https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677560/ Relationship Between Timing of Peak Height Velocity and Pubertal Staging in Boys and Girls Abstract Growth and pubertal development are important health markers. We used the data of a longitudinal growth study on a contemporary sample of US youth to examine the relationship between peak height velocity (PHV) and Tanner staging. We observed a substantial variability in the timing of PHV across Tanner stages, which is an important consideration for clinicians when assessing growth. Keywords: peak height velocity, pubertal staging, growth spurt, adolescent growth INTRODUCTION Linear growth and pubertal development are critical markers of the overall health status of a child. Linear growth occurs in tandem with pubertal development, with the activation of the hypothalamic pituitary gonadal axis as the proposed driver of the “adolescent growth spurt” (1). A better understanding of how pubertal staging correlates with the adolescent growth spurt can help clinicians distinguish systemic disease or endocrine dysfunction (2) from normal variants of growth, such as constitutional delay of growth and maturation (3). The literature on the relationship between the adolescent growth spurt or peak height velocity (PHV) and pubertal staging is relatively sparse, beyond the initial studies performed by Tanner in the mid 1900’s (4). We are unaware of studies that have used contemporary clinical longitudinal cohorts to examine this relationship. Our objective was to evaluate the relationship between timing of PHV with pubertal development across stages of puberty for boys and girls. METHODS The National Institute of Child Health and Human Development (NICHD) Study of Early Child and Youth Development was a longitudinal study of growth and development that followed children from infancy to 15 years of age starting in 1991. The study recruited a total of 1364 children whose birth was normal, uncomplicated and who were born to healthy mothers. Height and weight were measured by trained research assistants using standardized procedures (5,6). Height and weight measurements were performed up to 11 times throughout the study, at ages 2, 3, 5, 7, 9-15 years. Since not all children were measured at all time points, we performed imputations using Stata ICE statistical software. After imputing data, we excluded 616 subjects with more than 2 missing measurements after 6 years of age for girls and 8 years for boys. Additionally, we excluded 346 participants since negative height data were recorded in the imputed data. We included 402 subjects with available information on weight, height and pubertal staging. We used in our study Tanner stage (TS) data for breast development in girls and for genitalia in boys. The measurements were obtained by pediatric endocrinologist or nurse practitioners using visual inspection and palpation. Menarche data was obtained by maternal report via questionnaire. HV was calculated as the increment in height divided by the difference in age between two consecutive measurements at the study visits. PHV was identified as the largest increase in HV after age 6 years for girls and after age 8 years for boys and the age corresponding to that PHV was tagged as age at PHV. RESULTS Overall there were 402 children, of whom 156 were female and 246 were male. The majority (80.6%) of the subjects were classified as white and the remainder (19.4%) as nonwhite. At 9 years of age, 70.1% of the population had a normal weight (defined as a body mass index (BMI) of 5-84%) and 28.6% were overweight or obese (defined as a BMI ≥85%). The mean age at PHV was 12.1 years (1.4 SD) for females and 13.7 years (1.4 SD) for males. PHV for females was 9.8 cm/year and for boys was 11.3 cm/year. Table 1 shows the percentage of children who achieved PHV across all stages of puberty. The majority of girls (69.1%) had achieved PHV by TS 3 and the majority of boys by TS 4 (58.9%). Additionally, we found that 70.6% of girls had attained their PHV by the time of menarche.
回复 1楼niuaniua的帖子 Ask endocrinologist. They are professional. To be honest, it is a little too short for 16. Most boys would finish the major growth around 16. May have small room to grow after 16. All of my nephews are over 5'10 at 15. However, there are some exceptions. See if you or your husband were late boomer. Good luck!!!
