We assessed the relationships between annual height velocity, calculat
ed from two measurements taken at intervals of 6, 12 and 24 months, in
69 healthy prepubertal children (34 male, 3 5 female) aged 6.5 years
(range 6.25-6.75 yrs) who were followed for 2.5 years and measured bia
nnually. Initial height values for age were within normal ranges excep
t for one child with a height SDS of - 2.0. Mean annual velocities als
o conformed to British norms. Significant differences were observed be
tween consecutive six-monthly velocities and these values failed to pr
edict annual velocities calculated from measurements taken at 12- or 2
4-month intervals. Seasonal effects were thought to have some impact o
n the six-monthly velocity differences. Height velocity, based on meas
urements taken at intervals of 12 months, was essentially similar to t
wo-year velocity values. The results indicate that in estimating annua
l height velocity, six-month intervals between measurements may be mis
leading while 12-monthly measurements are as reliable as height veloci
ty values based on measurements taken at two-year intervals.