What three aspects are typically delayed in constitutional growth delay?

Constitutional growth delay refers to a common condition in which children exhibit a slower growth rate compared to their peers during childhood but ultimately achieve normal height in adulthood. The three specific aspects typically delayed in this condition are the growth spurt, puberty, and bone age.

During constitutional growth delay, children often have a delayed onset of their growth spurt compared to their peers, which is a significant period of rapid growth that occurs during puberty. This delay in the growth spurt is frequently accompanied by a delayed progression in bone age, which is the measure of skeletal maturation assessed through X-rays of the hand and wrist. Bone age tends to lag behind chronological age in these children.

Furthermore, puberty usually occurs later in those with constitutional growth delay. The timing of puberty can vary widely among children, but those with this condition are likely to experience a later onset than their peers, contributing to the overall pattern of delayed growth.

Thus, the option highlighting the growth spurt, puberty, and bone age aligns accurately with the characteristics associated with constitutional growth delay. This understanding is crucial for recognizing and managing this condition, ensuring that children are appropriately monitored and reassured regarding their growth trajectory.