How is growth velocity over time documented in the evaluation of short stature?

Updated: Jan 06, 2021
  • Author: Sunil Kumar Sinha, MD; Chief Editor: Robert P Hoffman, MD  more...
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Answer

Documenting growth velocity over time complements the initial height assessment.

  • Calculate growth velocity as the change in standing height over at least 6 months (in children) or in length over at least 4 months (in infants).

  • Poor linear growth is defined as linear growth velocity more than 2 SDs below the mean for gender, genetic composition, and chronologic age.

Weigh all patients.

In infants, determine the fronto-occipital circumference.


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