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[Assessment of the effects of age at start of puberty on mental health in pre-adolescence: results of a longitudinal study (1989-1991)].

The transition from childhood to adolescence is widely believed to be a stressful period in which the child faces multiple changes: physical changes, school choices, development of new social roles, and changes in the relation with his or her parents and friends. We investigated the effects of the timing of puberty on mental health, studied in a population of 219 young adolescents who were followed during three years (mean age at the beginning of the study was 12.5 years). The changes in the perception of the individual's body associated with puberty depended on the child's gender. Significant events during puberty had a negative effect on mental health. Although puberty remains a critical period of temporary unstable and fragile transition, most of the young adolescents coped relatively well with the physiological, psychological and social changes they faced.

Adolescent↗

[Improvement of expected and final height in girls with central precocious puberty treated with gonadotropin releasing hormone analogues].

BACKGROUND: To evaluate the effect of GnRH-analogue triptoreline on the predicted adult height and final height in central precocious puberty (CPP). PATIENTS AND METHODS: The study included 14 girls with CPP treated for 1-6 years with triptoreline depot (75 micrograms/kg/28 days/i.m.; group 1). The criteria for diagnosis included the following: compelling evidence of rapid progression of puberty, with a bone age (BA) greater than 2 SD above the mean value for chronological age (CA) associated with poor initial predicted final height and growth speed greater than 2 SD above the mean value for age. In addition we obtained data from 6 untreated girls with advanced puberty and good predicted adult height followed during the same period of time (group II). 7 of 14 girls of group I and 5 of 6 girls of group II attained final height. RESULTS: A decrease in growth speed and an increase and in CA/BA ratio were observed after three years of treatment (+4.9 +/- 0.7 SD to -1.45 +/- 2.63 SD and 0.62 +/- 0.14 to 0.74 +/- 0.09 respectively; P = 0.034; n = 6). The predicted adult height increased significantly after two years of treatment (153.1 +/- 4.49 to 156.94 +/- 5 cm; p = 0.041; n = 10) and was more evident after three years of treatment (153.84 +/- 5.77 to 160.7 +/- 7.5 cm; p = 0.03; n = 6). The final height of 7 girls of group I who attained it was similar to target height (161 +/- 3.1 vs. 159 +/- 1.3 cm; NS) and greater than initial predicted adult height (161 +/- 3.1 vs. 154 +/- 2.1 cm; p = 0.044) and than final height of the 5 girls of group II (161 +/- 3.1 vs. 154.28 +/- 6.1 cm). CONCLUSIONS: Triptorelin depot improves predicted adult height and final height of girls with early central puberty may be over their target height.

Body Height↗

[Tumour-induced precocious puberty. Discussion of the indications for neurosurgery (author's transl)].

The tumour aetiology of precocious puberty is sometimes clinically evident when accompanied by visual disturbances or by raised intracranial pressure. It may be suspected in the presence of accelerated puberty but should also be feared in cases of apparently idiopathic precocious puberty. In the 13 cases studied, the tumour was studied in the posterior hypothalamus. Ten children underwent surgery (with additional radiotherapy in two cases). Two children died, the follow-up varying at present between 2 and 12 years. Amongst the various tumours, the hamartoma has a special nature by virtue of slow or absence of increase in tumour size. When the clinical and radiological signs suggest this type of tumour, abstention from surgery with close observation of the size of the tumour and medical slowing of puberty is advised.

Astrocytoma↗

Hypophosphatemic vitamin D-resistant rickets, precocious puberty, and the epidermal nevus syndrome.

