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Updated: Feb 19, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Meta-analysis of adult height and birth length in schizophrenia
Keely Latham1, Brian Kirkpatrick1
1Department of Psychiatry & Behavioral Sciences, University of Nevada, Reno School of Medicine, Reno, NV, United States.
Insights
People with schizophrenia do not differ in birth length from controls, but adult height may be slightly shorter. Further research is needed to confirm this finding and explore potential causes.
Area of Science:
- Neuroscience
- Psychiatry
- Genetics
Background:
- Schizophrenia is associated with anatomical and physiological abnormalities.
- Previous studies suggest potential differences in birth length and adult height in individuals with schizophrenia.
Purpose of the Study:
- To systematically review and meta-analyze studies on birth length and adult height in schizophrenia.
- To compare anthropometric measures between individuals with schizophrenia and control groups.
Main Methods:
- Systematic review and meta-analysis following PRISMA guidelines.
- Searched PsycInfo, Web of Science, and PubMed databases (1947-2016).
- Included studies with schizophrenia patients and matched controls, measuring birth length and/or adult height.
Main Results:
- Six studies (984 patients, 976,296 controls) found no significant difference in birth length.
- Six studies (1,122 patients, 250,200 controls) indicated adults with schizophrenia were slightly shorter.
- Meta-regression did not reveal significant differences based on sample type or registry status.
Conclusions:
- No significant difference in birth length observed between individuals with schizophrenia and controls.
- Adults with schizophrenia may be slightly shorter than comparison subjects, though the cause is unclear.
- Lack of matching on confounding variables limits the certainty of conclusions.
Objective:
As a group, people with schizophrenia have a number of subtle anatomical abnormalities as well as physiological abnormalities that precede antipsychotic treatment. Some studies have also found shorter birth length or shorter adult height in people with schizophrenia compared to control subjects. We performed a systematic review and meta-analysis of studies of birth length and adult height in schizophrenia, following PRISMA guidelines (Prospero Registration # CRD42016043718).
Data Sources:
We searched the PsycInfo, Web of Science, and PubMed databases for articles published 1947-2016.
Study Selection:
Articles were included if they had data for patients diagnosed with schizophrenia and a matched control group of subjects without a psychotic disorder; both groups were measured for birth length and/or adult height (18years or older); and the paper was published in English.
Data Extraction:
One author extracted the data, which was verified by the other.
Results:
For adult height, six studies with 1,122 patients and 250,200 control subjects were included in analyses. There were six birth length studies, which included 984 patients and 976,296 controls. The patients did not differ from comparison subjects in birth length (effect size estimate=-0.03; CI: -0.09, 0.03), but adults were slightly shorter than comparison subjects (-0.15; -0.24, -0.06). In meta-regression of adult studies, the variables of first episode versus clinical sample, and population registry versus non-registry were not significant. Matching for several important variables was usually lacking in these studies.
Conclusions:
While there appears to be no difference in birth length between people with schizophrenia and comparison subjects, the former may be slighter shorter in adult life. The cause of such a discrepancy, if confirmed, is not clear, and lack of matching on potentially confounding variables undermines confidence in any conclusion.
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