{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T06:04:01Z","timestamp":1789365841666,"version":"build-2803163510"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Height SDS is a well-established and effective screening indicator for clinical growth assessment. Nevertheless, as a purely population-relative metric, it does not in isolation incorporate parental height information. To complement the conventional SDS-based evaluation, we propose the Target Height Completion Rate (THCR = adult height\/genetic target height \u00d7 100%), an index additionally adjusted for parental genetic height. Based on a large population-based cohort from the China Health and Nutrition Survey (CHNS), this study aims to establish population-level reference ranges of THCR in general Chinese adults and systematically evaluate its cross-subgroup stability, to provide a baseline benchmark for clinical THCR evaluation and future disease cohort research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were drawn from the China Health and Nutrition Survey (CHNS, 1989\u20132015), yielding 5,098 adult individuals (\u226518 years; 3,122 males, 1,976 females) with matched parental height records. Genetic target height was calculated using the Tanner method [males: (father's height + mother's height + 13)\/2; females: [father's height + mother's height \u2013 13]\/2]. After calculating THCR, its associations with sex, birth cohort, urban-rural residence, educational attainment, and other factors were evaluated, and percentile reference ranges were established.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      THCR exhibited an approximately normal distribution, with a mean of 102.19% (SD 3.25%) and a median of 102.18%. Female THCR (102.99% \u00b1 3.28%) was higher than male THCR (101.69% \u00b1 3.13%) by 1.30 percentage points. Showed a weak positive correlation with THCR (low education group 101.87% \u2192 high education group 102.67%), and the univariable urban-rural difference (0.30 pp; urban 102.38% vs. rural 102.08%,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.002) was attenuated and no longer significant after adjustment for educational attainment (+0.14 pp,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.156), indicating that it largely reflected the higher educational attainment of urban residents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>THCR in the general Chinese population remained stably centered around 102%, with minimal between-subgroup differences (all &amp;lt; 1.5 percentage points across cohorts from the 1950s onward). The percentile distribution established in this study provides a baseline reference for future disease cohort studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1931404","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T05:39:21Z","timestamp":1789364361000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Establishment of reference ranges and stability assessment for target height completion rate based on the China Health and Nutrition Survey (CHNS)"],"prefix":"10.3389","volume":"14","author":[{"given":"Ying","family":"Zhao","sequence":"first","affiliation":[{"name":"Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University","place":["Jinan, China"]},{"name":"Shandong First Medical University","place":["Jinan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jialin","family":"Mu","sequence":"additional","affiliation":[{"name":"Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University","place":["Jinan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ketong","family":"Guo","sequence":"additional","affiliation":[{"name":"Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University","place":["Jinan, China"]},{"name":"Shandong First Medical University","place":["Jinan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinhan","family":"Huo","sequence":"additional","affiliation":[{"name":"Chengde Medical University","place":["Chengde, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Zou","sequence":"additional","affiliation":[{"name":"Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical 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