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他初中时完全不运动的。长个子都在他高中/大学发生的，那时我们不在一个学校，不知道他有没有突变爱运动哈
他喜欢运动吗，我的孩子不太喜欢运动所以我很着急
是刚上初中163还是初中毕业163啊
真的啊。他初中因为身高总被有些讨厌男生开玩笑，我还帮着挡过两次，觉得他很可怜。他人有些自卑话不多存在感挺低，后来同学会见他那么高，俯视那些曾经取笑他的同学，人也开朗起来了，替他开心。
🛋️ 沙发板凳
基本没戏，我16岁就1米8了，然后人生接下来的所有日子，长了2cm。几百个高中同年级同学，没见过一个162能长到180的。
我一同学，高二时还不到150，大二时176。后来我没再见过他，不知道有没有更高。
我有同学大学才长，但是比例应该极少。不放心，就再看个医生？
林书豪高一1.62，最后1.92
林书豪高一1.62
长得比较平均缓慢
他高一多高啊
那不用担心，还没开始猛长，李玮锋高中的时候也矮，后来1.82
我知道总有特例啊，但几率不高了，我高中时候几百个同学，没见过这种情况发生过。大多数男生到了16岁后，还能长10cm的，就已经不错了，要长18cm, 有点难度，反正我没见过。楼上说见过的，也都是个别例子，不是普遍现象。
我根据我的所见实话实说，楼主请不要介意。
嗯，是的，有特例，我周围就遇到一个小女孩，比我家老大大几岁，小时候身高就比我家老大高一个脑袋盖，一直到10岁的时候都矮矮的，父母身高都只有1.59，最后5''7 feet，和我家老大一样的身高 等她13岁的时候，我看她已经是5''3 feet，再过了两年见到她，5''7 feet，比我还高了
骨龄没有闭合应该能具体到还有多少长高的空间。另外美国这里怎么要求测骨龄？ 问了儿医，不给测。
爷爷奶奶外公外婆中有没有特别矮的？如果没有，不用着急，还会长的。
我儿子15岁半也是这个身高，我160，爸爸167，委实担心呀
但是高一是13-14歲吧？這差了2歲，差挺多的啊
看了一下，高一的时候林书豪14岁，那就李玮峰吧，16岁的时候就1.6
16在国内才高一吧，18高三 我周围男同学高三都比高1高很多啊，踢球的几个涨的多 我朋友女的高中涨了10cm，九点半困的看书点头那种，不运动的
楼主家的基因好，是不是学习太累营养跑大脑那边去了，我见过学习特别好的不太长个的男生 多吃饭多睡觉，跑步玩各种球会什么玩什么别挑
我家有的 15 到16岁之间 我家饭渣 真的是吃很少 网上说的发育中的男孩吃穷父母的从来没有过 ，可是一年真的长了十几厘米。我1米67,他爸1米78,他现在1米79吧，17岁
李玮峰16岁的时候刚入选健力宝，当时只要不是技术特别出众，预测身高没有180的都去不了。 而且李玮峰当时在巴西就是抢头球，不可能1米6
他就是技术出众，加上预测身高会超过1.8才选的，当时个子矮 看他在巴西的一段话：李玮峰说：“我记得练得最苦的一次就是在我们住的基地边上有一个小山坡，每天训练完以后，教练搬一把板凳，让我从板凳上跳下来以后再起来练头球。当时练得我每天睡觉腿都是在抽筋的一种状态，天天都是这么练。我就觉得有人说李玮峰你今天为什么还能跳得起来，为什么以你这样的身高，为什么头球能把空中的点找得很好，其实我觉得那会儿跟巴西这一段训练包括朱导对我的要求真的是太紧密相关了。假如没有那一段训练，假如没有那一段的加练，我现在很难讲是一个什么状态。”
我爸16也才一米六多，然后窜到185。不过早长晚长遗传因素很大，和家人都不一样最好去查一下。
就我自己好了，高一152，大学157.（没办法，我爸168，我妈150）
后长的这种是几岁变声的？
你父母多高？
16岁到18岁应该还能长，多吃多睡多运动。就算进了大学之后也有可能长，我有同学整个大学期间涨了5cm。
没有愈合就还会长高的，骨龄是不是偏小啊？
这边高一14岁。
这是很特殊的情况吧，千里无一。
Ask endocrinologist. They are professional. To be honest, it is a little too short for 16. Most boys would finish the major growth around 16. May have small room to grow after 16. All of my nephews are over 5'10 at 15. However, there are some exceptions. See if you or your husband were late boomer. Good luck!!!
What happened to your cousin? Could you specify? Was he a picky eater?
这个好像叫闭合 我家的曾经在15岁骨折痊愈后做了个x光，突然想起让医生看下骨龄（正好是左手腕），当时才165的样子，医生说你放心可以长到175-180，我们就静待花开，托医生吉言，差不多就在那区间
这种晚长的，是不是变声期也晚？几岁变声的？
我怎么记得父子俩差不多高呀……薄熙来看着不像有186的样子，谷开来很矮
实话说，高三之前等于不认识他，但坐第一排，肯定不会超过一米七
我也是担心儿子身高
14岁变声，本来很是清脆的一下子公鸭嗓了
美国高一等于国内初三（9年级）吧
lz不如像其他网友建议的那样，去找医生测测骨龄。 你问别人有没有见过这样那样的，肯定见过啊，肯定什么样子的人都有，可是别人什么时候长个子能长多高和你家娃没关系啊。
MARK
儿子一般比爸爸高的话，每一代都高一点，人类已经长成巨人了。
男孩一般发育比女孩晚点吧
我儿子十四岁就一米六了，咋办？
https://mobile.twitter.com/ecxcn/status/370404259017146368
这两张照片就可以看出薄很高，谷不高所以瓜瓜没长过他爸吧
不是说妈挫挫一窝，就是说母亲对娃身高影响吧
其中还会有母亲的干扰因素啊，我哥（174）就没长过我爸（179），因为我妈矮，然后我侄子也没长过他爸爸，虽然他妈不矮168，所以奶奶的严重拖后腿了吧，然而我俩都比我哥他们矮，儿子貌似蹭了点外公的基因，比舅舅还高点了
如果营养一样的话，父子之间应该比较稳定的，但上一代人营养跟不上 所以才出现儿子比父亲高一大截的现象吧
啊啊啊，为啥我家老大十岁就来月经了，我12岁，为什么比我早两年，啊啊啊，没长过她表姐
参考林书豪，14岁，1.62，他父母都是1.68 看你和你老公多高了