Department of Pediatrics, Dr. D. Y. Patil Medical College Hospital & Research Center, Pune, Maharashtra, India.
Department of Pediatrics, Bharati Vidyapeeth University Medical College, Pune, Maharashtra, India.
J Pediatr Endocrinol Metab. 2021 Apr 13;34(5):567-572. doi: 10.1515/jpem-2020-0668. Print 2021 May 26.
Pubertal assessment is crucial as puberty is the transition from childhood to adulthood. Pubertal assessment, growth, and secular trend in puberty need to be explored further in India. The objectives were to assess Sexual Maturity Rating (SMR) among children and establish normative data of puberty from western India. We also compared age of attainment of various stages of puberty with BMI and secular trend in menarche.
A cross-sectional observational study was undertaken at a tertiary care pediatric center. The study population were healthy girls and boys between 6 and 18 years. Demographic data was noted. Anthropometry and SMR assessment (Tanner staging) were performed. The age of menarche was noted among the girls and their mothers. Data were analyzed using SPSS 21.
In girls, median age of thelarche, pubarche, and menarche was 9.37 (8.5-10.2), 10.18 (9.87-10.49), and 12.55 years (12.41-12.75) respectively. There was an early appearance of thelarche but menarche was delayed in overweight-obese girls (statistically not significant). Age of menarche showed a shift to left in girls as compared to their mothers (p=0.036). In boys, median age of testicular stage 2 and pubarche was 10.7 (9.9-11.8) and 11.6 years (11.1-12.1) respectively. In overweight-obese boys the pubertal milestones were achieved earlier (statistically not significant).
Normative data on pubertal assessment from western India is presented. Age of menarche shows a shift to left in girls as compared to their mothers. Pubertal milestones were observed at a younger age in overweight obese children which was not significant.
青春期评估至关重要，因为青春期是从儿童期到成年期的过渡。需要进一步在印度探索青春期评估、生长和青春期的长期趋势。目的是评估儿童的性成熟评分 (SMR) 并建立来自印度西部的青春期正常数据。我们还比较了各种青春期阶段达到的年龄与 BMI 和初潮的长期趋势。
这是一项在三级儿科中心进行的横断面观察性研究。研究人群为 6 至 18 岁的健康女孩和男孩。记录人口统计学数据。进行体格测量和 SMR 评估（Tanner 分期）。记录女孩及其母亲的初潮年龄。使用 SPSS 21 分析数据。
在女孩中，初潮、阴毛和初潮的中位年龄分别为 9.37（8.5-10.2）、10.18（9.87-10.49）和 12.55 岁（12.41-12.75）。超重肥胖女孩的初潮出现较早，但初潮较晚（统计学无显著性差异）。与母亲相比，女孩的初潮年龄向左偏移（p=0.036）。在男孩中，睾丸 2 期和阴毛出现的中位年龄分别为 10.7（9.9-11.8）和 11.6 岁（11.1-12.1）。超重肥胖男孩的青春期里程碑更早实现（统计学无显著性差异）。
本文介绍了来自印度西部的青春期评估正常数据。与母亲相比，女孩的初潮年龄向左偏移。超重肥胖儿童的青春期里程碑更早出现，但无统计学意义。
