13,707 longitudinal records of individuals (6,749 boys and 6,958 girls
) from 6 years to 17 years were fitted by means of a smoothing cubic s
pline function and the factors influencing the change in height SDS du
ring puberty were analysed. Children are divided into subgroups with 0
.2 SD intervals according to height SDS at 6 years. Shorter children i
n subgroups at 6 years tend to increase their final height SDS by ente
ring puberty later and making their height at onset of pubertal growth
spurt (PGS) relatively taller. On the other hand taller children in s
ubgroups at 6 years tend to decrease their final height SDS by enterin
g puberty early and make height at PGS relatively shorter. The percent
age distribution of a final height SDS against subgroups at 6 years al
so shows this tendency. This figure is useful in predicting the probab
ility of final height SDS in the clinical field of growth disorders.