The short answer
Stature-for-age percentile describes height relative to an age- and sex-specific reference, while growth velocity describes measured change across a time interval.
Growth velocity: “How much did the measurement change across this interval?”
A snapshot versus an interval
A height percentile needs one standing-height measurement, an exact age and a sex-specific reference. It produces a rank or z-score for that moment. Growth velocity needs at least two dated measurements. It produces a rate such as centimeters per year.
The annualized formula is:
Annualizing makes intervals easier to compare, but it does not mean the same pace will continue for a full year.
Why the numbers do not move in lockstep
A percentile is calculated against age-specific curves that also change as age advances. Two people can have a similar measured velocity but different percentiles because they began at different reference positions. Two people at a similar percentile can have different recent velocities because their timing and measurement intervals differ.
A short interval can also exaggerate noise. If the apparent change is close to the size of the measurement error, annualizing it can create an impressive-looking rate that is not a reliable growth pattern.
Use the two views in sequence
- Measure with the same setup and record the exact date.
- Use the percentile to describe the current CDC reference position.
- When a second reliable measurement is available, calculate change across the interval.
- Look at the series rather than treating either output as a verdict.
Neither is an adult-height prediction
A current percentile does not promise that the same reference position will be maintained. A recent annualized velocity does not promise that the rate will continue. Developmental timing, measurement quality and individual context are missing from both outputs.
A family-height estimate answers a third question: what broad adult-height center might be plausible from parent heights? Keep that estimate separate too. If a measured pattern causes concern, a pediatrician or qualified clinician can interpret the record together with health and developmental context.