Pediatric Endocrinology Diabetes and Metabolism

Abstract

4/2025 vol. 31
Original paper

Spontaneous final adult height in patients with idiopathic short stature

  1. Department of Pediatric Endocrinology and Rheumatology, Institute of Pediatrics, Poznan University of Medical Sciences, Poland
  2. Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Krakow, Poland
Pediatr Endocrinol Diabetes Metab 2025; 31 (4): 155-160
Online publish date: 2026/01/27
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Introduction

Idiopathic short stature (ISS) is defined as a height more than two standard deviations (SD) below the mean for age and sex for population group without evidence of a systemic, endocrine, nutritional, or genetically determined disorder. The study aimed to analyze the final height (FH) in a group of patients with ISS.

Material and methods

The inclusion criteria were as follows: • height < –2 SD or difference between height and target height (TH) calculated based on parents' height more than –1 SD; • growth hormone secretion above 10 ng/ml in stimulation tests or after falling asleep; • absence of chronic diseases that could be the cause of short stature; • Turner syndrome excluded, and lack of signs suggesting other genetically determined disorders. We evaluated the auxological data of 16 patients among 22 patients with ISS (13 girls and 3 boys) who completed the growth process.

Results

The mean FH in the study group was 150.9 cm, the mean FH SDS was –2.85. Statistical analysis revealed a positive correlation between FH and predicted adult height based on prepubertal bone age (r = 0.905, p < 0.001) and a second evaluation of bone age (r = 0.780, p = 0.13). Statistical analysis revealed a positive correlation between FH SDS and height SD score (height SDS) at the age of 4 and 6 years (r = 0.749, p = 0.033 and r = 0.946, p < 0.001).

Conclusions

Predicted adult height on prepubertal bone age and the height standard deviation score at the age of 4 years and 6 years can help estimate final height in a group of patients with idiopathic short stature.

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