Growth and Your 4- to 5-Year-Old

Growth and Your 4- to 5-Year-Old

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 4-5 pounds (2 kilograms) and grow about 2-3 inches (5 to 8 centimeters) per year. An average 4-year-old weighs about 40 pounds and is about 40 inches tall.

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.

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 — alone and with friends — whether that means drawing pictures, playing house, or acting a part.

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 checkups, then plot the results on a standard growth chart to follow over time and compare with that of other kids the same age and gender.

Helping Your Child Grow

Normal growth — aided by good nutrition, plenty of sleep, and regular exercise — 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 recommended amounts of vitamins, minerals, or other nutrients will not make them taller. And eating too much may lead to excessive weight gain.

Preschoolers can be picky eaters, but it's important to continue to offer a variety of foods. In addition to good nutrition, 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.

At the Doctor's Office

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.

Although you may worry if your child isn't as tall as his or her peers, 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 your child's measurements over a few months to see whether this is a possible health problem or just a variation of normal.

You may be concerned that your child is too small. Most kids who are very short — at or below the 5th percentile on the growth chart — are usually following one of two normal variant growth patterns:

  1. The first is familial (genetic) short stature, in which kids have inherited genes for short stature but will grow at a normal rate, enter puberty at an average age, and reach a final adult height similar to that of their parents.
  2. The second is constitutional growth delay, in which 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.

However, medical conditions like hypothyroidism also can affect a child's growth, so talk with your doctor if you have a concern.

Reviewed by: Mary L. Gavin, MD
Date reviewed: January 2015

Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.

© 1995-2015 KidsHealth® All rights reserved.
Images provided by iStock, Getty Images, Corbis, Veer, Science Photo Library, Science Source Images, Shutterstock, and

Bookmark and Share

Related Resources
OrganizationAmerican Academy of Pediatrics (AAP) The AAP is committed to the health and well-being of infants, adolescents, and young adults. The website offers news articles and tips on health for families.
OrganizationAmerican Academy of Family Physicians This site, operated by the American Academy of Family Physicians (AAFP), provides information on family physicians and health care, a directory of family physicians, and resources on health conditions.
Related Articles
Medical Care and Your 4- to 5-Year-Old Regular well-child exams are essential for keeping kids healthy and up-to-date with immunizations against dangerous childhood diseases. Find out what to expect at the doctor's office.
Growth Charts Doctors 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.
Fitness and Your 4- to 5-Year-Old Take 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.
Communication and Your 4- to 5-Year-Old Communicating 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.
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?
Growing Pains Does your child sometimes wake up crying in the middle of the night complaining of throbbing leg pain? It could be growing pains.
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.
Preparing Your Child for Visits to the Doctor When kids know they're "going to the doctor," many become worried about the visit. Here's how to help them.
Developments Developments
Sign up for enewsletter
Get involved Get involved
Discover ways to support Akron Children's