BACKGROUND: The association of multisystem pathologic conditions and epidermal nevi, known as the epidermal nevus syndrome, includes disorders of bone, central nervous system, eye, kidney, vasculature, body symmetry, and skin. Rarely, vitamin D-resistant rickets has been observed in association with this syndrome. Precocious puberty is another rare finding associated with epidermal nevus syndrome, having been observed in 3 patients. OBSERVATION: A female infant with an extensive epidermal nevus, hypophosphatemia, and precocious puberty is described. Despite medical therapy, the patient's phosphate levels continued to be very low (0.87-0.97 mmol/L), establishing the diagnosis of hypophosphatemic vitamin D-resistant rickets. At 21 months of age, areas of the nevus were excised. Laboratory values obtained shortly after the operation showed a significant, but transient, improvement in the serum phosphate level. After a second excision, maintenance of her serum phosphate level in the range of 1.29 to 1.61 mmol/L was possible. CONCLUSIONS: There is evidence that epidermal nevi produce a potent phosphaturic factor. We hypothesize that limited excision debulked the nevus sufficiently to allow medical management of the hypophosphatemia. Surgical intervention should be considered for patients affected with vitamin D-resistant rickets with epidermal nevi. The cause of the precocious puberty is unknown. It may be hypothesized that the nevus released a factor that induced puberty.

Abnormalities, Multiple↗

Assessment of puberty growth spurt in boys and girls--a dental radiographic method.

The first radiographic appearance of adductor sesamoid bone of thumb is considered reliable and is the most commonly used indicator of puberty growth spurt. The purpose of this study was to find out whether the tooth mineralization stage/stages were as reliable an indicator of puberty growth spurt as the adductor sesamoid bone. Puberty assessment has its necessary application in diagnosis, treatment planning of various malocclusions and in medico legal cases. The results indicated that a close relationship existed between tooth mineralization Stage G and appearance of the sesamoid bone. Hence it can be used in dentistry as an indicator for onset of puberty growth spurt via periapical or panoramic radiographs. The result of this study were not applicable to boys as the apical closure of these teeth had already occurred at the time of early radiographic appearance of the adductor sesamoid bone.

Adolescent↗

Puberty-timing is everything!

Puberty is a dynamic period of physical growth, sexual maturation, and psychosocial achievement that generally begins between age 8 and 14 years. The age of onset varies as a function of sex, ethnicity, health status, genetics, nutrition, and activity level. Puberty is initiated by hormonal changes triggered by the hypothalamus. Children with variants of normal pubertal development--both early and late puberty--are common in pediatric practice. Recognizing when variations are normal and when referral for further evaluation is indicated is an important skill.

Adolescent↗

The evolving story of female puberty.

The successful completion of puberty is a pre-requisite for reproduction. Therefore, the gynecologist, who deals daily with reproductive issues, should have a basic knowledge of puberty and the pathology associated with it. The understanding of the basic biological processes involved in pubertal development has advanced considerably in recent years. Also, changes in the timing of normal puberty and modern treatment for pubertal disorders have altered the clinical approach to these problems. In this review we discuss some of the basic science and clinical advances in this field and present the state of the art approach as we see it today.

Adolescent↗

Puberty and its disorders in girls.

Current concepts of normal and pathologic puberty have been reviewed. The key event in normal puberty is the commencement of pulsatile secretion of GnRH during sleep, which leads to augmentation of LH levels with the onset of sleep. Schemata are presented for the initial evaluation of patients with primary amenorrhea and secondary amenorrhea based on whether they are hypoestrogenic or estrogenized. Menstrual abnormalities are also discussed from a diagnosis-based perspective. The role of the bone age in differential diagnosis of pubertal disorders is emphasized. The variable presentations of Turner syndrome, hyperprolactinemia, and PCOS are reviewed. Current understanding of the role of undernutrition and stress in anorexia nervosa, psychogenic amenorrhea, and athletic amenorrhea is presented, and management guidelines are reviewed. The evidence that premature pubarche is usually due to premature adrenarche is discussed. The concept that premature thelarche lies on a spectrum between normal and early puberty is discussed. The reader is also reminded that many girls with idiopathic true sexual precocity do not require treatment to preserve height potential.

Adolescent↗

Acceleration and delay of puberty in female mice via urinary chemosignals: age of the urine stimulus.

