Continued Statural Growth in Older Adolescents and Young Adults with Crohn's Disease and Ulcerative Colitis beyond the Time of Expected Growth Plate Closure

Neera Gupta, Chunyan Liu, Eileen King, Francisco Sylvester, Dale Lee, Brendan Boyle, Anna Trauernicht, Shiran Chen, Richard Colletti, Jeremy Adler, Sabina A. Ali, Amer Al-Nimr, Travis D. Ayers, Howard I. Baron, Genie L. Beasley, Keith J. Benkov, Jose M. Cabrera, Michele E. Cho-Dorado, Liz D. Dancel, Joan S. Di PalmaJill M. Dorsey, Ajay S. Gulati, Jennifer A. Hellmann, Leslie M. Higuchi, Edward Hoffenberg, Esther J. Israel, Traci W. Jester, Fevronia Kiparissi, Michael R. Konikoff, Ian Leibowitz, Anshu Maheshwari, Dedrick E. Moulton, Jonathan Moses, Nicholas A. Ogunmola, Johanna G. Palmadottir, Akash Pandey, Helen M. Pappa, Dinesh S. Pashankar, Brad A. Pasternak, Ashish S. Patel, J. Anthony Quiros, Carl B. Rountree, Charles M. Samson, Kelly C. Sandberg, Bess Schoen, Steven J. Steiner, Michael C. Stephens, Boris Sudel, Jillian S. Sullivan, David L. Suskind, Gitit Tomer, Jeanne Tung, Sofia G. Verstraete

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Background: Cessation of statural growth occurs with radiographic closure of the growth plates, radiographically defined as bone age (BA) 15 years in females and 17 in males. Methods: We determined the frequency of continued growth and compared the total height gain beyond the time of expected growth plate closure and the chronological age at achievement of final adult height in Crohn's disease (CD) vs ulcerative colitis (UC) and described height velocity curves in inflammatory bowel disease (IBD) compared with children in the National Health and Nutrition Examination Survey (NHANES). We identified all femalesolder thanchronological age (CA) 15 years and malesolder thanCA 17 years with CD or UC in the ImproveCareNow registry who had height documented at ≥3 visits ≥6 months apart. Results: Three thousand seven patients (48% female; 76% CD) qualified. Of these patients, 80% manifested continued growth, more commonly in CD (81%) than UC (75%; P0.0002) and in females with CD (83%) than males with CD (79%; P0.012). Median height gain was greater in males with CD (1.6 cm) than in males with UC (1.3 cm; P0.0004), and in females with CD (1.8 cm) than in females with UC (1.5 cm; P0.025). Height velocity curves were shifted to the right in patients with IBD vs NHANES. Conclusions: Pediatric patients with IBD frequently continue to grow beyond the time of expected growth plate closure. Unexpectedly, a high proportion of patients with UC exhibited continued growth, indicating delayed BA is also common in UC. Growth, a dynamic marker of disease status, requires continued monitoring even after patients transition from pediatric to adult care.

Original languageEnglish (US)
Pages (from-to)1880-1889
Number of pages10
JournalInflammatory bowel diseases
Issue number12
StatePublished - Dec 1 2020

Bibliographical note

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  • bone age
  • height
  • height velocity
  • inflammatory bowel disease


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