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Timing and secular trend of pubertal development in Beijing girls

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Abstract

Background

Historical research is limited in changes in pubertal development in Chinese girls. We aimed to identify the timing of pubertal characteristics and the secular trend of menarche age among Beijing girls from the 1980s through the 2000s.

Methods

Six data sets were analyzed, including the Beijing Child and Adolescent Metabolic Syndrome study in 2004, where 9778 Bejing girls aged 6–18 years were studied. The Fetal Origins of Adult Disease study provided retrospective menarche age from 1940 through 1960. Other four studies were conducted in Beijing to obtain supplementary information to assess secular trend in menarche age. Linear regression method was used to analyze the data.

Results

Among Beijing girls in 2004, the median age at menarche was 12.1 years, which was 0.6 years earlier in urban than in rural areas. The median age at Breast Tanner Stage 2 was 9.5±1.2 years, representing 9.4±1.1 years and 9.6±1.2 years for urban and rural girls, respectively. In contrast, the median age at Pubic Hair Tanner Stage 2 was 11.1±1.1 years, representing 10.8±1.1 and 11.4±1.1 years for urban and rural girls, respectively. The menarche age of urban girls decreased by 4.2 months per decade, and that of rural girls by 9.6 months per decade from 1980 to 2004.

Conclusions

Urban girls mature earlier than rural girls in Beijing. A secular trend towards earlier menarche was observed between the 1980s and the 2000s.

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References

  1. Mao SH, Li HB, Jiang J, Sun X, Cheng JC, Qiu Y. An updated analysis of pubertal linear growth characteristics and age at menarche in ethnic Chinese. Am J Hum Biol 2011;23:132–137.

    Article  PubMed  Google Scholar 

  2. Tanner JM. Growth at adolescence. Oxford: Blackwell, 1962.

    Google Scholar 

  3. Karapanou O, Papadimitriou A. Determinants of menarche. Reprod Biol and Endocrinol 2010;8:115–122.

    Article  Google Scholar 

  4. Wyshak G, Frisch RE. Evidence for a secular trend in age of menarche. N Engl J Med 1982;306:1033–1035.

    Article  CAS  PubMed  Google Scholar 

  5. Marshall WA, Tanner JM. Puberty. In: Falkner F, Tanner JM, eds. Human growth: a comprehensive treatise. New York and London: Plenum Press, 1986: 171–210.

    Google Scholar 

  6. de Muinich Keizer SM, Mul D. Trends in pubertal development in Europe. Hum Reprod Update 2001;7:287–291.

    Article  PubMed  Google Scholar 

  7. Euling SY, Herman-Giddens ME, Lee PA, Selevan SG, Juul A, Sørensen TI, et al. Examination of US puberty-timing data from 1940 to 1994 for secular trends: panel findings. Pediatrics 2008;121:S172–S191.

    Article  Google Scholar 

  8. Parent AS, Teilmann G, Juul A, Skakkebaek NE, Toppari J, Bourguignon JP. The timing of normal puberty and the age limits of sexual precocity: variations around the world, secular trends, and changes after migration. Endocr Rev 2003;24:668–693.

    Article  PubMed  Google Scholar 

  9. Wang Y. Is obesity associated with early sexual maturation? A comparison of the association in American boys versus girls. Pediatrics 2002;110:903–910.

    Article  PubMed  Google Scholar 

  10. Wronka I. Growth and development of overweight and obese girls. Pediatr Endocrinol Diabetes Metab 2011;17:125–128.

    PubMed  Google Scholar 

  11. Li Y, Sun CH, Wen Y, Cui WX. A study on the factors influencing insulin resistance in children and adolescents. Chin J Prev Med 2004;38:234–236.

    CAS  Google Scholar 

  12. Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS. Relation of age at menarche to race, time period, and anthropometric dimensions: the Bogalusa Heart Study. Pediatrics 2002;110:e43.

    Article  PubMed  Google Scholar 

  13. Chen FF, Mi J, Wang TY, Li H, Hou DQ, Cheng H, et al. Relationship between precocious puberty and obese status in Beijing children and adolescents. Chin J Evid Based Pediatr 2007;2:14–20.

