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Background <p>Growth evaluation is one of the most common reasons for referral to pediatric endocrinologists. While many factors, including nutritional status, comorbidities, and hormonal imbalances, can affect growth, a child’s adult height (AH) is primarily influenced by parental stature. Target height (TH) calculation is a widely used tool to assess whether a child is growing within the expected familial range. Despite its popularity, Tanner’s formula, proposed in 1970, has faced criticism, and alternative formulas have been suggested.</p> Summary <p>Several factors, such as sex differences in stature, secular trends, height disparity between parents, assortative mating, and parent-child height correlations, may affect the accuracy of TH calculation. Additionally, the formula tends to underestimate AH in children from very short parents, leading to underestimation of growth potential and overestimation of the effect of growth-promoting therapies.</p>

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How accurate is Tanner’s formula in estimating target height?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月6日

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  • Silvia Ciancia,
  • Paula Ribes Cajas,
  • Martine Cools

摘要

Background

Growth evaluation is one of the most common reasons for referral to pediatric endocrinologists. While many factors, including nutritional status, comorbidities, and hormonal imbalances, can affect growth, a child’s adult height (AH) is primarily influenced by parental stature. Target height (TH) calculation is a widely used tool to assess whether a child is growing within the expected familial range. Despite its popularity, Tanner’s formula, proposed in 1970, has faced criticism, and alternative formulas have been suggested.

Summary

Several factors, such as sex differences in stature, secular trends, height disparity between parents, assortative mating, and parent-child height correlations, may affect the accuracy of TH calculation. Additionally, the formula tends to underestimate AH in children from very short parents, leading to underestimation of growth potential and overestimation of the effect of growth-promoting therapies.