Five experiments were conducted to test the effects of the age of urine on the acceleration and delay of puberty in female mice resulting from treatment with urinary chemosignals. The chemosignal in the urine of male mice that accelerates female puberty was not affected by remaining exposed to the air at room conditions for up to 7 days, or when dried in air and reconstituted with water. The chemosignal in the urine of grouped female mice that delays puberty in females and the chemosignal present in the urine of pregnant and lactating female mice that accelerates female puberty were affected to varying degrees by exposure to room conditions; at 5-to-7 days of exposure the urine samples lost their capacity to delay or accelerate sexual maturation. These results are in agreement with earlier work indicating that the male chemosignal is not volatile, whereas the substances in urine from grouped females and pregnant or lactating females are more volatile. The results also have implications for interpretations of how the urinary chemosignals may affect the population biology of house mice under natural conditions.

Animals↗

Preweaning stimulation with urinary chemosignals and age of puberty in female mice.

Six experiments were conducted to assess the effects of preweaning stimulation with urinary chemosignals from four different sources on the age of sexual maturation in young female mice. The urinary chemosignals tested were those in male urine, urine from females in estrus, urine from pregnant or lactating females, and urine from females housed in groups. The split-litter technique was used for assigning mice to particular treatments. When treatments were applied during the period from 2 to 11 days postpartum, none of the chemosignals exerted any detectable influence on the age of first vaginal estrus. All 4 chemosignal treatments were effective in altering the age of puberty when treatment was applied daily from Days 12 to 21 postpartum. For urine from males and urine from estrous females, 3 days of treatment during the last 10 days prior to weaning at 21 days of age were sufficient to produce an acceleration of puberty. For urine from pregnant or lactating females, 5 days of treatment just prior to weaning were necessary to produce an acceleration of sexual development. For urine from grouped females, delays in puberty were produced only when the treatment lasted for 7 of the last 10 days prior to weaning. These findings suggest that the preweaning stimulus environment of young female mice may be important for their later sexual development. Further, use of the split-litter technique permitted the determination that variation in the age of puberty was smaller within than between litters; inheritance and/or maternal influences are clearly important factors affecting the age of sexual maturation.

Age Factors↗

Environmental factors and age of puberty in female house mice.

Genetics, urinary chemosignals and related social influences, and ambient conditions affect reproduction in female mice. Five experiments tested the effects of environmental stressors on age at first vaginal estrus in female house mice. Environmental disruption in the form of changing the cage bedding and/or nesting material at various prescribed intervals resulted in different degrees of puberty delay relative to non-disrupted control mice. Disruption in the form of a male chasing the female for one to three 15-min intervals each day or the female being trapped and held in a live-trap for one to three 15-min intervals each day resulted in delays in puberty for treatments involving multiple daily disruptions. Food deprivation, but not water deprivation, influenced the onset of puberty. Variations in temperature and humidity resulted in differences in the age of puberty; low but not high temperatures and extremely low humidity levels delayed sexual maturation.

Animals↗

Expression of epidermal growth factor receptor changes in the hypothalamus during the onset of female puberty.

