Growth Spurts: Can I Still Increase My Height at 13? - Orthopedics

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Height issues?


Hello, doctor.
Currently, my height is around 167 cm, and I have experienced a growth of about 1 cm per year.
During elementary school, I had a growth spurt of 10 cm in one year, but my growth rate has slowed down since then.
I would like to ask if I still have a growth spurt coming, considering I am only 13 years old, or if this situation indicates that my growth plates are closing.
I hope to reach a height of 180 cm.
Thank you, doctor.

Shuai Ge, 10~19 year old female. Ask Date: 2022/09/09

Dr. You Dianqi reply Orthopedics


Hello, the height is approximately 70% determined by genetic factors and about 30% influenced by environmental factors.
It is recommended to focus on three aspects: maintaining a regular schedule, having a balanced diet, and establishing an exercise routine.
If there are still concerns, you may consult a pediatrician for further advice.
Thank you.

Reply Date: 2022/09/09

More Info


At 13 years old and standing at 167 cm, it's understandable to be concerned about your height and whether you still have the potential for growth. The growth patterns you’ve experienced—rapid growth during elementary school followed by a slowdown—are quite common during puberty.
During puberty, which typically occurs between ages 10 and 14 for girls and 12 and 16 for boys, individuals experience growth spurts due to hormonal changes, particularly the increase in growth hormone and sex hormones like estrogen and testosterone. These hormones stimulate the growth plates in your bones, allowing for increased height.
The growth plates, or epiphyseal plates, are areas of developing cartilage tissue near the ends of long bones. They are responsible for the lengthening of bones during childhood and adolescence. Once these plates close, which typically happens after puberty, further height increase is no longer possible. For most individuals, growth plates begin to close in the late teens, but this can vary significantly from person to person.
To determine whether your growth plates are still open, a doctor can perform an X-ray of your hand and wrist. This X-ray can provide insight into your bone age, which is a good indicator of your growth potential. If your growth plates are still open, you likely have some potential for further height increase.
In terms of your goal to reach 180 cm, it’s important to remember that genetics plays a significant role in determining height. Your parents' heights (173 cm and 165 cm) suggest that you may have a genetic potential that is somewhat lower than 180 cm, but it is not impossible. Many individuals surpass their parents' heights due to various factors, including nutrition and overall health.

To maximize your growth potential, consider the following:
1. Nutrition: A balanced diet rich in vitamins and minerals is crucial for growth. Ensure you are consuming adequate amounts of calcium, vitamin D, protein, and other essential nutrients. Foods like dairy products, lean meats, fruits, vegetables, and whole grains should be staples in your diet.

2. Exercise: Regular physical activity can stimulate growth hormone production. Engage in activities that promote overall fitness, such as swimming, cycling, basketball, or even stretching exercises. Activities that involve jumping or hanging, like basketball or pull-ups, can be particularly beneficial.

3. Sleep: Growth hormone is primarily secreted during deep sleep, so ensuring you get enough quality sleep is vital. Aim for 8-10 hours of sleep per night, especially during your growth years.

4. Posture: Maintaining good posture can help you appear taller and also supports spinal health. Engage in exercises that strengthen your core and back muscles.

5. Avoid Growth Inhibitors: Avoid smoking, excessive alcohol consumption, and drugs, as these can negatively impact your growth and overall health.

While it’s natural to be anxious about height, remember that growth can be unpredictable, and many factors influence it. If you have concerns about your growth or health, consider consulting with a healthcare professional who can provide personalized advice and support. They can help you assess your growth potential and guide you on the best practices to support your development.
In summary, at 13 years old, you still have the potential for growth, especially if your growth plates are open. Focus on maintaining a healthy lifestyle, and remember that height is just one aspect of who you are. Embrace your unique qualities and strengths, and don't hesitate to seek support if you're feeling anxious about your growth.

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