Constitutional Growth Delay and Learning Problems

Abstract

The author points to an important distinction between constitutional growth delay and familial short stature. The familially short attain milestones at normal times while the constitutionally delayed reach full height and development milestones at a later age. The author suggests distinguishing the two syndromes since different intervention strategies are indicated. — G.M.S. Records of children admitted to a growth clinic and follow-up questionnaires were examined to determine the incidence of learning problems in children with constitutional growth delay and those with familial short statute. Reported learning problems were significantly greater in the group with constitutional growth delay. Because of the high correlation, it is suggested that the relationship between physical and cognitive development level be considered when selecting educational interventions. Children who are slow learners or have learning problems and are slow in physical development may not need remediation per se, but may require an opportunity to learn at a rate commensurate with their developmental level.