Growth and Your 4- to 5-Year-Oldenparentshttps://kidshealth.org/EN/images/headers/P-growth4To5-enHD-AR1.jpgKids who are 4 to 5 years old continue to learn in a very physical way, but are more focused than when they were younger.growth spurts, growing pains, my child's growth disorders, well-child exams, my child's weight, my child's height, well child exams, obesity, does my child weigh too much, diets, percentiles, growth charts, measuring my child, weighing my child, nutrition, sleep, exercise, physical activity, familial short statures, constitutional growth delays, delayed puberty, hypothyroidism, human growth hormone deficiency, skeletal dysplasias, malnutrition, general pediatrics, endocrinology, endocrine, CD1Endocrinology05/18/200006/27/201906/27/2019Mary L. Gavin, MD06/17/2019d37c04a2-41e6-438c-b62c-106b37c19cc5https://kidshealth.org/ws/RadyChildrens/en/parents/growth-4-to-5.html/<p>Kids at this age are still very physical, but they learn in a more focused and less hectic way than when they were younger. These kids typically gain about 4&ndash;5 pounds (2 kilograms) and grow about 2&ndash;3 inches (5 to 8 centimeters) per year. An average 4-year-old weighs about 40 pounds and is about 40 inches tall.</p> <p>Preschoolers are still developing and refining their gross motor skills (using their arms and legs to move and play), as well as their fine motor skills (working on arts and crafts and puzzles). By this age, kids can usually hop on one foot and are learning to skip.</p> <p>Play becomes increasingly imaginative and is an important part of kids' growth and development now. So it's important to make sure they have time for creative play &mdash; alone and with friends &mdash; whether that means drawing pictures, playing house, or acting a part.</p> <p>Although kids come in all shapes and sizes, a healthy child should continue to grow at a regular pace. To monitor physical development, the doctor will weigh and measure your child at regular <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/checkups.html/">checkups</a>, then plot the results on a standard <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/growth-charts.html/">growth chart</a> to follow over time and compare with that of other kids the same age and gender.</p> <h3>Helping Your Child Grow</h3> <p>Normal growth &mdash; aided by good nutrition, plenty of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sleep-preschool.html/">sleep</a>, and regular <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/fitness-4-5.html/">exercise</a> &mdash; is one of the best overall indicators of a child's good health. But your child's growth pattern is largely determined by genetics. Pushing kids to eat extra food or more than the&nbsp;recommended amounts of vitamins, minerals, or other nutrients will not make them taller. And eating too much may lead to excessive weight gain.</p> <p>Preschoolers can be <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/feed-preschooler.html/">picky eaters</a>, but it's important to continue to offer a variety of foods. Also, preschoolers should get at least 60 minutes of physical activity each day. Kids at this age are naturally active, so encourage that activity and provide a safe environment for exploration.</p> <h3>At the Doctor's Office</h3> <p>There is a wide range of "normal" heights and weights. Shorter parents, for instance, tend to have shorter kids, whereas taller parents tend to have taller kids.</p> <p>You may worry if your child isn't as tall as his or her peers. But the more important question is whether your child is continuing to grow at a normal rate. If, for instance, your child's growth rate had been normal but has recently slowed, the doctor may track growth over a few months to see if this is a possible health problem or just a variation of normal.</p> <p>You may be concerned that your child is too small. Most kids who are very short &mdash; at or below the 5th percentile on the growth chart &mdash; are usually following one of two normal variant growth patterns:</p> <ol class="kh_longline_list"> <li>Familial (genetic) short stature: This is when kids inherit genes for short stature but grow at a normal rate, enter puberty at an average age, and reach a final adult height similar to that of their parents.</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/growth-disorder.html/">Constitutional growth delay</a>: This is when&nbsp;kids grow at a normal rate but are smaller than their peers, enter puberty later, and continue growing after their peers have stopped, thus usually reaching a normal adult height.</li> </ol> <p>But medical conditions like <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hypothyroidism.html/">hypothyroidism</a> also can affect a child's growth, so talk with your doctor if you have a concern.</p>El crecimiento y su hijo de 4 a 5 años Los niños de preescolar todavía están desarrollando y refinando sus habilidades motoras gruesas, así como sus habilidades motoras finas. A esta edad, los niños suelen saber saltar con un pie o ambos pies. https://kidshealth.org/ws/RadyChildrens/es/parents/growth-4-to-5-esp.html/31465c20-f0f9-4529-878e-298ad6e2421f
Communication and Your 4- to 5-Year-OldCommunicating with our kids is one of the most pleasurable and rewarding parts of parenting. Learn how to connect with your 4- to 5-year-old.https://kidshealth.org/ws/RadyChildrens/en/parents/comm-4-to-5.html/5a5c23d9-ea63-4f44-892a-83b9f4a953a9
Fitness and Your 3- to 5-Year-OldTake advantage of your child's natural tendency to be active. Staying fit can help improve kids' self-esteem and decrease the risk of serious illnesses later in life.https://kidshealth.org/ws/RadyChildrens/en/parents/fitness-4-5.html/c3f96baa-8d0b-4d36-9c8a-bc78bb8c7e29
Growing PainsDoes your child sometimes wake up crying in the middle of the night complaining of throbbing leg pain? It could be growing pains.https://kidshealth.org/ws/RadyChildrens/en/parents/growing-pains.html/690d41f9-c464-4d69-913b-f38fde102293
Growth ChartsDoctors use growth charts to figure out whether kids' height and weight measurements are "normal" and whether they're developing on track. Here are some facts about growth charts.https://kidshealth.org/ws/RadyChildrens/en/parents/growth-charts.html/129c9d7b-8ef0-4618-bcfd-bc56df8c8f95
Medical Care and Your 4- to 5-Year-OldRegular well-child exams are an important part of keeping kids healthy and up to date on immunizations against serious diseases. Find out what to expect at the doctor's office.https://kidshealth.org/ws/RadyChildrens/en/parents/medical-care-4-5.html/d4650ac4-8d08-418c-a203-c1971344715b
Preparing Your Child for Visits to the DoctorWhen kids know they're "going to the doctor," many become worried about the visit. Here's how to help them.https://kidshealth.org/ws/RadyChildrens/en/parents/dr-visits.html/b68e9bb7-500a-4840-a4f1-f15f6998364b
What Is a Growth Disorder?The other kids in the class have been getting taller and developing into young adults, but your child's growth seems to be lagging behind. Could a growth disorder be the cause?https://kidshealth.org/ws/RadyChildrens/en/parents/growth-disorder.html/0dfb1120-286a-43bc-92f1-67aff0a94799
Your Child's Weight"What's the right weight for my child?" is one of the most common questions parents have. It seems like a simple one, but it's not always easy to answer.https://kidshealth.org/ws/RadyChildrens/en/parents/childs-weight.html/47c960bc-61c9-4a05-933d-50f57967c0a7
kh:age-preschoolerThreeToFivekh:clinicalDesignation-generalPediatricskh:genre-articlekh:primaryClinicalDesignation-generalPediatricsGrowthhttps://kidshealth.org/ws/RadyChildrens/en/parents/growth/growth/3c28cc60-227a-4cde-8686-e46bb334b33b