Concerns About Short Stature in Adolescents: Seeking Growth Solutions

If a student is about to transition from seventh grade to eighth grade and has a height of only 147 cm, it is important to consider several factors. Growth patterns can vary significantly among individuals, and height can be influenced by genetics, nutrition, and overall health. Here

Hello Doctor: In January of this year, I took my daughter to Linkou Chang Gung Memorial Hospital for an examination.
During the first growth plate X-ray, her height was 143 cm, weight was 31 kg, and there was still 8% growth potential.
The doctor advised us not to worry, saying that others might have stopped growing, and that we would start to see growth.
However, after a second growth plate X-ray in May, it showed only 5% growth potential.
Currently, she is 147 cm tall and weighs 33 kg, and she has not yet started menstruating.
I consulted with the doctor about possible interventions.
There is one option that involves a monthly injection costing 5000 TWD, which could result in a growth of 2-3 cm over a treatment period of a year and a half.
Another option involves daily injections costing between 700 to 800 TWD, but it has significant side effects.
The doctor estimates that the maximum height she could reach is 155 cm (her father is 172 cm and her mother is 160 cm).
I personally feel that the doctor’s estimate of 155 cm is the best possible outcome, and if that is not achievable, she may only grow to below 155 cm, which worries me greatly.
I have seen a lot of information about oral supplements, nasal sprays, and sublingual sprays claiming to contain growth hormones, most of which are nutritional supplements containing amino acids.
Are these effective in aiding growth? Could you please provide me with better advice? My daughter is about to enter the second year of junior high, and I am quite concerned about her being teased for her short stature.
Thank you!

Naiyou Mao, 30~39 year old female. Ask Date: 2010/05/13

Dr. Xiao Kaiwen reply Pediatrics

Currently, there is not much that the medical community can do for individuals with short stature.
Growth hormone is generally most effective for those with growth hormone deficiency-related short stature.
Children who do not have growth hormone deficiency may experience accelerated growth while receiving growth hormone supplementation, but this does not translate into increased adult height.
There are numerous growth hormone products available on the market, many of which lack scientific backing.
It is advisable to consult a qualified pediatric endocrinologist to avoid wasting money or potentially harming one's health.

Reply Date: 2010/05/13

More Info

Concerns about short stature in adolescents are quite common, and it's understandable that you are seeking solutions for your daughter's growth. Based on the information you've provided, it seems that your daughter is currently experiencing a slower growth rate, and her growth plates are nearing closure. This is a critical period in her development, and there are several factors to consider when addressing her growth concerns.

Firstly, it's important to understand that growth in height is largely determined by genetics, as you noted with your heights (father at 172 cm and mother at 160 cm). However, environmental factors such as nutrition, physical activity, and overall health also play significant roles. The fact that your daughter has not yet started menstruating suggests that she may still have some growth potential, as girls typically experience a growth spurt shortly before and during the onset of menstruation.

Regarding the medical options you've mentioned, it's essential to approach them with caution. The growth hormone treatments you referenced can indeed stimulate growth, but they come with potential side effects and should only be considered under the supervision of a qualified healthcare provider. The effectiveness of these treatments can vary significantly among individuals, and the potential for side effects should not be overlooked. It's crucial to have a detailed discussion with a pediatric endocrinologist who can provide personalized advice based on your daughter's specific situation.

In terms of nutritional support, while there are many supplements on the market that claim to enhance growth, most of them do not have strong scientific backing. A balanced diet rich in essential nutrients is vital for growth. Key nutrients include:
1. Calcium and Vitamin D: These are crucial for bone health. Dairy products, leafy greens, and fortified foods are good sources.

2. Protein: Adequate protein intake is necessary for growth. Sources include lean meats, fish, eggs, beans, and nuts.

3. Vitamins and Minerals: Vitamins A, C, and various B vitamins, along with minerals like zinc and magnesium, are important for overall health and development.

Encouraging your daughter to engage in regular physical activity is also beneficial. Exercise, particularly weight-bearing activities like running, jumping, and sports, can help stimulate growth hormone production and promote bone health. Activities like swimming, basketball, and even dancing can be enjoyable ways for her to stay active.

Additionally, it’s important to address any psychological aspects of her growth concerns. Adolescents can be sensitive to their body image, and feelings of inadequacy due to height can lead to anxiety or low self-esteem. Encouraging her to focus on her strengths and interests, rather than solely on her height, can be beneficial. Open communication about her feelings and concerns is essential.

Lastly, if you are considering any treatments or supplements, it is advisable to consult with a healthcare professional who specializes in adolescent growth and development. They can provide guidance tailored to your daughter's needs and help you navigate the options available.

In summary, while there are medical treatments available, they should be approached with caution and under professional guidance. A balanced diet, regular exercise, and emotional support are key components in promoting healthy growth during this critical period of development.

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