Objective:To investigate the correlation between neonatal birth indicators and bone age(BA)development in children.Methods:A total of 258 neonates were selected as the study subjects,and 60 neonates participated in the subsequent physical examination at the age of 4.All subjects underwent X-rays of the left hand to calculate the bone age progress index[ratio of BA to chronological age(CA)(BA/CA)].The association between growth variables at birth and BA/CA was evaluated using the Pearson correlation analysis.Linear regression was used to analyze the effects of growth variables on the BA/CA at 4 years of age.Results:The 42.9%of the lowest birth weight group remained at the lowest weight group after 4 years.About 78.6%of those with the lowest birth weight were in the highest conditioned weight gain group at age 4,and 68.8%of those with the highest birth weight were in the lowest conditioned weight gain group at age 4.The BA/CA was positively correlated with birth weight(r=0.412,P<0.01).The results of multiple linear regression analysis showed that BA/CA increased with birth weight.After adjusting the sex,gestational age and height at age 4,the BA/CA increased with birth weight and conditional body mass(P<0.05).Conclusions:Neonate birth weight and subsequent growth acceleration are associated with an increased risk of early BA in young children.