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. 2019 Jun 26;32(6):569-576.
doi: 10.1515/jpem-2019-0017.

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

Ben W R Balzer  1   2   3 , Frances L Garden  4   5 , Mazen Amatoury  1 , Georgina M Luscombe  6 , Karen Paxton  6 , Catherine I Hawke  6 , David J Handelsman  7 , Katharine S Steinbeck  1   2
Affiliations

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

Ben W R Balzer et al. J Pediatr Endocrinol Metab. .

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.

Keywords: Tanner stage; adolescent; gonadal hormones; puberty.

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References

    1. Lakshman R, Forouhi NG, Sharp SJ, Luben R, Bingham SA, et al. Early age at menarche associated with cardiovascular disease and mortality. J Clin Endocrinol Metab 2009;94:4953–60.
    1. Spear LP. The adolescent brain and age-related behavioral manifestations. Neurosci Biobehav Rev 2000;24:417–63.
    1. Dorn LD, Dahl RE, Williamson DE, Birmaher B, Axelson D, et al. Developmental markers in adolescence: implications for studies of pubertal processes. J Youth Adolesc 2003;32:315–24.
    1. Dorn LD, Dahl RE, Woodward HR, Biro F. Defining the boundaries of early adolescence: a user’s guide to assessing pubertal status and pubertal timing in research with adolescents. Appl Dev Sci 2006;10:30–56.
    1. Petersen A, Crockett L, Richards M, Boxer A. A self-report measure of pubertal status: reliability, validity, and initial norms. J Youth Adolesc 1988;17:117–33.

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