may not be the most important thing in life.
Thank you.

Reply Date: 2017/09/27

More Info


At the age of 20, the likelihood of further height growth is significantly diminished, especially if your growth plates have already closed. Growth plates, or epiphyseal plates, are areas of developing cartilage tissue located at the ends of long bones. They are responsible for the lengthening of bones during childhood and adolescence. Once these plates close, which typically occurs in late adolescence to early adulthood, further height increase is unlikely.

In males, growth plates generally close between the ages of 16 and 18, while in females, this process usually occurs a bit earlier, around ages 14 to 16. However, there can be variations based on individual development and genetics. If you have already had an X-ray or medical examination confirming that your growth plates are closed, it is highly unlikely that you will grow taller.
The perception that some individuals can grow taller into their mid-20s is often anecdotal and not supported by medical evidence. Height is primarily determined by genetics, and while environmental factors such as nutrition and physical activity can influence growth during the developmental years, they have limited impact once the growth plates have fused.

If you are concerned about your height, it is essential to focus on aspects that can enhance your overall health and well-being rather than solely on increasing height. Here are some recommendations:
1. Nutrition: Ensure a balanced diet rich in essential nutrients. While calcium and vitamin D are crucial for bone health, other nutrients like protein, magnesium, and zinc also play significant roles in overall growth and development. Consuming a variety of fruits, vegetables, whole grains, and lean proteins can help maintain your health.

2. Exercise: Regular physical activity is vital for overall health. While it may not increase your height, it can improve your posture, muscle tone, and overall body composition, which can make you appear taller. Activities such as swimming, cycling, and stretching exercises can be beneficial.

3. Sleep: Adequate sleep is crucial for growth and development, especially during your teenage years. Aim for 7-9 hours of quality sleep each night to support your body's recovery and overall health.

4. Posture: Maintaining good posture can significantly affect how tall you appear. Engaging in exercises that strengthen your core and back muscles can help improve your posture.

5. Confidence and Self-Acceptance: Height is just one aspect of who you are. Building confidence and self-acceptance can positively impact your mental health and how you present yourself to the world.

If you are still uncertain about your growth potential or have concerns about your health, consider consulting with a healthcare professional, such as an endocrinologist or a nutritionist, who can provide personalized advice based on your specific situation.

In summary, while the chances of growing taller at 20 are slim, focusing on a healthy lifestyle can enhance your overall well-being and self-image. Remember that height does not define your worth or capabilities, and embracing your unique attributes is essential for personal growth and happiness.

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