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Which height prediction method should I choose? A decision guide for 5 methods

Mid-Parental, Neyzi percentile, Khamis-Roche, Bayley-Pinneau and AI bone age: what each is for, and which to start with based on the data you have.

Child Growth Scientific Board (edited by Prof. Dr. Bülent Bayraktar)May 30, 2026 2 min read

There is no single magic formula for adult height prediction. Different methods rely on different data and answer different questions. This guide walks you through which method to start with, based on the information you already have.

This content is educational. Results are reference-based estimates; for a definitive assessment, see a pediatric endocrinologist.

Start by asking what data you have

The right method is determined by the data you hold:

  • Only the child's height and age → start with Neyzi 2008 percentiles.
  • Parental heights are also known → Mid-Parental Height gives the genetic ceiling.
  • Height + weight + parental heights, no X-ray → Khamis-Roche fits.
  • Bone age (hand-wrist X-ray) available → Bayley-Pinneau and AI bone age apply.

The 5 methods, briefly

1. Neyzi 2008 percentile. A national reference built for Turkey. Positions the child's height and weight against peers. Not a diagnosis — it gives a baseline. Always free.

2. Mid-Parental Height (MPH). Computes a genetic target height from parental heights. Fast and intuitive, but doesn't see maturation on its own. Always free.

3. Khamis-Roche. Produces an estimate from height, weight and parental heights without bone age. Practical for first screening and at-home tracking.

4. Bayley-Pinneau. Based on bone age; uses skeletal maturity directly. Valuable in suspected early/late puberty.

5. AI bone age. Estimates bone age from a hand-wrist image and compares it against the Greulich-Pyle standard, providing a second opinion.

Decision flow

  1. See the child's current standing with Neyzi percentiles.
  2. Add the genetic ceiling with MPH using parental heights.
  3. If you have no X-ray, get an estimate range with Khamis-Roche.
  4. If you have bone age, add Bayley-Pinneau and AI bone age.
  5. If methods converge, confidence rises; if they diverge, consult a clinician.

The key principle: look for convergence

Don't lock onto the number from a single method. Child Growth shows methods side by side, because the real signal isn't in one estimate — it's in whether the methods agree. Divergence can be an early sign of a measurement error or a maturation surprise.

Bottom line

If you have little data, start with Neyzi + MPH; if there's no X-ray, add Khamis-Roche; if bone age exists, bring maturation in with Bayley-Pinneau and AI bone age. Each method is one viewpoint — read them together.

Sources

In this series

Height Prediction & Growth guide

Frequently asked questions

Who is "Which height prediction method should I choose? A decision guide for 5 methods" for?

It is written for families, coaches and clinicians who need a clear educational summary before deciding whether a pediatric evaluation is needed.

Does this article replace a pediatrician?

No. It is educational content. Diagnosis, treatment and urgent medical concerns should be handled by qualified clinicians.

What is the main takeaway?

Mid-Parental, Neyzi percentile, Khamis-Roche, Bayley-Pinneau and AI bone age: what each is for, and which to start with based on the data you have.

When should families seek clinical advice?

Families should seek advice when growth velocity slows, percentiles change rapidly, puberty timing is unusual, symptoms persist, or nutrition concerns are present.

How should this content be used with calculators?

Use article context together with serial measurements and calculator warnings; do not make decisions from a single number.

#height-prediction#decision-guide#mid-parental#neyzi#bone-age

⚕️ Medical disclaimer

The information in this article is for educational purposes only and does not constitute medical advice. For decisions about your child's growth, please consult a pediatrician or pediatric endocrinologist.