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Signs of Puberty

Puberty is a critical phase, typically beginning between the ages of 8 and 13 in girls and 9 and 14 in boys, though timing can vary based on genetics, environmental factors, and overall health. This period is characterized by the development of secondary sexual characteristics and the attainment of reproductive potential. Endocrine changes underpin puberty, with hormonal surges of Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) instigated by Gonadotropin-Releasing Hormone (GnRH)...
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Image Acquisition using Portable Sonography for Emergency Airway Management
07:31

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Published on: September 28, 2022

Puberty and upper airway dynamics during sleep.

Preetam Bandla1, Jingtao Huang, Laurie Karamessinis

  • 1Sleep Center, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, PA 19104, USA.

Sleep
|May 7, 2008
PubMed
Summary

Upper airway function declines with age, not pubertal stage. This suggests sex hormones do not significantly alter airway response during puberty. Age-related changes in breathing drive may be responsible.

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Area of Science:

  • Physiology
  • Respiratory Medicine
  • Pediatric Development

Background:

  • Upper airway compensatory response to negative pressure decreases with age.
  • Obstructive sleep apnea epidemiology suggests sex hormones influence upper airway function.
  • Sex hormone levels change significantly during puberty.

Purpose of the Study:

  • To test if upper airway response to negative pressure loading decreases with pubertal development (Tanner stage) in males but remains stable in females.
  • To investigate the role of sex hormones in modulating upper airway function during puberty.

Main Methods:

  • Measured upper airway dynamic function during sleep throughout puberty in healthy individuals (Tanner stages 1-5).
  • Assessed maximal inspiratory airflow and calculated the upstream pressure-flow relationship (SPF) under varying nasal pressure.
  • Correlated SPF with age and Tanner stage.

Main Results:

  • SPF showed a correlation with age and Tanner stage.
  • This correlation with Tanner stage became non-significant after accounting for age.
  • Females exhibited a lower SPF compared to males.

Conclusions:

  • Upper airway response to negative pressure decreases with age, independent of pubertal development.
  • Sex hormones are unlikely to be the primary factor influencing upper airway function changes from childhood to adulthood.
  • Age-related decline in ventilatory drive may reduce upper airway neuromotor tone, affecting function.