Pubarche and Gonadarche Onset and Progression Are Differently Associated With Birth Weight and Infancy Growth

Christine Wohlfahrt-Veje1,2, Jeanette Tinggaard1,2, Anders Juul1,2

  • 1Department of Growth and Reproduction and EDMaRC, Copenhagen University Hospital-Rigshospitalet, DK-2100 Copenhagen, Denmark.

Insights

Higher birth weight and catch-up growth influence puberty timing. These early life factors affect both sexes, impacting the onset and progression of pubertal milestones differently.

Area of Science:

  • Pediatric endocrinology
  • Human growth and development
  • Reproductive health

Background:

  • Early-life growth patterns are debated for their association with puberty timing.
  • Understanding these links is crucial for pediatric health and development.

Purpose of the Study:

  • To investigate associations between birth anthropometry and early growth patterns with pubertal onset and progression.
  • To analyze these relationships in both boys and girls.

Main Methods:

  • Utilized a mother-child cohort with data from birth to adolescence (1997-2013).
  • Assessed pubertal Tanner stages and testicular volume by trained physicians.
  • Employed parametric survival models to analyze birth weight, growth changes (catch-up growth), and pubertal timing.

Main Results:

  • Higher birth weight correlated with earlier thelarche, gonadarche, and testicular volume, but later pubarche and slower progression to menarche in girls.
  • Catch-up growth was linked to earlier pubarche in both sexes and faster progression to menarche in girls.
  • Boys showed earlier gonadarche and testicular volume but later pubarche and later attainment of advanced pubertal stages.

Conclusions:

  • Birth weight and catch-up growth have differential associations with gonadarche and pubarche.
  • The impact on early versus late pubertal markers varied, with similar patterns observed in both sexes.
Abstract

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