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Published on: October 13, 2018
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.
Context:
Controversy exists regarding associations between early-life growth patterns and timing of puberty.
Objective:
This work aims to investigate associations between birth anthropometry, early growth patterns, and onset/progression of pubertal milestones in boys and girls.
Methods:
Among children examined at birth (1997-2003) and at age 36 months in a mother-child cohort, pubertal Tanner stages (B1-5, PH1-5, G1-5) and testicular volume were examined by trained physicians at 1 to 5 follow-up examinations during childhood and adolescence (672 girls and 846 boys, 2006-2013).With parametric survival models we analyzed associations between birth weight, changes in SD scores (SDS) from birth to 36 months (ΔSDS 0-36 > 0.67 SD defining catch-up growth), and age at pubertal onset/attainment of late pubertal stages/menarche.
Results:
A 1-kg higher birth weight was associated with earlier onset of B2+ (thelarche): -3.9 months (CI, -6.7 to -1.1 months), G2+ (gonadarche): -2.7 months (-5.3 to -0.1 months), Tvol3+ (testis size > 3 mL): -2.8 months (CI, -4.9 to -0.7 months), but with later G4+ and PH4+ in boys, and a slower progression from B2 to menarche (5.3 months [CI, 1.2 to 9.4 months]) in girls. Catch-up growth was associated with earlier PH2+ (pubarche) in girls (-4.1 months [CI, -7.6 to -0.6 months]), earlier PH2+ in boys (-3.4 months [CI, -6.6 to -0.2 months]), faster progression from B2 to menarche in girls (-9.1 months [CI, 14.6 to 3.5 months]), and earlier G4+ and PH4+ in boys.
Conclusion:
Associations between birthweight and infancy catch-up growth differed for gonadarche and pubarche, and for early and late pubertal markers, with similar patterns in both sexes.
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