Self-rated Tanner stage and subjective measures of puberty are associated with longitudinal gonadal hormone changes-Reference-Cited by-同舟云学术

Self-rated Tanner stage and subjective measures of puberty are associated with longitudinal gonadal hormone changes

Published:2019-05-14 Issue:6 Volume:32 Page:569-576
ISSN:2191-0251
Container-title:Journal of Pediatric Endocrinology and Metabolism
language:en
Short-container-title:

Author:

Balzer Ben W.R.¹²³^ORCID,Garden Frances L.⁴⁵,Amatoury Mazen¹,Luscombe Georgina M.⁶,Paxton Karen⁶,Hawke Catherine I.⁶,Handelsman David J.⁷,Steinbeck Katharine S.¹²

Affiliation:

1. Academic Department of Adolescent Medicine , The Children’s Hospital at Westmead , Westmead , Australia

2. University of Sydney , Discipline of Child and Adolescent Health , Westmead , Australia

3. University of New South Wales , School of Women’s and Children’s Health , Randwick , NSW , Australia

4. University of New South Wales , South-Western Sydney Clinical School , Liverpool , NSW , Australia

5. Ingham Institute of Applied Medical Research , Liverpool , NSW , Australia

6. University of Sydney , School of Rural Health, Orange and Dubbo , Dubbo , Australia

7. ANZAC Research Institute , University of Sydney , Concord , NSW , Australia

Abstract

Abstract Introduction In large community-based studies of puberty, Tanner staging by a clinician is often not possible. We compared self-rated Tanner staging and other subjective ratings of pubertal development with serum hormone levels measured by liquid chromatography-tandem mass spectrometry (LC-MS/MS) to reassess the utility of self-rated pubertal stage using highly sensitive and specific hormone analysis. Methods Adolescents and their parents enrolled in the Adolescent Rural Cohort study of Hormones and health, Education, environments and Relationships (ARCHER) answered annual survey questions on pubertal development. Annually, adolescents provided blood samples for serum testosterone and estradiol measured by LC-MS/MS. Results Longitudinally, self-rated Tanner stage was positively associated with serum testosterone and estradiol levels in both sexes. Confirmation by adolescent and parent that puberty had commenced was associated with higher gonadal hormone levels in both sexes. Parent and adolescent responses demonstrated ‘fair’ to ‘moderate’ agreement. Conclusions Over a 3-year follow-up, self-rated Tanner staging and simple questions regarding pubertal onset and development are positively associated with adolescent gonadal hormone concentrations in serum measured by mass spectrometry. Thus, self-report of puberty stage still has a role in large community-based studies where physical examination is not feasible.

Funder

Australian National Health and Medical Research Council

Publisher

Walter de Gruyter GmbH

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism,Pediatrics, Perinatology, and Child Health

Link

https://www.degruyter.com/document/doi/10.1515/jpem-2019-0017/pdf

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