Recent findings have led to the concept that transforming growth factor alpha (TGF alpha) contributes to the neuroendocrine regulation of female puberty by stimulating the release of luteinizing hormone-releasing hormone (LHRH), the neurohormone controlling sexual development. It was postulated that this effect is mediated by epidermal growth factor receptors (EGFR) and that EGFR may not be located on LHRH neurons, so that TGF alpha-induced LHRH release would require an intermediate cell-to-cell interaction, presumably of glial-neuronal nature. The present study was undertaken to characterize the presence of EGFR in rat hypothalamus and to determine if changes in EGFR gene expression and EGFR protein occur at the time of puberty. RNA blot hybridization demonstrated that the hypothalamus expresses all mRNA species known to encode EGFR. RNase protection assays revealed that alternative splicing of the EGFR primary mRNA transcript occurs in the hypothalamus and produces a predominant transcript encoding the full-length EGFR and a much less abundant, shorter mRNA encoding a truncated, and presumably secreted form of EGFR. EGFR-like immunoreactive material was found in several hypothalamic regions including the organum vasculosum of the lamina terminalis, supraoptic, suprachiasmatic, and paraventricular nuclei, ependymal cells lining the third ventricle, some astrocytes associated with blood vessels, astrocytes of the pial surface, and tanycytes and glial cells of the median eminence (ME). Low levels of EGFR mRNA were detected by hybridization histochemistry in cells of the same areas containing EGFR-like immunoreactivity. Double-immunohistochemistry revealed that even though LHRH neurons are in close proximity to EGFR-positive cells, they do not contain EGFR. In the ME, EGFR-immunonegative LHRH nerve terminals tightly coexist with EGFR-positive cells, presumably tanycytes and glial astrocytes. EGFR mRNA levels measured by quantitative reverse transcription-polymerase chain reaction assay (RT-PCR) in the ME-arcuate nucleus region at the time of puberty decreased in the morning of the first proestrus, i.e., preceding the first preovulatory surge of gonadotropins, and rebounded at the time of the surge. Functional EGFR protein levels, detected by the ability of the receptor to autophosphorylate in response to ligand or divalent antibody-induced activation, changed in a similar manner at the time of puberty. No such changes were observed in the cerebellum, a brain region irrelevant to neuroendocrine reproductive control. These results demonstrate the existence of EGF receptors in the prepubertal female rat hypothalamus and suggest that changes in EGFR gene expression and biologically active EGFR protein contributes to the neuroendocrine process underlying the first preovulatory surge of gonadotropins.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

The effect of tetrathiomolybdate on growth rate and onset of puberty in ewe-lambs.

The effects of intravenous tetrathiomolybdate (TM) treatment on growth rate and onset of puberty in ewe-lambs were investigated in March-born Sulfolk X Mule Lambs. One group (n = 6, mean weight 13.5 +/- 0.9 kg) was treated with 25 mg tetrathiomolybdate intravenously twice weekly for 34 weeks; the second group (n = 6, mean weight 13.5 +/- 0.9 kg) served as controls. TM treatment significantly depressed liveweight gains in the treated group compared with the controls (97.8 +/- 2.5 g/day versus 114 +/- 4.8 g/day respectively, P less than 0.001). Puberty was attained at a significantly earlier age in the controls compared with the TM-treated lambs (245 +/- 4 days versus 268 +/- 7 days respectively, P less than 0.02). The weights at onset of puberty were similar for both groups. The LH responses of the lambs to exogenous oestradiol injections were not significantly affected by TM treatment although the LH peak heights were lower in the TM-treated groups than in the controls. Mean LH pulse frequency and amplitude were similar in both groups. Tetrathiomolybdate treatment affected copper metabolism by significantly depressing (P less than 0.005) the amount of plasma copper soluble in 10% trichloracetic acid. The results of this study show that intravenous tetrathiomolybdate reduces growth rate in ewe-lambs and delays the onset of puberty, although with little effect on the pattern of LH secretion.

Animals↗

Urinary chemosignals and puberty in female house mice: effects of photoperiod and food deprivation.

Urinary chemosignals from male and female house mice alter the age of puberty in females and thus influence the onset of reproductive behavior. These chemosignal phenomena have been examined with respect to a variety of factors pertaining to the social and reproductive biology of the mice. The pair of experiments reported here tested whether two non-social, environmental factors might affect the presence of the chemosignals. Alteration in the photoperiod from the normal 12 hr light/day to 6 hr light/day and restricting food intake every other day significantly altered some of the chemosignal effects on puberty for urine from singly-caged adult male and female mice, but did not change the delay of puberty produced by treatment with urine from grouped females. The results conform with a general hypothesis that the urinary chemosignals in house mice that influence puberty in young females are effective in communicating the adequacy of conditions for reproduction to conspecifics.

Animals↗

Physiological aspects of puberty in group-living stumptail monkeys (Macaca arctoides).

