Enter the child’s current height and the % of adult height attained (typically looked up from the Bayley–Pinneau 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 Bayley–Pinneau approach once you have the child’s current height and the % of adult height attained from the BP tables.
PAH = C ÷ (PM / 100)
Variables:
- PAH is the predicted adult height
- C is the current height
- PM is the percent of adult height attained (from Bayley–Pinneau 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 Greulich–Pyle atlas or Tanner–Whitehouse methods). A bone age–based height estimate commonly refers to a predicted adult height derived by combining the child’s current height with a bone-age-specific percentage from the Bayley–Pinneau 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 (Bayley–Pinneau):
- Have the child’s 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 Bayley–Pinneau tables.
- Measure the child’s current height (C) in any unit (cm, m, in, or ft).
- Compute predicted adult height: PAH = C ÷ (PM/100) (equivalently, PAH = C × 100 ÷ 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 ÷ (88/100) = 140 × 100 ÷ 88 = 159.09 cm (≈ 159.1 cm)
