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Updated: Aug 15, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Child and adolescent growth disorders--an overview
Peter J Simm1, George A Werther
1Royal Children's Hospital, Melbourne, Victoria, Australia. peter.simm@rch.org.au
Insights
Distinguishing pathological short stature from normal growth requires careful assessment of growth parameters and medical history. Accurate diagnosis guides appropriate management and reassurance for children and parents regarding height outcomes.
Area of Science:
- Pediatric Endocrinology
- Growth Disorders
- Clinical Assessment
Background:
- Differentiating normal growth variants from pathological causes of short stature in children is crucial.
- Parental anxiety and expectations surrounding growth issues require careful management.
Purpose of the Study:
- To aid clinicians in distinguishing pathological short stature from normal variants.
- To provide guidance on managing normal variants and common pediatric growth pathologies.
Main Methods:
- Detailed patient history and physical examination.
- Accurate assessment of growth parameters: height, weight, body proportions, and growth velocity.
- Judicious use of diagnostic investigations.
Main Results:
- Pathological short stature can be identified through comprehensive evaluation.
- Growth is a dynamic process necessitating serial measurements over time.
Conclusions:
- Distinguishing pathological short stature involves careful history, examination, growth parameter assessment, and investigations.
- For non-pathological short stature, clear explanation and reassurance are vital for patient and parental comfort.
Background:
While many children presenting with apparent disorders of growth will be short or tall children growing normally, it is important to identify those children who have an underlying pathological cause. Parental expectation and anxiety will often accompany growth issues and this needs to be addressed.
Objective:
The article aims to assist the clinician in distinguishing pathological short stature from normal variants, and to guide in the management of normal variants and common pathologies.
Discussion:
Pathological short stature can be distinguished from normal variants by careful history and examination followed by accurate assessment of the growth parameters of height, weight, body proportions and growth velocity, and judicious use of investigations. Growth is a dynamic process that requires multiple measurements over time. If the patient has a nonpathological cause of short stature, explanation and reassurance are critical--for both the parents and child--to feel supported and comfortable with their height outcome.
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