SEXUAL DEVELOPMENT OF CONDITIONALLY SOMATICALLY HEALTHY GIRLS IN LVIV REGION DURING PUBERTY
DOI:
https://doi.org/10.11603/1681-2786.2020.4.11905Keywords:
girls, Lviv region, physical development, puberty, thelarche, adrenarche, axillarche, menarcheAbstract
Purpose: to assess the sexual development of conventionally somatically healthy girls in Lviv region during puberty.
Materials and Methods. There were examined 180 conditionally somatically healthy girls from Lviv region aged 12 to 17 years. Anthropometric studies (measuring height, body weight and calculating body mass index, measuring the circumference of the chest, waist, hips) and assessing sexual development based on the aggregate development of secondary sexual characteristics (pubic and axillary hairiness, the development of the mammary glands and the onset of menstruation J. M. Tanner and L.G. Tumilovich) were carried out.
Results. In 92.78 % of cases, puberty of conventionally somatically healthy girls from Lviv region began with thelarche. The average age of onset of thelarche was (10.34±0.05) years, adrenarche – (11.13±0.05) years, axillarche – (11.59±0.07) years, menarche – (12.43±0.04) years. A characteristic feature was the development of thelarche together with pubarche in 51.67 % of girls and axillarche with pubarche – in 39.44 % of girls. Menarche, as a rule, came after thelarche, pubarche and axillarche, with an average body weight of at least 37 kg, most often against the background of still insufficiently developed secondary sexual characteristics. In 3.33 % of cases, an inverted puberty was observed, that is, pubarche was ahead of thelarche. In 5.00 % of girls, the axillarche lagged behind the pubarche by 12 months, in 55.00 % – by 3–6 months, and in 40.00 % of girls it occurred simultaneously with the pubarche. The rates of puberty in the period from 12 years to 17 years were relatively stable, as evidenced by the value of the total score of sexual development in 12-, 13-, 14-, 15-, 16- and 17-year-old girls – the values of the score of sexual development were respectively (4.94±0.37); (7.91±0.58); (11.08±0.25); (11.25±0.20); (11.86±0.10) and (11.98±0.02) points.
Conclusions. The sexual development of conditionally somatically healthy girls in Lviv region corresponds to the established age norms of the Ukrainian population.
References
Vovk, I.B., Kondratiuk, V.K., & Peterburzka, V.F. (2016). Porushennia statevoho rozvytku u divchatok [Sexual development disorders in girls]. Zdorovia Ukrainy – Health of Ukraine, 1 (21), 51-53 [in Ukrainian].
Vovk, I.B., Yuzka, O.M., & Vdovychenka, V.P. (2011). Hinekolohiia dytiachoho i pidlitkovoho viku: pidruchnyk [Gynecology of children and adolescents: a textbook]. Kyiv: VSV «Medytsyna» [in Ukrainian].
Volkova, L.T., Vasileva, V.G., & Slinko, L.I. (1979). Rannyaya diagnostika zaderzhki razvitiya zhenskoy polovoy sistemy: Metodicheskie rekomendatsii MZ USSR [Methodological recommendations of the Ministry of Health of the USSR]. Kharkiv [in Russian].
Sato, S.M., Schulz, K.M., Sisk, C.L, & Wood, R.I. (2008). Adolescents and androgens, receptors and rewards. Horm. Behav., 53 (5), 647-658. DOI: 10.1016/j.yhbeh.2008.01.010.
Abou El Ella, S.S., Barseem, N.F., Tawfik, M.A., & Ahmed, A.F. (2020). BMI relationship to the onset of puberty: assessment of growth parameters and sexual maturity changes in Egyptian children and adolescents of both sexes. J. Pediatr. Endocrinol. Metab., 33 (1), 121-128. DOI: 10.1515/jpem-2019-0119.
Coast, E., Lattof, S.R., & Strong, J. (2019). Puberty and menstruation knowledge among young adolescents in low- and middle-income countries: a scoping review. Int. J. Public Health, 64 (2), 293-304. DOI: 10.1007/s00038-019-01209-0.
De Silva, N.K. (2018). Breast development and disorders in the adolescent female. Best Pract. Res. Clin. Obstet. Gynaecol., 48, 40-50. DOI: 10.1016/j.bpobgyn.2017.08.009.
Harden, K.P., Mann, F.D., Grotzinger, A.D., Patterson, M.W., Steinberg, L., Tackett, J.L., & Tucker-Drob, E.M. (2018). Developmental differences in reward sensitivity and sensation seeking in adolescence: Testing sex-specific associations with gonadal hormones and pubertal development. J. Pers. Soc. Psychol., 115 (1), 161-178. DOI: 10.1037/pspp0000172.
Kota, A.S., & Ejaz, S. (2020). Precocious Puberty. In: StatPearls Treasure Island (FL): StatPearls Publishing (Last Update: July 10, 2020).
Novello, L., & Speiser, P.W. (2018). Premature Adrenarche. Pediatr. Ann., 47 (1), e7-e11. DOI: 10.3928/19382359-20171214-04.
Houghton, L.C., Jung, S., Troisi, R., LeBlanc, E.S., Snetselaar, L.G., Hylton, N.M., ..., & Dorgan, J.F. (2019). Pubertal timing and breast density in young women: a prospective cohort study. Breast Cancer. Res., 21 (1), 122. DOI: 10.1186/s13058-019-1209-x.
Guran, T., Firat, I., Yildiz, F., Kaplan Bulut, I., Dogru, M., & Bereket, A. (2015). Reference values for serum dehydroepiandrosterone-sulphate in healthy children and adolescents with emphasis on the age of adrenarche and pubarche. Clin. Endocrinol. (Oxf)., 82 (5), 712-718. DOI: 10.1111/cen.12612.
Tanner, J.M. (1962). Growth at Adolescence. 2nd ed. Oxford: Blackwell Scientific Publications.
He, F., Guan, P., Liu, Q., Crabtree, D., Peng, L., & Wang, H. (2017). The relationship between obesity and body compositions with respect to the timing of puberty in Chongqing adolescents: a cross-sectional study. BMC. Public Health, 17 (1), 664. DOI: 10.1186/s12889-017-4681-1.
Brix, N., Ernst, A., Lauridsen, L., Parner, E., Støvring, H., Olsen, J., ..., & Ramlau-Hansen, C.H. (2019). Timing of puberty in boys and girls: A population-based study. Paediat. Perinat. Epidemiol., 33 (1), 70-78. DOI: 10.1111/ppe.12507.
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