Objective: The majority of children with Down syndrome (DS) have concomitant disorders, such as congenital heart defects (CHD), celiac disease, and hypothyroidism. We aim to establish growth patterns of height in Dutch children with DS, while taking into account the influence of the concomitant disorders. Methods: Out of the 30 regional outpatient clinics for children with DS in the Netherlands 25 participated. Children with Trisomy 21 karyotype of Dutch descent born after 1982 were included. Growth data were retrospectively collected from their medical records, as were data on concomitant medical conditions and treatments administered. The LMS method was applied to fit the growth references. Results: We enrolled 1,596 Dutch children with Trisomy 21 (56% boys). Children with DS without concomitant disorders and children with DS who suffer from only mild CHD showed similar growth patterns. Reference growth curves were therefore fitted from all measurements (n=3,728) of these subgroups. Mean final height was determined at 163 and 152 cm, respectively in boys and girls with DS. On the reference growth curves of the general Dutch population, the DS curves roughly follow the -2 SDS line with a deflection to the -2.8 SDS line after the age of 12 years. Conclusions: Children with DS without concomitant disorders and those with only a mild CHD show similar growth patterns of height. As compared to the general Dutch population, they are of short stature with an increasing height difference at older ages.
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