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BACKGROUND Growth retardation is well described in childhood-onset inflammatory bowel disease (IBD). AIMS To study if childhood-onset IBD is associated with reduced final adult height. METHODS We identified 4201 individuals diagnosed with childhood-onset IBD 1990-2014 (Crohn's disease n = 1640; ulcerative colitis n = 2201 and IBD-unclassified = 36 in the Swedish National Patient Register. RESULTS Patients with IBD attained a lower adult height compared to reference individuals (adjusted mean height difference [AMHD] -0.9 cm [95% CI -