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Updated: May 10, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The relationship between adiposity and stature in prepubertal children with celiac disease
Insights
Children with celiac disease (CD) who are overweight or obese are taller than normal-weight children with CD and normal-weight controls. This suggests adiposity, not CD itself, influences height in these children.
Area of Science:
- Pediatric Endocrinology
- Gastroenterology
- Human Growth and Development
Background:
- The underlying reasons for short stature in pediatric celiac disease (CD) remain largely unknown.
- While obesity is typically associated with increased height, its specific impact on stature within the context of CD is not well understood.
Purpose of the Study:
- To investigate the relationship between body adiposity and stature in prepubertal children diagnosed with celiac disease.
- To determine if adiposity plays a role in the growth patterns observed in children with CD.
Main Methods:
- A comparative study involving biopsy-proven celiac disease (CD) children (n=40) and non-CD controls (n=50), aged 3-12 years, not on a gluten-free diet.
- Anthropometric measurements including Body Mass Index (BMI) and sex-adjusted midparental target height (MPTH) standard deviation score (SDS) were analyzed.
Main Results:
- Children with CD exhibited significantly lower BMI SDS compared to controls.
- Despite differences in BMI, children with CD were not significantly shorter than controls overall.
- Normal-weight CD children were shorter than overweight/obese controls and overweight/obese CD children, but similar in height to normal-weight controls.
Conclusions:
- Overweight/obese prepubertal children with CD demonstrated greater height compared to normal-weight CD peers and normal-weight controls.
- The height of overweight/obese CD children was comparable to that of overweight/obese control subjects.
- Adiposity appears to be a significant factor influencing height in prepubertal children with celiac disease.
Background And Aim:
The pathogenesis of short stature in celiac disease (CD) is unknown. Obese children are generally taller than their non-obese peers; however, the role of adiposity on stature in CD is unclear. Our aim was to determine the association between adiposity and stature in CD.
Subjects And Methods:
We compared the anthropometric characteristics of prepubertal children of ages 3-12 years, with biopsy-proven CD (n=40) and who were not on gluten-free diet, to same aged, prepubertal non-CD children (n=50). Body mass index (BMI) was calculated using the formula weight/height². Sex-adjusted midparental target height (MPTH) standard deviation score (SDS) was calculated using National Children Health Statistics data for 18-year-old adults. Data were expressed as mean ± standard deviation.
Results:
CD subjects had significantly lower BMI SDS than controls (0.61 ± 1.22 vs. 1.28 ± 1.60, p=0.027) but were not significantly shorter than the controls (-0.05 ± 1.21 vs. 0.21 ± 1.71, p=0.41). When the patients were subdivided into the normal-weight and overweight/obese groups, the normal-weight CD patients were of similar height as the normal-weight controls (p=0.76) but were significantly shorter than both the overweight/obese controls (p<0.001) and overweight/obese CD children (p<0.001). Interestingly, the overweight/obese CD children were significantly taller than the normal-weight controls (p=0.003). The MPTH SDS did not differ between the groups.
Conclusions:
Overweight/obese prepubertal children with CD were taller than both their normal-weight CD peers and the normal-weight controls, but were of similar height as the overweight/obese control subjects.
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