Physiological changes around the time of puberty were studied in a longitudinal manner in male and female stumptail macaques. In the male, testicular descent (mean age 3.3 years) is an early sign of puberty, which coincides with onset of the pubertal spurt in body weight and testis growth and precedes the pubertal rise in plasma testosterone. In the female no clear external signs of puberty have been found. Measurements of plasma progesterone yielded proof of first ovulation (mean age 3.7 years), a late sign of puberty in primates. This event coincided with a fall in the rate of body weight growth at the end of the pubertal growth spurt. Reproductive capacity of both males (first ejaculation) and females (first conception) appears to be reached around the 4th birthday.

Animals↗

Puberty-affecting synthetic analogs of urinary chemosignals in the house mouse, Mus domesticus.

Endocrinologically- and socially-dependent volatile constituents of female mouse urine, identified in a previous study, were tested for their capability to accelerate puberty and extend the estrous period in young females. Several volatile ketones advanced puberty by approximately three days and extended the period of vaginal cornification in 55-75% of exposed females. High High concentrations of these substances were capable of overriding the known puberty-delaying chemosignals. Volatile cyclic enol ethers were also effective in extending estrus, but not puberty acceleration.

Animals↗

The development of puberty and sexual maturity in the Australian Swamp buffalo bull.

Testes from 47 juvenile Swamp buffalo bulls were examined for puberty and sexual maturity histologically and daily sperm production per gram of testis parenchyma was determined by enumeration of elongated spermatids in homogenates of testis parenchyma. Puberty was defined as the attainment of a daily sperm production per gram of testis parenchyma>0.5x10(6). In most bulls, puberty is attained by 24 mo of age, when scrotal circumference (SC) is approximately 16 cm, and liveweight exceeds 135 kg. Sexual maturity was defined as the attainment of adult levels of daily sperm production per gram of testis parenchyma (14x10(6)). In most bulls, this occurs at 30 to 33 mo of age, when SC is in the 17-to 20-cm range, and liveweight generally exceeds 250 kg. There was marked individual variation in age, liveweight and SC at both puberty and sexual maturity.

Journal Article↗

Effect of nutrition and endoparasitic treatment on growth, onset of puberty and reproductive activity in Menz ewe lambs.

Ewe lambs of the Ethiopian Menz breed were assigned at weaning (90+/-3 days) to four levels of nutrition (poor, low, medium and high) to achieve different premating growth rates with or without treatment for endoparasites. A concentrate mixture providing 2.5 Mcal/kg dry matter (DM) metabolizable energy and 15.2 g/kg DM digestible protein was used. Improved nutrition increased lamb postweaning average daily weight gain up to puberty by 6 to 26 g/day and the conception rate to first estrus by 9 to 16% while it reduced the mortality rate by 24 to 31% and age at first lambing by 2 to 5 months. Lambs reached puberty (age at first estrus) at 16.9+/-0.1 kg (+/-SEM) or 60% of mature body weight and 350+/-12 days of age. The onset of puberty was advanced by weaning weight (P<0.05), itself being well correlated with birth weight (r = 0.51, P<0.001), and by level of nutrition (high=299+/-19, medium=301+/-18, low=383+/-23 and poor=454+/-31 days, P<0.001) through enhanced growth rate (r = -0.82, P<0.001). No independent effect of drenching for endoparasites on pubertal development was observed (P>0.05), but its interaction with season-of-birth improved the growth of lambs born during the period of short rains (P<0.05). Overall mean litter size at first lambing was 1.07; the twinning rate was 6.5% and the birth weight was 1.9+/-0.1 kg. Up to 13.4% of newborn lambs, averaging 1.3+/-0.6 kg, died on the day of parturition. The results indicate that improved growth rate and body weight, resulting from better postweaning nutrition, affects the attainment of puberty in Menz ewe lambs. Mitigation of nutrition stress and endoparasitic infection depending on season-of-birth would thus increase the annual reproductive rate of breeding ewes and flock productivity.

Journal Article↗