Concerns About Height Growth in Adolescents: What You Need to Know - Pediatrics

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Height issues


Hello doctor, I am currently in the second year of junior high school, 13 years and 8 months old.
My menstrual cycle started a year ago, and my breast and pubic hair development are normal.
However, I have always been quite short.
In the first year of junior high, I was only 144.1 cm, and at the beginning of the second year, I measured 145.8 cm, which means I have only grown a little over a centimeter in a year.
Since elementary school, I have always been the shortest in my class.
During the transition from the first to the second year of junior high, I tried various height-increasing medications, including traditional Chinese medicine, but I still haven't grown much.
I tend to stay up late, but I do consume protein, milk, and calcium daily.
I also practice high jump and drink milk twice a day, as well as eat eggs, but there have been no results.
I always grow slower than others.
My friends who were also around 14 years old in the first year of junior high are now 155 cm tall.
I'm really unsure if I can still grow taller, and I'm scared that I won't reach 150 cm.
Since elementary school, I have often been teased by classmates for being too short.
Could you please advise me on how I can grow taller or if I still have the potential to grow? I have been troubled by my height for a long time.

Yuxian, 10~19 year old female. Ask Date: 2023/09/18

Dr. Xiao Kaiwen reply Pediatrics


If a child grows less than 2-3 centimeters in a year and their height is already in the lowest three percent for their age, it is recommended to visit a pediatric endocrinology department at a major hospital for various examinations.
This includes assessments of bone age and various endocrine tests related to growth.
These evaluations can better determine if there is still potential for growth or if there are any underlying endocrine issues.
If any problems are identified, early intervention is hoped to maximize the final height outcome.

Reply Date: 2023/09/18

More Info


Concerns about height growth during adolescence are common, especially among young individuals who may feel self-conscious about their stature compared to peers. At 13 years and 8 months, you are at a critical stage in your growth and development. It's important to understand that height growth is influenced by a variety of factors, including genetics, nutrition, physical activity, and hormonal changes.

Firstly, genetics plays a significant role in determining your height. If your parents are shorter, it is likely that you may also be shorter than your peers. However, this does not mean that you cannot grow taller. Many adolescents experience growth spurts during puberty, which can lead to significant increases in height over a relatively short period. For girls, the growth spurt typically occurs around the onset of menstruation and can last for a few years. Since you mentioned that you started menstruating a year ago, you may still have some growth potential left, but it might be limited.

Nutrition is another crucial factor in height growth. You mentioned that you consume protein, milk, and calcium, which are essential for bone health and growth. The recommended daily intake of calcium for adolescents is around 1,200 mg, which you seem to be meeting with your diet. Additionally, ensure that you are getting enough vitamin D, as it helps the body absorb calcium effectively. Foods rich in vitamin D include fatty fish, fortified dairy products, and exposure to sunlight.

Physical activity is also vital for stimulating growth. Engaging in sports like basketball, swimming, or even jumping exercises can promote the release of growth hormones, which are essential for height increase. It’s great that you are already participating in jumping exercises. Consistency is key, so try to maintain a regular exercise routine.

Sleep is another critical aspect that can impact your growth. During sleep, the body releases growth hormones, so it’s essential to get adequate rest. Aim for at least 8-10 hours of sleep each night, and try to maintain a consistent sleep schedule.

Regarding your concerns about growth supplements or medications, it's important to approach these with caution. Many over-the-counter growth supplements lack scientific backing and can sometimes be ineffective or even harmful. Instead of relying on these, focus on maintaining a balanced diet, regular exercise, and good sleep hygiene.

If you are still concerned about your growth, it may be beneficial to consult with a healthcare professional who can evaluate your growth patterns and possibly perform a bone age assessment through an X-ray. This can provide insights into whether your growth plates are still open, indicating potential for further growth.

Lastly, it's essential to address the emotional aspect of feeling shorter than your peers. Being teased or feeling self-conscious can take a toll on your mental health. Surround yourself with supportive friends and family, and consider speaking to a counselor if you find that these feelings are overwhelming. Remember that height does not define your worth or capabilities, and many successful individuals come in all shapes and sizes.

In summary, while you may have concerns about your height, there are several factors within your control that can positively influence your growth. Focus on a balanced diet, regular exercise, sufficient sleep, and maintaining a positive mindset. Growth can be unpredictable, and many individuals experience late growth spurts, so keep your hopes up and continue to take care of your health.

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