Nottelmann E D, Susman E J, Dorn L D, Inoff-Germain G, Loriaux D L, Cutler G B, Chrousos G P
J Adolesc Health Care. 1987 May;8(3):246-60. doi: 10.1016/0197-0070(87)90428-1.
Cross-sectional data are presented on 108 young adolescents (56 boys, 52 girls), ages 9 to 14 years. The measures were: for all subjects, pubertal stage (Tanner criteria for genital/breast and pubic hair stage); height and weight; serum hormone concentrations for gonadotropins (luteinizing hormone and follicle-stimulating hormone), sex steroids (testosterone, estradiol, and the computed testosterone to estradiol ratio), adrenal androgens (dehydroepiandrosterone, dehydroepiandrosterone sulfate, and androstenedione), and testosterone-estradiol binding globulin. In addition, testicular volume for boys and menarchial status for girls are reported. The study goal was to provide interrelations among these measures, based on the same sample, and examine their interchangeability. Results suggest that it would be reasonable to compare research across as well as within studies based on different markers. Multiple regression analysis showed that the strongest hormone correlates of pubertal development were androgen levels (primarily testosterone in boys and primarily dehydroepiandrosterone sulphate and androstenedione in girls). Estradiol level in girls was the strongest correlate only for menarchial status. Level of testosterone-estradiol binding globulin, which was lower at successive pubertal stages for boys and showed no consistent differences for girls, may be a useful measure for studying the developmental processes and gender differences during puberty.
研究呈现了108名9至14岁青少年(56名男孩,52名女孩)的横断面数据。测量指标包括:所有受试者的青春期阶段(根据坦纳标准评估生殖器/乳房和阴毛发育阶段);身高和体重;促性腺激素(黄体生成素和卵泡刺激素)、性类固醇(睾酮、雌二醇以及计算得出的睾酮与雌二醇比值)、肾上腺雄激素(脱氢表雄酮、硫酸脱氢表雄酮和雄烯二酮)以及睾酮-雌二醇结合球蛋白的血清激素浓度。此外,还报告了男孩的睾丸体积和女孩的月经初潮状态。研究目的是基于同一样本提供这些测量指标之间的相互关系,并检验它们的可互换性。结果表明,基于不同标志物在不同研究之间以及同一研究内部进行比较是合理的。多元回归分析显示,青春期发育最强的激素相关指标是雄激素水平(男孩主要是睾酮,女孩主要是硫酸脱氢表雄酮和雄烯二酮)。女孩的雌二醇水平仅在月经初潮状态方面是最强的相关指标。睾酮-雌二醇结合球蛋白水平在男孩青春期各阶段依次降低,而女孩则无一致差异,它可能是研究青春期发育过程和性别差异的有用指标。