Can a 15-Year-Old Still Grow Taller? Insights for Parents - Internal Medicine

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Can a 15-year-old still grow taller?


Hello Dr.
Yang, I would like to ask you about my son who is currently 14 years and 7 months old.
He has mild cerebral palsy affecting his motor neurons, which prevents him from running and jumping like other children.
He has a slight tendency to walk on his toes.
The school issued a notice regarding his developmental delay and advised me to take him to the hospital for an examination.
I am 153 cm tall and my husband is 173 cm tall.
He is currently 148 cm tall.
The examination results indicate that he has slightly low thyroid function, his skeletal maturity is approximately 15 years, and it seems that his testicles have started to develop.
Generally speaking, can boys continue to grow taller until the age of 16? I would like to know what methods are available to help him, particularly in terms of diet and any exercises he might be able to do.
Is it possible to consider medication (such as growth hormone) to assist him, or could you recommend a specialist in this area? We live in the Songshan District of Taipei.
Thank you for your assistance.

joyer, 40~49 year old female. Ask Date: 2006/06/14

Dr. Yang Hongzhi reply Internal Medicine


Hello: If you have hypothyroidism, you should prioritize treatment for this issue.
Hospitals with a metabolism department should be able to handle it.

Reply Date: 2006/06/14

More Info


When it comes to the growth potential of a 15-year-old, several factors come into play, including genetics, nutrition, physical activity, and overall health. In your case, your son is currently 14 years and 7 months old, with a height of 148 cm, and has been diagnosed with mild cerebral palsy affecting his motor skills. This condition may impact his ability to engage in physical activities that typically promote growth, such as running and jumping. Additionally, the recent diagnosis of low thyroid function and the indication that his bones are nearing maturity at around 15 years old are significant factors to consider.

Growth Potential and Age
Generally, boys can continue to grow taller until around the age of 16 to 18, depending on when they hit their growth spurts and how their growth plates are developing. The growth plates, or epiphyseal plates, are areas of growing tissue near the ends of long bones. Once these plates close, which can be assessed through an X-ray of the hand and wrist, further height increase is unlikely. Since your son’s growth plates are nearing closure, it is essential to monitor his growth closely.

Genetics and Expected Height
Genetics plays a crucial role in determining height. Given that you are 153 cm and your husband is 173 cm, your son’s potential height can be estimated using various formulas that consider parental heights. However, it is important to remember that environmental factors, including nutrition and physical activity, can also influence growth.

Nutrition
Nutrition is vital for growth, especially during the teenage years. A balanced diet rich in essential nutrients can support your son’s growth potential. Key nutrients include:
- Calcium: Important for bone health. Sources include dairy products, leafy greens, and fortified foods.

- Vitamin D: Helps the body absorb calcium. Sunlight exposure and foods like fatty fish, egg yolks, and fortified dairy products are good sources.

- Protein: Essential for growth and development. Include lean meats, fish, eggs, beans, and nuts in his diet.

- Zinc and Magnesium: Important for growth and overall health. These can be found in whole grains, nuts, and seeds.

Encouraging a varied diet that includes fruits and vegetables will also provide necessary vitamins and minerals.

Physical Activity
While your son may have limitations due to his condition, engaging in appropriate physical activities is still beneficial. Low-impact exercises, such as swimming, cycling, or even walking, can help stimulate growth hormones and improve overall health. It may be helpful to consult with a physical therapist who can design a tailored exercise program that accommodates his abilities.

Medical Intervention
Regarding the use of growth hormone therapy (like somatropin), this is typically reserved for specific medical conditions and should only be considered under the guidance of a healthcare professional. Given your son’s low thyroid function, it is crucial to address this issue first, as thyroid hormones play a significant role in growth and development. Consulting an endocrinologist who specializes in growth disorders would be a prudent step. They can evaluate your son’s overall health, growth potential, and whether any medical interventions are appropriate.

Conclusion
In summary, while your son may still have some growth potential, it is essential to focus on a balanced diet, appropriate physical activity, and addressing any underlying health issues, such as low thyroid function. Consulting with a specialist in pediatric endocrinology will provide you with the best guidance tailored to your son’s specific needs. With the right support and care, you can help him maximize his growth potential.

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