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A study of factors influencing advanced puberty

Korean Journal of Pediatrics 2010;53(2):146-151.
Published online February 15, 2010.
A study of factors influencing advanced puberty
Yong Jun Park, Chang Min Moon, Hwang Jae Yoo
Department of Pediatrics, College of Medicine, Kwandong University, Goyang, Korea
사춘기 조기발현에 영향을 주는 인자에 대한 연구
박용준, 문창민, 유황재
관동대학교 의과대학 소아과학교실
Correspondence: 
Hwang Jae Yoo, Tel: +82.31-810-5410, Fax: +82.31-969-0500, Email: heavendoctor@kd.ac.kr
Abstract
Purpose
: The purpose of this study was to evaluate the timing of puberty and the factors inducing advanced puberty in elemental school students of low grades.
Methods
: The 1st, 2nd, and 3rd grade elemental students from the Goyang province were randomly selected, and their sexual maturation rate was assessed by physical examination. After obtaining an informed consent, a questionnaire was administered to the parents; eating habits, lifestyle, use of growth-inducing medication, and present illness of the students were evaluated to determine the factors that induced advanced puberty. The data were statistically analyzed.
Results
: We selected 170 children and the girls:boys sex ratio was 1.2:1. Two 9-year-old boys were in genital stage 2. Two (14.3%) 6-year-old girls, 6 (19.4%) 7-year-old girls, 15 (39.6%) 8-year-old girls, and 4 (57.1%) 9-year-old girls were in breast stage 2. The average pubertal timing predicted for girls was 9.11¡¾1.86 years. The main factors influencing pubertal timing were obesity scale, frequency of eating fast food, and the use of growth-inducing medication. A high rating on the obesity scale and high frequency of eating fast food indicated advanced stage of puberty. Growth-inducing medication induced puberty through obesity.
Conclusion
: We proposed that predictive average pubertal timing in girls was 9.11¡¾1.86 years, which was consistent with the previously reported findings from abroad. The significant influencing factors in advanced puberty were obesity scale and frequency of fast food.
Key Words: Pubertal timing, Puberty


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