OBJECTIVE To analyze the height, weight and BMI of children and adolescents aged 6-17 in different sex, age and area in Henan Province from 2010 to2013. METHODS Based on the monitoring of nutrition and health status of Chinese residents conducted in 9 urban and rural monitoring points in Henan Province from October 2010 to December 2013, 3221 aged 6-17 children and adolescents were selected by multi-stage stratification and population proportional random sampling method, including 1660 male students and 1561 female students; 420 in large cities, 628 in small and medium-sized cities, 1460 in rural areas, and 713 in poor rural areas. Family members basic information questionnaires were used to collect basic information, measured height, weight to obtain data, after weighted to analyze the height, weight, body mass index(BMI), stunting, wasting, overweight and obesity. RESULTS In 2010-2013, the development of children and adolescents aged 6-17 in Henan Province were in line with the general principles. The height and weight development of urban students were generally better than those of rural students. The difference between urban and rural areas had been narrowed in BMI. The overall malnutrition rate in the province was 6. 89%. A total of 89 children and adolescents had stunting with a stunting rate of 2. 76%. In addition to stunting, there were 59 moderate-serve wasting(1. 83%) and 74 mild wasting(2. 30%). The malnutrition of rural students was more serious than that of cities. The overweight and obesity rates of children and adolescents in big cities, small and mediumsized cities, ordinary rural areas and poor rural areas were 10. 0%, 9. 69%, 5. 47%, 4. 56%, and 9. 02%, 9. 34%, 3. 40% and 4. 10%, respectively. The overweight and obese were more serious in urban than rural areas. Especially the obesity was epidemic in low-age primary school students. CONCLUSIONS In view of the double burden coexists in stunting, wasting, overweight and obesity of children and adolescents in Henan Province, and meanwhile, the feature that malnutrition in rural students more serious, overweight and obese in urban students more critical, scientific and effective preventive measures should be carried out in time to ensure the healthy growth of children and adolescents, especially more attention on lower grade children in primary school.