Comparison of Tanner staging of HIV-infected and uninfected girls at the University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria
-
Ogochukwu N. Iloh
, Kenechukwu K. Iloh , Agozie C. Ubesie, Ifeoma J. Emodi
, Anthony N. Ikefuna and Ngozi S. Ibeziako
Abstract
Background:
A number of factors influence sexual maturation in adolescents, including chronic illnesses like HIV. Marshall and Tanner devised a method of classifying the adolescent based on the level of sexual maturation into five stages. This study compared the Tanner staging of HIV-infected and uninfected girls.
Methods:
This was a cross-sectional study of 100 HIV-infected girls aged 8–18 years and 100 uninfected counterparts matched for age and social class. Using standard photographs as a guide, stages of sexual maturation were determined according to the method proposed by Marshall and Tanner. Data analysis was done with SPSS version 20. p-values <0.05 were regarded as significant.
Results:
The study participants were aged 8–17 years. Fifty-five subjects compared to 39 controls were still in pre-pubertal breast developmental stages while 45 subjects (45%) compared to 61 controls (61%) have commenced breast development (p=0.024). Similarly, 52 subjects compared to 31 controls were in the pre-pubertal pubic hair developmental stages, while 48 subjects (48%) compared to 69 controls (69%) had commenced pubic hair development (p=0.003).
Conclusions:
Perinatal HIV infection affected the onset of pubic hair and breast development but did not significantly affect the attainment of sexual maturation.
Acknowledgments
We are thankful to the children who participated in this study and their families.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
References
1. Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in girls. Arch Dis Child 1969;44:291–303.10.1136/adc.44.235.291Search in Google Scholar PubMed PubMed Central
2. Cromer B. Adolescence, physical and social development. In: Kliegman RM, Behrman RE, Schor NF, Stanton BF, St Geme JW, editors. Nelson textbook of paediatrics, 19th ed. Philadelphia, PA: Elsevier, 2011:649–59.Search in Google Scholar
3. Soliman A, De Sanctis V, Elalaily R. Nutrition and pubertal development. Indian J Endocr Metab 2014;18:S39–47.10.4103/2230-8210.145073Search in Google Scholar PubMed PubMed Central
4. Laron Z. Insulin like growth factor 1: a growth hormone. Mol Pathol 2001;54:311–6.10.1016/B978-012532104-4/50087-1Search in Google Scholar
5. Awadhi NA, Al-Kandari N, Al-Hassan T, Al-Murjan D, Ali S, et al. Age at menarche and its relationship to body mass index among adolescent girls in Kuwait. BMC Public Health 2013;13:29–37.10.1186/1471-2458-13-29Search in Google Scholar PubMed PubMed Central
6. Mamatha ML, Merchant RH, Muntaz S. Clinical manifectations of HIV infections in children. In: Mamatha ML, Merchant RH, editors. Principles of perinatal and pediatric HIV/AIDS, 1st ed. Mumbai Jaypee Brothers, 2011:71–84.Search in Google Scholar
7. Hirschfield S. Dysregulation of growth and development in human immune deficiency virus infected children. J Nutr 1996;126:2641S–50S.10.1093/jn/126.suppl_10.2641SSearch in Google Scholar PubMed
8. Horner JM, Bhumbra NA. Congenital HIV infection and precocious puberty. J Pediatr Endocrinol Metab 2003;16:791–3.10.1515/JPEM.2003.16.5.791Search in Google Scholar PubMed
9. Azevedo JC, Brasil LM, Macedo TB, Pedrosa LF, Arrais RF. Comparison between objective assessment and self-assessment of sexual maturation in children and adolescents. J pediatria 2009;85:135–42.10.2223/JPED.1875Search in Google Scholar PubMed
10. Tovo PA, De Martino M, Gabiano C, Caramia G, Armenio L, et al. Mode of delivery and gestational age influence perinatal HIV-1 transmission. J Acquir Immune Defic Syndr Hum Retrovirol 1996;11:88–94.10.1097/00042560-199601010-00012Search in Google Scholar PubMed
11. De Martino M, Tovo PA, Balducci M, Gabiano C, Rezza G, et al. Reduction in mortality with availability of antiretroviral therapy for children with perinatal HIV-1 infection. J Am Med Assoc 2000;284:190–7.10.1001/jama.284.2.190Search in Google Scholar PubMed
12. Oyedeji GA. The effect of socio economic factors on the incidence and severity of gastroenteritis in Nigerian children. Niger Med J 1987;4:229–32.Search in Google Scholar
13. Revised Surveillance Case Definition for HIV Infection – United States, 2014 (www.cdc.gov/mmwr/preview/mmwrhtml/rr6303a1.htm?s_cid=rr6303a1_e).Search in Google Scholar
14. Rosen D. Physiologic growth and development during adolescence. Pediatr Rev 2004;25:194–200.10.1542/pir.25-6-194Search in Google Scholar PubMed
15. Rosen DS, Foster C. Delayed puberty. Pediatr Rev 2001;22:309–15.10.1542/pir.22.9.309Search in Google Scholar
16. Mbwile GR. Growth and pubertal development among children aged 8–18 years in Dar es Salaam. Dissertation. Muhimbili University of Health and Allied Sciences, 2012.Search in Google Scholar
