早期青春期女孩自我报告的青春期发展尺度的可靠性:一项基于学校人口的研究
Cuilan Lin1, Dongxue Pan2, Tingting Yu3,4
1Boai Hospital of Zhongshan, Zhongshan City, Guangdong Province, China.
Journal of pediatric endocrinology & metabolism : JPEM
|September 11, 2024
概括
自我报告的青春期发育尺度 (PDS) 显示,在早期青春期女孩中,与坦纳分期的相关性很弱. 然而,对于超重/肥胖的女孩来说,PDS可能更可靠,尤其是在考虑激素水平和超声数据时.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 青少年健康 青少年健康
- 公共卫生研究 公共卫生研究
背景情况:
- 青春期发育评估对于识别生长障碍至关重要.
- 早期干预需要准确的分期方法.
- 自我报告问卷为临床评估提供了一个潜在的替代方案.
研究的目的:
- 评估自我报告的青春期发育量表 (PDS) 和儿科医生评估的女孩Tanner分期之间的相关性.
- 为了确定PDS的可靠性,特别是在超重/肥胖的青少年中.
主要方法:
- 一项基于学校的中国研究,涉及1722名女生 (1-3年级).
- 参与者在体检前填写了PDS问卷.
- 儿科医生和超声波 (超重/肥胖女孩) 评估乳腺发育;评估阴毛发育;测量一些参与者的激素水平 (FSH,LH).
主要成果:
- 在所有女孩 (τ=0.288) 中,发现坦纳衍生复合阶段 (TDCS) 和青春期类别分数 (PCS) 之间存在微弱的关联.
- 在超重/肥胖女孩中,超声波衍生复合阶段 (UDCS) 与PCS相关 (τ=0.314).
- 在超重/肥胖女孩中,PCS与LH正相关 (r=0.265);当使用UDCS作为黄金标准 (90%PPV) 时,PCS显示出比TDCS更高的青春期开始的预测值.
结论:
- 自我报告的PDS (PCS) 和Tanner分期 (TDCS) 之间的相关性在早期青春期的女孩中很弱.
- 对于超重/肥胖的女孩来说,PDS (PCS) 在评估青春期发育方面似乎比TDCS更可靠,特别是当它与荷尔蒙和超声波数据相补充时.
- 这表明PDS在特定人群中可能是一个有价值的查工具.
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