Startseite Medizin Reliability of self-reported pubertal development scale for girls in early adolescent: a school population-based study
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Reliability of self-reported pubertal development scale for girls in early adolescent: a school population-based study

  • Cuilan Lin , Dongxue Pan , Tingting Yu , Sizhe Huang , Xin Lai , Jianming Peng , Bihong Zhang , Shijian Liu und Simao Fu EMAIL logo
Veröffentlicht/Copyright: 13. September 2024
Journal of Pediatric Endocrinology and Metabolism
Aus der Zeitschrift Journal of Pediatric Endocrinology and Metabolism Band 37 Heft 10

Abstract

Objectives

The study aimed to evaluate the correlation between self-reported pubertal developmental scale (PDS) and physically assessed Tanner staging by an experienced pediatrician among girls.

Methods

In a school population-based study in Zhongshan, China, we recruited 1,722 girls in grades 1–3 by a multistage stratified cluster random sampling method. Participants completed self-reported PDS questionnaire prior to physical examination. Breast development was evaluated by a female pediatrician combined with ultrasound examination for overweight/obese girls; pubic hair development was evaluated. Otherwise, we tested follicle-stimulating hormone (FSH) and luteinizing hormone (LH) for some participants.

Results

We observed a weak association between Tanner-derived composite stage (TDCS) and puberty category scores (PCS) (τ=0.288, p<0.001) among all girls. There was correlation (τ=0.314, p=0.001) between ultrasound-derived composite stage (UDCS) and PCS among overweight/obese girls. Moreover, among overweight/obese girls, PCS was positively correlated with LH (r=0.265, p=0.008), but not FSH (r=0.155, p=0.123), and when the basal LH value was greater than 0.3 mIU/mL, the proportion of PCS stage ≥2 (9/18) was higher than the proportion of TDCS ≥2 (5/18). As for the determination of pubertal onset, when UDCS was used as the gold standard, the specificity of PCS was 0.86 and positive predictive value was 90.00 %.

Conclusions

There was a weak correlation between PCS and TDCS among girls early adolescence. Moreover, among overweight/obese girls, combining hormone values, ultrasonographic stage of breast, and the positive predictive value of PCS, we posit that self-reported PDS might be a more reliable method than TDCS to evaluate pubertal development among overweight/obese girls.

Keywords: pubertal developmental scale; hormones levels; Tanner-derived composite stage; puberty category scores; ultrasound-derived composite stage
Corresponding author: Shijian Liu, Department of Clinical Epidemiology and Biostatistics, Children Health Advocacy Institute, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, 1678 Dongfang Road, Shanghai, China; and School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China; and Simao Fu, Zhongshan Hospital of Sun-Yat-Sen University, 2 Sunwen East Road, Zhongshan City 528403, Guangdong Province, China, E-mail:
Cuilan Lin and Dongxue Pan contributed equally to this work.

Acknowledgments

The authors would like to express our gratitude to the participants and participants’ parents for their understanding and cooperation in this study.

  1. Research ethics: The study was approved by local Institutional Review Boards and all participants (or their legally guardians) provided written informed consent and was conducted according to the Declaration of Helsinki and the present study was registered in the Protocol Registration and Results System (ClinicalTrials.gov, NCT04113070).

  2. Informed consent: Informed consent was obtained from all individuals included in this study.

  3. Author contributions: S.F., C.L., and S.L. designed the study. S.F., C.L., D.P., S.H., S.L., X.L., J.P., B.Z., and T.Y. participated in the research’s investigation and coordination work, specimen and data collection. D.P. was responsible for data analysis. C.L, S.F, and D.P. drafted the main manuscript. All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  4. Competing interests: The authors state no conflict of interest.

  5. Research funding: This study was supported by National Science Foundation of China [81872637, 81903341, 82173534], Shanghai Professional and Technical Services Platform [18DZ2294100], the Foundation of National Facility for Translational Medicine, Shanghai [TMSK-2020-124], Key Subject Program for Clinical Nutrition from Shanghai Municipal Health Commission [2019ZB0103], Key discipline construction project of the three-year action Plan of Shanghai Public Health System [GWV-10.1-XK07], and Zhongshan City Social Welfare Science and Technology Research Project (2019B1017 and 2023B1049).

  6. Data availability: The raw data can be obtained on request from the corresponding author.

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Supplementary Material

This article contains supplementary material (https://doi.org/10.1515/jpem-2024-0272).

Received: 2024-06-04
Accepted: 2024-08-16
Published Online: 2024-09-13
Published in Print: 2024-10-28

© 2024 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Review
  3. Refractory hypothyroidism in children: an overview
  4. Original Articles
  5. Oral glucose tolerance test curve shape in Mexican children and adolescents with and without obesity
  6. Reliability of self-reported pubertal development scale for girls in early adolescent: a school population-based study
  7. Allergic reactions to enzyme replacement therapy in children with lysosomal storage diseases and their management
  8. The role of Cardiotrophin-1 and echocardiography in early detection of subclinical diabetic cardiomyopathy in children and adolescents with type 1 diabetes mellitus
  9. Evaluation of the etiology of subclinical hypothyroidism in children
  10. Long-term efficacy and safety of PEGylated recombinant human growth hormone in treating Chinese children with growth hormone deficiency: a 5-year retrospective study
  11. Case Reports
  12. Effective and safe use of sirolimus in hyperinsulinemic hypoglycaemia refractory to medical and surgical therapy: a case series and review of literature
  13. Diabetes and CFAP126 gene mutation; are they really linked together?
  14. Pronounced neonatal breast enlargement beyond the first week of life and its regression correlates with serum prolactin levels – a case series
  15. A successful liver transplantation in a patient with neonatal-onset carbamoyl phosphate synthetase-1 deficiency
  16. Corrigendum
  17. New data supporting that early diagnosis and treatment are possible and necessary in intracellular cobalamin depletion: the case of transcobalamin II deficiency
https://doi.org/10.1515/jpem-2024-0272
Schlagwörter für diesen Artikel
pubertal developmental scale; hormones levels; Tanner-derived composite stage; puberty category scores; ultrasound-derived composite stage

Artikel in diesem Heft

  1. Frontmatter
  2. Review
  3. Refractory hypothyroidism in children: an overview
  4. Original Articles
  5. Oral glucose tolerance test curve shape in Mexican children and adolescents with and without obesity
  6. Reliability of self-reported pubertal development scale for girls in early adolescent: a school population-based study
  7. Allergic reactions to enzyme replacement therapy in children with lysosomal storage diseases and their management
  8. The role of Cardiotrophin-1 and echocardiography in early detection of subclinical diabetic cardiomyopathy in children and adolescents with type 1 diabetes mellitus
  9. Evaluation of the etiology of subclinical hypothyroidism in children
  10. Long-term efficacy and safety of PEGylated recombinant human growth hormone in treating Chinese children with growth hormone deficiency: a 5-year retrospective study
  11. Case Reports
  12. Effective and safe use of sirolimus in hyperinsulinemic hypoglycaemia refractory to medical and surgical therapy: a case series and review of literature
  13. Diabetes and CFAP126 gene mutation; are they really linked together?
  14. Pronounced neonatal breast enlargement beyond the first week of life and its regression correlates with serum prolactin levels – a case series
  15. A successful liver transplantation in a patient with neonatal-onset carbamoyl phosphate synthetase-1 deficiency
  16. Corrigendum
  17. New data supporting that early diagnosis and treatment are possible and necessary in intracellular cobalamin depletion: the case of transcobalamin II deficiency
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