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An 8-year-old boy I know is small for his age, shorter and slighter than his friends, even smaller than his 5-year-old sister. Concerned about the increasing use and possible risks of growth hormone(生长激素), I asked his mother if she'd considered treating him with it. She replied, "Not really. He's built like his father, who was short and slight as a boy and didn't shoot up until college."

His father, at 41, is now 6 feet tall, though still very slender. He recalls being a reasonably athletic child but without the physical power of his friends, making up for what he lacked in mass with speed and agility. "I enjoyed competitive sports and worked on skills others didn't have," he told me, and said he encourages his son to recognize and capitalize on the skills he has.

If only every parent with a short but healthy child approached the matter as sensibly. Experts estimate that 60% to 80% of children who are short for their age do not have a growth hormone deficiency(缺乏) or other medical condition that limits growth. But knowing there's a therapy available to increase height, some parents seek a medical solution for a perceived problem, even when there is no medical abnormality. They should also know, however, that new research has linked growth hormone treatment to serious unfavorable health effects years later.

Dr. Adda Grimberg, a doctor at Children's Hospital of Philadelphia, recalled that "Twenty years ago, families were focused on health. They came in with a child who was not growing right and wanted to know if there was an underlying disease. Now, more and more, they're focused on height. They want growth hormone, looking for a specific height. But this is not like online shopping; you can't just place an order and make a child the height you want."

In 2003, the Food and Drug Administration approved use of recombinant human growth hormone for the condition known as "idiopathic short stature", or short build of unknown cause, which is not a disease. But it has caused a growing number of parents to consider using the hormone to boost the height of their children.

The resulting rush to therapy reflects concerns about a widespread societal bias(偏见) against shortness, rather than a true medical need. Experts have noted that the practice backs up the belief that short stature is unacceptable, leading to an increasing demand for therapy. It is far better, Dr. Grimberg suggested, to help a short child develop coping skills than to buy inches through medicine.