17. Szubert AJ, Musiime V, Bwakura-Dangarembizi M, Nahirya-Ntege P, Ketikiinwa A, et al. Pubertal development in HIV infected African children on first line antiretroviral therapy. AIDS 2015;29:609–18.10.1097/QAD.0000000000000590Search in Google Scholar PubMed PubMed Central
18. De Martino M, Tovo PA, Galli L, Gabiano C, Chiarelli F, et al. Puberty in perinatal HIV1 infection: a multicentre longitudinal study of 212 children. AIDS 2001;15:1527–34.10.1097/00002030-200108170-00010Search in Google Scholar PubMed
19. Dreimane D, Geffner ME. Endocrinologic problems. In: Zeichner SL, Read JS, editors. Textbook of pediatric HIV care, 2nd ed. Cambridge UK: Cambridge University Press, 2006.Search in Google Scholar
20. Zeitler PS, Travers S, Kappy MS. Advances in the recognition and treatment of endocrine complications in children with chronic illness. Adv Pediatr 1999;46:101–49.Search in Google Scholar
21. Williams PL, Abzug MJ, Jacobson DL, Wang J, Van Dyke RB, et al. Pubertal onset in children with perinatal HIV infection in the era of combination antiretroviral treatment. AIDS 2013;27:1959–70.10.1097/QAD.0b013e328361195bSearch in Google Scholar PubMed PubMed Central
22. Ho KY, Evans WS, Blizzard RM, Veldhuiss JD, Merriam GR, et al. Effects of age and sex on the 24 hour profile of growth hormone secretion in man. Importance of endogenous estradiol concentrations. J Clin Endocrinol Metab 1987;64:51–8.10.1210/jcem-64-1-51Search in Google Scholar PubMed
23. Nwokocha AR. Sexual maturation of Igbo girls in Enugu. Dissertation. National Postgraduate Medical College of Nigeria, 1991.Search in Google Scholar
©2017 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Original Articles
- High prevalence of organ specific autoantibodies in Indian type 1 diabetic patients
- Improved metabolic control in tetrahydrobiopterin (BH4), responsive phenylketonuria with sapropterin administered in two divided doses vs. a single daily dose
- Excessive weight gain in exclusively breast-fed infants
- Comparison of Tanner staging of HIV-infected and uninfected girls at the University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria
- Joint association of screen time and physical activity with anthropometric measures in Iranian children and adolescents: the weight disorders survey of the CASPIAN-IV study
- Assessment of insulin like growth factor-1 and IGF binding protein-3 in healthy Indian girls from Delhi and their correlation with age, pubertal status, obesity and thyroid hormonal status
- Impact of discontinuation of growth hormone treatment on lipids and weight status in adolescents
- Clinical, biochemical and genetic features with nonclassical 21-hydroxylase deficiency and final height
- A combined approach to generate laboratory reference intervals using unbalanced longitudinal data
- Clinical evaluation and mutational analysis of GALK and GALE genes in patients with galactosemia in Greece: one novel mutation and two rare cases
- Case Reports
- Pediatric toxic polycystic thyroid
- In utero virilization secondary to a maternal Krukenberg tumor: case report and review of literature
- Postprandial hyperinsulinemic hypoglycemia in a child as a late complication of esophageal reconstruction
- Long-term follow-up of a child with Klinefelter syndrome and achondroplasia from infancy to 16 years
Articles in the same Issue
- Frontmatter
- Original Articles
- High prevalence of organ specific autoantibodies in Indian type 1 diabetic patients
- Improved metabolic control in tetrahydrobiopterin (BH4), responsive phenylketonuria with sapropterin administered in two divided doses vs. a single daily dose
- Excessive weight gain in exclusively breast-fed infants
- Comparison of Tanner staging of HIV-infected and uninfected girls at the University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria
- Joint association of screen time and physical activity with anthropometric measures in Iranian children and adolescents: the weight disorders survey of the CASPIAN-IV study
- Assessment of insulin like growth factor-1 and IGF binding protein-3 in healthy Indian girls from Delhi and their correlation with age, pubertal status, obesity and thyroid hormonal status
- Impact of discontinuation of growth hormone treatment on lipids and weight status in adolescents
- Clinical, biochemical and genetic features with nonclassical 21-hydroxylase deficiency and final height
- A combined approach to generate laboratory reference intervals using unbalanced longitudinal data
- Clinical evaluation and mutational analysis of GALK and GALE genes in patients with galactosemia in Greece: one novel mutation and two rare cases
- Case Reports
- Pediatric toxic polycystic thyroid
- In utero virilization secondary to a maternal Krukenberg tumor: case report and review of literature
- Postprandial hyperinsulinemic hypoglycemia in a child as a late complication of esophageal reconstruction
- Long-term follow-up of a child with Klinefelter syndrome and achondroplasia from infancy to 16 years