Growth Patterns in Adolescents: A Focus on Height Development - Orthopedics

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Pediatric Orthopedics


I am currently in the second semester of the eighth grade, with a height of 159.5 cm.
Last year, at the same time, I measured 159.1 cm, so I have only grown less than 1 cm.
After measuring last year, I did not grow at all for a period, and when I measured again in September, I was only 159 cm.
Additionally, I got my first menstrual period in mid-February 2021.
Since 2022, I have been skipping rope every day, starting with 100 skips and now doing 1000 skips daily.
I would like to know how much more I can grow (I was 153.9 cm in the first year and now I am 159.5 cm).

Yú, 10~19 year old female. Ask Date: 2023/02/23

Dr. Li Wenhong reply Orthopedics


Hello: It is not possible to predict how much taller you can grow, but there is still a possibility for further growth.
Please continue to maintain a good exercise routine, consume a balanced diet, and ensure adequate sleep.
Changhua Hospital Orthopedics Dr.
Li Wen-Hong.

Reply Date: 2023/02/23

More Info


Understanding growth patterns during adolescence can be quite complex, as various factors influence height development. At 15 years old and currently measuring 159.5 cm, it’s understandable to have concerns about your growth trajectory, especially considering that you only grew 0.4 cm over the past year.
Firstly, it’s important to recognize that growth during adolescence is not linear. Many adolescents experience periods of rapid growth, often referred to as growth spurts, followed by periods of slower growth. For boys, the peak growth spurt typically occurs between the ages of 13 and 15, while for girls, it usually happens a bit earlier, around ages 11 to 13. Since you mentioned that your menstrual cycle began in February 2021, it indicates that you have entered puberty, which is a crucial period for growth.

Your growth history shows that you experienced a significant increase from 153.9 cm in your first year of junior high to 159.5 cm now. This growth of approximately 5.6 cm over a year is quite normal, especially considering that many girls experience their most significant height increases before their first menstrual period. After the onset of menstruation, growth rates can slow down, as the growth plates in the bones begin to close.

Regarding your current height and the potential for further growth, it’s essential to consider your bone age. Bone age is a measure of skeletal maturity and can provide insight into how much growth you may have left. If your growth plates are still open, you may have additional height potential. Generally, girls stop growing about 1 to 2 years after their first menstrual period, but this can vary widely.
Your current physical activity, such as skipping rope, is excellent for overall health and can support your growth by promoting good circulation and muscle development. However, it’s crucial to ensure that you are also consuming a balanced diet rich in essential nutrients, particularly calcium and vitamin D, which are vital for bone health. The recommended daily intake of calcium for adolescents is around 1,300 mg, which can be obtained from dairy products, leafy greens, and fortified foods.

In terms of your question about how much more you can grow, it’s difficult to predict an exact number without knowing your bone age and growth plate status. However, if your growth plates are still open, you may have the potential to reach a height of around 165 cm or more, depending on your genetic factors and overall health.

If you have ongoing concerns about your growth or development, it may be beneficial to consult with a pediatrician or an endocrinologist. They can provide personalized assessments and recommendations based on your growth patterns, bone age, and overall health. Remember, every individual grows at their own pace, and it’s essential to focus on maintaining a healthy lifestyle rather than solely on height.

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