What is Constitutional Short Stature?
Constructive Short Stature is the most common cause of short stature in boys.
The genetic structure of their families is very important in the growth of children. So much so that, under normal circumstances, a child's adult height potential can be estimated by calculating the heights of both parents.
Constructive Short Stature is actually a normal condition. Children with Structural Short Stature grow in accordance with the genetic potential they receive from their parents. The adult height of these children is in accordance with the genetics they receive from their families.
When the nutritional status of children with Structural Short Stature is evaluated, it is generally found that they have a low appetite and low weight gain appropriate to their age.
It is seen that the bone age of children with Structural Short Stature is behind compared to their age. Bone age retardation may be as long as 2 years or even 4 years.
How Does Children With Structural Short Height Grow?
Structural Height Height growth and weight gain of short babies slows down after 3-6 months. This slow course usually continues until the age of 2-3. After 2-3 years of age, growth resumes at a normal rate. The height of children with Structural Short Stature is either within the 10-25th percentile or below the 3rd percentile. Since they grow in accordance with their age, they progress parallel to the current percentile curve. However, their weight gain is also low. In other words, children with Constitutional Short Height have a normal height growth rate.
Children with Structural Short Stature usually enter puberty later than their peers. They begin to move further away from the growth curve due to delayed puberty. However, when they enter adolescence (average age 14), they grow taller than their age and catch up with their peers. They reach their adult height, which is calculated according to the height of the mother and father. A similar growth history in the family is encountered in 60-90% of cases.
Height calculation according to the height of the mother and father:
Addition
Mother's height and father's height are added together
13 change
13cm is added for the boy
For a girl, 13cm is subtracted
It is divided into two.
Example: Naz: 160 cm and Ufuk: 180 cm
Addition
160 + 180 = 340 cm
13 change
For Cemile 340 cm – 13 = 327 cm
For Cem 340 cm + 13 = 353 cm
Division in Two
For Cemil 327 cm / 2 = 163.5 cm
For Cemil 353 cm / 2 = 176.5 cm
When should a child with structural short stature be investigated?
Children with Structural Short Height do not have pathologies such as nutritional, genetic and hormonal diseases. Therefore, it is sufficient to follow up these children after the initial examination and tests. Because children must show growth spurts appropriate to their age.
However, if there is one of the following situations, these children must be investigated:
If there are many short individuals in the family
If a problem is detected in the child's examination and examinations
If the child's height is too short compared to his/her peers
Annual height If their growth is not sufficient
If the estimated adult height is too short according to the family and society
If puberty does not start despite reaching the age of 14
What is the Treatment for Constitutional Short Stature?
Constitutional Short Stature is a type of normal growth rather than a disorder. There is no need for treatment in children with Structural Short Height, as they grow taller in accordance with the genetic inheritance they received from their families. After the initial examination and tests, these children should be followed until they reach healthy adult height. However, if the height increase is not sufficient during follow-up, treatment may be required. On the other hand, in some children, delay in height growth (and/or delay in puberty) may cause psychological problems that require treatment.
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