Should My 11-Year-Old Daughter Take Growth Supplements? - Obstetrics and Gynecology

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Is it necessary to take it?


Hello, doctor: An elderly woman saw my eldest child and suggested that she should take a growth tonic because she is showing some signs of development.
However, my eldest is only 11 years old, has not yet started menstruating, and is only 145 cm tall.
I still consider her a child and believe she hasn't entered puberty yet.
How should I support her health at this age, and what should I pay attention to?

huanzhe, 30~39 year old female. Ask Date: 2013/09/01

Dr. Lin Wenbin reply Obstetrics and Gynecology


There is no need to rush; you can wait a bit longer or follow up with the pediatric and obstetrics clinics for further examination.

Reply Date: 2013/09/01

More Info


When considering whether your 11-year-old daughter should take growth supplements, it's essential to evaluate several factors, including her current growth status, nutritional intake, and overall health. At 145 cm, your daughter is on the shorter side compared to her peers, but it's important to understand that growth patterns can vary significantly among children, especially as they approach puberty.

Firstly, the onset of puberty is a critical period for growth. Since your daughter has not yet started menstruating, she may still have a growth spurt ahead of her. Typically, girls experience a significant increase in height during the early stages of puberty, which can last for several years. The fact that she is 11 years old and has not yet begun menstruating suggests that she may still have some time left for growth. According to growth charts, the average height for an 11-year-old girl is around 145 cm, so she is within the normal range, albeit on the lower end.

It's also important to consider the role of nutrition in growth. A balanced diet rich in essential nutrients is crucial for supporting healthy growth and development. Key nutrients include:
1. Protein: Vital for growth and development, protein can be found in lean meats, dairy products, legumes, and nuts.

2. Calcium: Essential for bone growth and density, calcium is abundant in dairy products, leafy greens, and fortified foods.

3. Vitamin D: This vitamin helps the body absorb calcium and is important for bone health. It can be obtained through sunlight exposure and fortified foods.

4. Zinc: Important for growth and immune function, zinc can be found in meats, shellfish, legumes, and seeds.

In addition to a nutritious diet, regular physical activity is beneficial for growth. Activities that promote bone health, such as jumping, running, and swimming, can be particularly effective. Encouraging your daughter to engage in sports or active play can help stimulate growth hormones naturally.

Regarding growth supplements, it's crucial to approach this option cautiously. While some supplements claim to promote growth, their efficacy is often unproven, and they may not be necessary if your daughter is receiving adequate nutrition. Moreover, some supplements can have side effects or interact with other medications, so it's essential to consult with a healthcare professional before starting any new supplement regimen.

If you are considering growth supplements or any specific "bone-strengthening" formulas, it would be wise to discuss this with a pediatric endocrinologist or a healthcare provider specializing in children's growth and development. They can assess your daughter's growth plates through X-rays, evaluate her overall health, and determine if there are any underlying issues affecting her growth.

In summary, while your daughter is on the shorter side, she may still have growth potential, especially as she approaches puberty. Focus on ensuring she has a balanced diet, engages in regular physical activity, and consults with a healthcare provider for personalized advice. Growth supplements may not be necessary at this stage, and a professional can help guide you on the best course of action for her health and development.

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