How the mid-parental height method works
Children's adult height depends strongly on their parents' heights, and doctors use that link every day. In 1970 Tanner and colleagues published growth standards that allowed for parents' heights, with a simple rule that is still in use: average the two parents' heights after adjusting one of them for the usual difference between men and women. For a boy, add 13 cm to the mother's height before averaging with the father's; for a girl, take 13 cm off the father's height before averaging with the mother's. The result is called the mid-parental height or target height. It works the same in feet and inches, where 13 cm is about 5 inches.
What the ±8.5 cm range means
Tanner suggested that a child's adult height would usually fall within 8.5 cm of the mid-parental height, which is roughly two standard deviations either side. That is a wide band: 17 cm from bottom to top. Some newer British charts use about 10 cm, and the Royal College of Paediatrics and Child Health's charts, which use a refined version of the method, say four children out of five end up within 7 cm of the target. The calculator shows Tanner's ±8.5 cm because it belongs to the same formula, but the exact edges matter less than the message: brothers and sisters of the same parents can end up quite different heights.
Why it is only an estimate
The formula only knows the parents' heights. It cannot see illness, nutrition, hormones or the timing of puberty, and it has known weak points. Children of very tall or very short parents tend to be less extreme than their parents, an effect called regression to the mean, so the simple formula can overestimate the height of children of very tall parents and underestimate it for very short parents. Reported heights are often wrong: a 2025 review in BMC Pediatrics notes that parents tend to overestimate their height, fathers more than mothers. The formula was also developed in England, and later studies in other countries have proposed their own versions, partly because children grow taller than their parents' generation when living conditions improve.
How doctors use mid-parental height
Doctors do not use the target height to predict an exact number. They compare a child's current height on a growth chart with where the parents' heights would place them, to see whether the child is growing as expected for the family. The Royal College of Paediatrics and Child Health says further assessment is needed, for example, when a child's height centile is more than three centile spaces below the mid-parental centile, or when a child's height drops by more than two centile spaces. A short child of short parents is often simply following the family pattern; a child whose growth slows, or who is far below that pattern, should be checked.
Measuring the parents and the child
Measure each parent barefoot, standing straight with heels against a wall, and mark the top of the head with a flat object held level. For the child, a doctor or nurse will measure with proper equipment: a lying length board up to age two and a wall-mounted measure after that, as the British guide for family doctors describes. A single measurement says little; a few measurements 6 to 12 months apart show the growth rate, which doctors use to judge growth. If you have questions about your baby before birth, the pregnancy calculator gives due dates, and the BMI calculator covers adults.
- Wright CM, Cheetham TD. The strengths and limitations of parental heights as a predictor of attained height. Arch Dis Child 1999;81:257-60
- Ciancia S et al. How accurate is Tanner's formula in estimating target height? BMC Pediatrics 2025
- RCPCH digital growth charts: information for health staff (mid-parental height)
- RCPCH UK-WHO growth chart, boys 2-18 years (PDF)
- Assessment of childhood short stature: a GP guide (Br J Gen Pract 2023)
- Pregnancy due date calculator
- BMI calculator