"Director Dong, my child is only 92 centimeters tall, much shorter than other children, is it short stature?"
Today a mother approached me and wanted me to show her child the height.
This mother had previously felt that her child was shorter than other children, and thought that she was growing up later and did not care too much.
But the child is already 5 years old, the height gap is getting bigger and bigger, and today I specially registered to ask me.
The following provides a clinical short stature rating scale commonly used for children, parents fill in and submit according to the actual situation of their children, and professional pediatricians will answer for you for free later.
Please take 1-3 minutes to fill in the report carefully to ensure that the content of the report is in line with the facts.
Children's and adolescents' height assessment form
——Assessment Instructions——
1. This assessment is suitable for ages 3-21
2. Mainly for children whose height is not up to standard, their height lags behind their peers, and they have not grown up to wait for children.
3. In order to evaluate the results objectively and accurately, please fill in according to the actual situation of the child
4. Parents can take 3 minutes to fill in
The child is currently 5 years old and 92 cm.
In the table, we can see that the normal height range for a five-year-old boy should be between 98.7 cm and 124.7 cm, with an average of 111.3 cm.
Compared with the height of this child, it is obviously short stature, even 6.7 cm lower than the short 98.7.
If the child grows slower than his or her peers but is genetically normal,
Parents do not have to pursue too high height, whether the child's slow growth is clinically significant, and some analysis needs to be done.
The boy's parents are not short, and the height of this child is significantly behind that of boys of the same age.
It is certainly not normal to be above two standard deviations or even greater than three standard deviations,
The condition of this child is that the growth is too slow, even below the short stature, and further examination is needed to determine the cause.
The slow growth of the child's height may be related to the following factors
1. Insufficient nutrition: the child himself is a picky eater, the nutritional intake is unbalanced and insufficient, and the intake of protein, vitamins and trace elements is completely insufficient.
Or the child's spleen and stomach function is not good, the digestion and absorption capacity is relatively poor, resulting in insufficient nutrient absorption and slow growth.
2. Poor sleep: The secretion of growth hormone in the child's body will peak at night, which is two or three hours after deep sleep. Long-term late bedtime or staying up late will lead to insufficient secretion of growth hormone, and the child will grow longer and slower.
3. Lack of exercise: long-term inactivity will affect vitamin D metabolism and synthesis, which is not conducive to calcium and phosphorus metabolism and cannot meet the needs of growth and development;
4. Disease impact: Some diseases will also affect the growth of children's height, affect the secretion of growth hormone in the prefrontal lobe of the pituitary gland of the human gland, lack of trace elements, affect the digestive tract and so on.
Whether it's increasing exercise or improving diet, taking growth hormone or adjusting sleep. We should all actively look for reasons so that children grow taller in their developmental stages.
Of course, not every child can grow to one meter eight, and genetic factors account for 780% of this.
If the child is short but grows normally according to genetic factors, it is necessary to analyze whether it is familial short stature, acquired poor spleen and stomach absorption, sleep disorders or even lack of exercise.
Children in the stage of development itself is very different, growth rate is too fast to prevent precocious puberty to avoid him premature end of the growth period.
Slow for a while and fast for a while is also a normal state, and parents should relax.
You can't judge it yourself, but the paresthesia needs to go to the endocrinology department to find a professional doctor to analyze, and ask the doctor to evaluate, which is very important.