    Google Scholar 

  14. Mi J, Cheng H, Hou DQ, Duan JL, Teng HH, Wang YF. Prevalence of overweight and obesity among children and adolescents in Beijing in 2004. Chin J Epidemiol 2006;27:469–474. [In Chinese]

    Google Scholar 

  15. Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in girls. Arch Dis Child 1969;44:291–303.

    Article  CAS  PubMed  Google Scholar 

  16. Mi J, Cheng H, Zhao XY, Hou DQ, Chen FF, Zhang KL. Developmental origin of metabolic syndrome: interaction of thinness at birth and overweight during adult life in Chinese population. Obes Rev 2008;suppl 1:91–94.

    Article  Google Scholar 

  17. Research Group for the Physical Fitness and Health of Chinese School Students. Report on the physical fitness and health surveillance of Chinese school students, 1985. Beijing: High Education Press, 1987.

    Google Scholar 

  18. Research Group for the Physical Fitness and Health of Chinese School Students. Report on the physical fitness and health surveillance of Chinese school students, 1991. Beijing: Beijing Technology Press, 1993.

    Google Scholar 

  19. Research Group for the Physical Fitness and Health of Chinese School Students. Report on the physical fitness and health surveillance of Chinese school students, 2000. Beijing: High Education Press, 2002.

    Google Scholar 

  20. Cui MY, Xu JJ, Chen LZ, Wang YF, Mao ZR, Li SW, et al. Mean age at menarche of thirteen nationalities in China. Acta Genetica Sinica 1982;9:487–495.

    Google Scholar 

  21. Ji CY, Cheng TO. Epedemic increase in overweight and obesity in Chinese children from 1985 to 2005. Int J Cardiol 2009;132:1–10.

    Article  Google Scholar 

  22. World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser 1995: 854.

    Google Scholar 

  23. Huen KF, Leung SS, Lau JT, Cheung AY, Leung NK, Chiu MC. Secular trend in the sexual maturation of southern Chinese Girls. Acta Paediatr 1997;86:1121–1124.

    Article  CAS  PubMed  Google Scholar 

  24. Herman-Giddens ME, Slora EJ, Wasserman RC, Bourdony CJ, Bhapkar MV, Koch GG, et al. Secondary sexual characteristics and menses in young girls seen in office practice: a study from the pediatric research in office settings network. Pediatrics 1997;99:505–512.

    Article  CAS  PubMed  Google Scholar 

  25. Mul D, Fredriks AM, van Buuren S, Oostdijk W, Verloove-Vanhorick SP, Wit JM. Puberty development in the Netherlands 1965–1997. Pediatr Res 2001;50:479–486.

    Article  CAS  PubMed  Google Scholar 

  26. Damon A, Damon ST, Reed RB, Valadian I. Age at menarche of mothers and daughters, with a note on accuracy of recall. Hum Biol 1969;41:160–175.

    CAS  PubMed  Google Scholar 

  27. Bergsten-Brucefors A. A note on accuracy of recalled age at menarche. Ann Hum Biol 1976;3:71–73.

    Article  CAS  PubMed  Google Scholar 

  28. Ye GS, Lin ZZ, Lin WS, Li BW, Tang XW, Bian GN. A study of Beijing student adolescence. Chin Med J 1981;94:101–108.

    CAS  PubMed  Google Scholar 

  29. Eveleth PB, Tanner JM. Worldwide variation in human growth. UK: Cambridge University Press, 1976.

    Google Scholar 

  30. Elks CE, Ong KK. Whole genome associated studies for age at menarche. Brief Funct Genomics 2011;10:91–97.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Epidemiology, Capital Institute of Pediatrics, Beijing, China

    Fang-Fang Chen & Jie Mi

  2. Johns Hopkins, Global Center for Childhood Obesity, Department of International Health, Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA

    You-Fa Wang

  3. Department of Epidemiology, Capital Institute of Pediatrics, Yabao Road 2, Chaoyang District, Beijing, China

    Jie Mi

Authors
  1. Fang-Fang Chen
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  2. You-Fa Wang
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  3. Jie Mi
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Correspondence to Jie Mi.

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Chen, FF., Wang, YF. & Mi, J. Timing and secular trend of pubertal development in Beijing girls. World J Pediatr 10, 74–79 (2014). https://doi.org/10.1007/s12519-014-0456-2

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  • DOI: https://doi.org/10.1007/s12519-014-0456-2

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