Enter the childโs current height and the % of adult height attained (typically looked up from the BayleyโPinneau tables using clinician-determined bone age, sex, and maturation tempo) into the calculator to estimate predicted adult height.
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Bone Age Height Formula
The following formula is used to estimate predicted adult height (PAH) using the BayleyโPinneau approach once you have the childโs current height and the % of adult height attained from the BP tables.
PAH = C รท (PM / 100)
Variables:
- PAH is the predicted adult height
- C is the current height
- PM is the percent of adult height attained (from BayleyโPinneau tables)
What is a Bone Age Height?
In clinical practice, bone age is an estimate of skeletal maturity determined from an X-ray of the hand and wrist by comparing bone development to reference standards (such as the GreulichโPyle atlas or TannerโWhitehouse methods). A bone ageโbased height estimate commonly refers to a predicted adult height derived by combining the childโs current height with a bone-age-specific percentage from the BayleyโPinneau tables. Clinicians use this as an estimate (not a guarantee) when evaluating growth patterns.
How to Calculate Bone Age Height?
The following steps outline how to estimate predicted adult height using bone age (BayleyโPinneau):
- Have the childโs bone age assessed from a clinician-ordered hand/wrist X-ray and interpreted by a qualified professional (e.g., radiology/pediatric endocrinology).
- Using bone age, sex, and maturation tempo (late/average/early), look up PM = % of adult height attained in the BayleyโPinneau tables.
- Measure the childโs current height (C) in any unit (cm, m, in, or ft).
- Compute predicted adult height: PAH = C รท (PM/100) (equivalently, PAH = C ร 100 รท PM).
- Report the result in the desired unit (and remember this is an estimate that depends on the appropriateness of the table/category used).
Example Problem:
Use the following variables as an example problem:
Current Height (C) = 140 cm
% of Adult Height Attained (PM) = 88
Predicted Adult Height (PAH) = 140 รท (88/100) = 140 ร 100 รท 88 = 159.09 cm (โ 159.1 cm)
