Concerns About Height Growth in Adolescents: Seeking Solutions - 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 menstruation started a year ago, and my breast and pubic hair development are normal.
However, I have always been quite short; I was only 144.1 cm in the first year of junior high and measured 145.8 cm at the beginning of the second year.
I've 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 consume adequate protein, milk, and calcium daily.
I also do high jumps and drink a cup of milk in the morning and evening, 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.
I've often been teased by classmates for being too short since elementary school.
Could you please advise me on how I can grow taller or if there is still a chance for me to grow? I have been troubled by my height for a long time.

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

Dr. Xiao Kaiwen reply Pediatrics


Growing less than 2-3 centimeters in a year and reaching the lowest three percent of height for your age indicates that it is advisable to visit a pediatric endocrinology department at a major hospital for various evaluations.
This should include assessments of bone age and various endocrine tests related to growth.
These evaluations can better assess whether there is still potential for growth or if there are any underlying endocrine issues.
If any problems are identified, early intervention is recommended to maximize the potential for final height.

Reply Date: 2023/09/19

More Info


Concerns about height growth during adolescence are common, especially among young individuals who feel they are not meeting societal or peer expectations. At 13 years and 8 months, you are still within a critical period of growth, and there are several factors to consider regarding your height development.

Firstly, it’s important to understand that growth patterns can vary significantly from person to person. Genetics plays a crucial role in determining height, and while your parents' heights (173 cm for your father and 168 cm for your mother) suggest you may have the potential to grow taller, individual growth trajectories can differ. The growth plates in your bones, which are areas of developing cartilage, determine how much more you can grow. These plates typically close after puberty, which means that the window for significant height increase is limited.

You mentioned that you have experienced a slow growth rate, with only about 1.7 cm gained over the past year. This can be concerning, especially when comparing yourself to peers who seem to be growing faster. However, it’s essential to remember that growth spurts can occur at different times during puberty. For girls, the most significant growth usually happens shortly after the onset of menstruation, which you have already experienced. While it may feel like you are not growing as quickly as others, there is still a possibility for growth in the coming years.

In terms of practical steps you can take to maximize your growth potential, consider the following:
1. Nutrition: You mentioned that you are consuming adequate protein, calcium, and dairy products, which is excellent. A balanced diet rich in vitamins and minerals is crucial for growth. Ensure you are also getting enough vitamin D, zinc, and magnesium, as these nutrients support bone health. Incorporating a variety of fruits and vegetables can also provide essential nutrients.

2. Sleep: Sleep is vital for growth, especially during adolescence. Growth hormone, which plays a significant role in height increase, is primarily secreted during deep sleep. Aim for 8-10 hours of quality sleep each night to support your growth.

3. Physical Activity: Engaging in regular physical activity can stimulate growth hormone production. Activities like jumping, swimming, and playing sports can be beneficial. You mentioned participating in high jump, which is great! Continue to stay active and try to incorporate different forms of exercise.

4. Avoid Growth Supplements: It’s understandable to seek out solutions like height-increasing supplements or traditional remedies, but many of these products lack scientific backing and can be ineffective. Focus on natural growth through nutrition and exercise rather than relying on unproven methods.

5. Consult a Healthcare Professional: If you have ongoing concerns about your growth, it may be beneficial to consult with a healthcare provider or an endocrinologist. They can assess your growth plates through X-rays and provide insights into your growth potential based on your bone age and overall health.

6. Mental Well-being: It’s essential to address the emotional aspects of feeling short. Being teased or feeling self-conscious can impact your self-esteem. Consider talking to a trusted adult or counselor about your feelings. Building confidence in other areas, such as academics or hobbies, can help mitigate the impact of height-related concerns.

Lastly, while it’s natural to worry about your height, remember that many people grow at different rates, and some may experience late growth spurts. Focus on maintaining a healthy lifestyle, and try to be patient with your body as it continues to develop. Height is just one aspect of who you are, and embracing your unique qualities will help you build confidence as you navigate through adolescence.

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