Growth Patterns in Adolescents: What to Expect? - Pediatrics

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Growth during puberty


Development began around sixth grade.
Currently in ninth grade, I grew nearly 10 centimeters from seventh to eighth grade.
In eighth grade, I was about 160 cm, and now in ninth grade, I am only 164 cm.
I have already experienced a growth spurt, but my growth has slowed down significantly.
Is it possible that I won't grow much taller? I have felt a sense of stagnation in growth over the past few months.

Niming, 10~19 year old female. Ask Date: 2016/03/11

Dr. He Shenglong reply Pediatrics


Hello: During adolescence, height growth is quite noticeable, but as one approaches young adulthood, the growth rate slows down.
Once past young adulthood and entering adulthood, height becomes stable, which is a natural process.
Therefore, it is normal to feel that there has been a stagnation in height growth since the third year of junior high school.
I suggest that you not worry about this; instead, focus on maintaining a balanced diet, engaging in moderate exercise, and keeping a relaxed mindset.
Thank you for your letter!

Reply Date: 2016/03/11

More Info


Understanding growth patterns during adolescence can be a complex topic, as various factors influence growth rates and final height. Typically, adolescents experience a growth spurt during puberty, which is characterized by rapid increases in height and changes in body composition. For boys, this growth spurt usually occurs between the ages of 12 and 16, while for girls, it tends to happen earlier, around ages 10 to 14.
In your case, it seems that you experienced a significant growth spurt between the first and second year of junior high school, growing approximately 10 centimeters during that time. This is consistent with typical growth patterns, as many adolescents experience their most rapid growth during early to mid-puberty. However, the fact that your growth has slowed down significantly in recent months may indicate that you are nearing the end of your growth phase.

The closure of growth plates, which are areas of developing cartilage tissue near the ends of long bones, is a crucial factor in determining final height. Once these plates close, which typically occurs in late adolescence (around ages 16 to 18 for girls and 18 to 21 for boys), further height increase is unlikely. The timing of growth plate closure can vary significantly among individuals and is influenced by genetics, nutrition, and overall health.

Regarding your concern about whether you will continue to grow taller, it is essential to consider several factors. Firstly, genetics plays a significant role in determining height. If your parents are tall, you may have a higher potential for greater height. Secondly, nutrition is critical during this growth phase. Adequate intake of essential nutrients, particularly calcium and vitamin D, supports bone health and growth. The recommended daily intake of calcium for adolescents is around 1,200 mg, which can be obtained from dairy products like milk, cheese, and yogurt, as well as from leafy greens and fortified foods.

If you are experiencing a perceived stagnation in growth, it may be beneficial to consult with a healthcare professional, such as a pediatrician or an endocrinologist. They can assess your growth patterns, possibly through a bone age X-ray, which helps determine the maturity of your bones and whether your growth plates are still open. This assessment can provide insight into your growth potential and help address any concerns you may have.

In summary, while it is normal for growth rates to fluctuate during adolescence, the slowing of growth you are experiencing could indicate that you are nearing the end of your growth phase. Factors such as genetics, nutrition, and overall health play significant roles in determining your final height. If you have concerns about your growth or health, seeking professional medical advice is always a wise decision. Remember to maintain a balanced diet, stay active, and take care of your overall well-being during this critical period of development.

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