Adapted version of the Pubertal Development Scale for use in Brazil

Pompéia, Sabine; Zanini, Gislaine de Almeida Valverde; Freitas, Rafaella Sales de; Inacio, Luanna Maristella; Silva, Flávia Calanca da; Souza, Giovana Ribeiro de; Vitalle, Maria Sylvia de Souza; Niskier, Sheila Rejane; Cogo-Moreira, Hugo

doi:10.11606/s1518-8787.2019053000915

Cited by 15 publications

(10 citation statements)

References 34 publications

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“…Few studies have reported the agreement between youth-assessed puberty using the PDS and clinicianassessed puberty [13,14,27,28]. Furthermore, comparing the current study to those in the literature is problematic owing to the use of different agreement statistics and to the use of five-point over three-point puberty development scales.…”

Section: Discussionmentioning

confidence: 83%

“…One study conducted in the USA reported a moderate strength of agreement (κ = 0.57; 95% CI: 0.49-0.66), but this kappa coefficient was unweighted and not stratified by sex thereby limiting the sex-wise comparison to the current study [27]. Conversely, a Brazilian study reported high levels of agreement but used intraclass correlation coefficients of 0.82 for boys (95% CI: 0.70-0.90) and of 0.81 for girls (95% CI: 0.70-0.89) [13]. Older PDS agreement studies map the PDS onto the five-point Tanner stages.…”

Section: Discussionmentioning

confidence: 92%

“…In the current study, modification to the PDS included removal of the questions about the pubertal growth spurt and acne. Supporting these modifications is a systematic review that observed a weak association of acne with timing of puberty especially among different ethnic groups [12] and two studies that reported poor correlations between growth spurt and PDS scores [13,14]. All responses were dichotomous (yes/no) and categorized onto a three-point scale outlined by the UK Royal College of Physicians [15].…”

Section: Self-assessment Of Pubertal Milestonesmentioning

confidence: 99%

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Self-assessed puberty is reliable in a low-income setting in rural Pakistan

Campisi

Humayun

Wasan

et al. 2020

Journal of Pediatric Endocrinology and Metabolism

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ObjectivesStaging sexual maturation is an integral component of adolescent research. The Pubertal Development Scale (PDS) is commonly used as a puberty self-assessment tool because it avoids the use of images. Among the youth living in rural Pakistan, we determined the accuracy of self-reported pubertal assessments using a modified PDS compared to the ‘gold standard’ of physically assessed Tanner stages by a physician.MethodsThe strength of agreement between self-assessed puberty using a modified PDS and the ‘gold’ standard of physician-assessed Tanner stages was reported using weighted kappa (κw) for girls (n = 723) of 9.0–14.9 years of age or boys (n = 662) of 10.0–15.9 years of age living in the rural District of Matiari.ResultsAgreement between the gold standard and self-assessment for puberty was substantial, with a κw of 0.73 (95% confidence interval [CI]: 0.67; 0.79) for girls and a κw of 0.61 (95% CI: 0.55; 0.66) for boys. Substantial agreement was observed for both boys and girls classified as thinness but only for girls with a normal body mass index. Those who were classified as severely thin had moderate agreement. The prevalence of overestimation was 18.5% (95% CI: 15.9–21.5) for girls and 2.7% (95% CI: 1.7–4.3) for boys, while the prevalence of underestimation estimation was 8.0% (95% CI: 6.2–10.2) for girls and 29.0% (95% CI: 25.8–32.6) for boys.ConclusionsMost girls and boys assessed their pubertal development with substantial agreement with physician assessment. Girls were better able to assess their puberty, but they were more likely to overestimate. Agreement for boys was also substantial, but they were more likely to underestimate their pubertal development. In this rural Pakistan population, the PDS seems to be a promising tool for self-assessed puberty.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 92%

Section: Self-assessment Of Pubertal Milestonesmentioning

confidence: 99%

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Self-assessed puberty is reliable in a low-income setting in rural Pakistan

Campisi

Humayun

Wasan

et al. 2020

Journal of Pediatric Endocrinology and Metabolism

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“…Informed participant assent was always confirmed before test administration. Participants answered a socio-demographic questionnaire, self-evaluated their puberal status filling in the 5-item Pubertal Development Scale [PDS, adapted from Carskadon et al, 1993 into Portuguese by Pompéia, 2019 ] and were administered the FREE executive function tasks in four pseudorandom orders to avoid the effects of fatigue. Participants from the supervised online group (hereafter called as “online group”) were recruited through contact from their schools and social media after the authorities introduced social distancing and closed schools due to the COVID-19 pandemic.…”

Section: Methodsmentioning

confidence: 99%

Feasibility of Remote Performance Assessment Using the Free Research Executive Evaluation Test Battery in Adolescents

Segura

Pompéia

2021

Front. Psychol.

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Lockdowns and other preventive measures taken to curb the spread of diseases such as COVID-19 have restricted the use of face-to-face cognitive assessment. Remote testing may be an alternative, but it should first be shown to be comparable to in-person assessment before being used more widely, during and after the pandemic. Our aim was to evaluate the suitability of online, examiner-mediated administration of an open-access battery of executive function tests (the Free Research Executive Evaluation battery, or FREE) that can be adapted considering various characteristics of diverse populations and therefore used worldwide. A total of 96 9–15-year olds (42 girls) were tested, half of whom online through video calls mediated by an examiner. Their performance was compared to that of the other 48 individuals tested face-to-face, who were matched against the online-tested participants for age, pubertal status, sex, and parental schooling. The battery consists of two tests of the following executive domains: Updating (2-Back and Number Memory tests), Inhibition (Stroop Victoria and Stroop Happy-Sad), and Switching (Color Shape and Category Switch). Answers were vocal and self-paced, and the examiner recorded accuracy and time taken to complete in-person and online tasks. Only free software is needed for the assessment. Executive measures obtained from the tasks did not differ statistically between online and in-person tested participants and effects sizes of group effects were small, thus showing that the FREE test battery holds promise for online cognitive assessment, pending confirmation in different samples and further validation studies.

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“…Pubertal status was self-assessed using the PDS, adapted from Carskadon and Acebo (1993) for local use by Pompeia et al (2019). The scale contains a series of questions regarding the development of secondary sexual characteristics, assessing characteristics related to both gonadal and adrenal factors: body hair development, growth spurt and skin changes for participants of both sexes, voice changes and facial hair growth for boys, and breast growth in girls.…”

Section: Methodsmentioning

confidence: 99%

Sex-specific association between urinary kisspeptin and pubertal development

Freitas

França

Pompéia

2021

Preprint

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Kisspeptins are critical neuropeptides for puberty onset and progression, playing a pivotal role in the reactivation of the hypothalamus-pituitary-gonadal axis in late childhood. Despite their importance, little is known as to how kisspeptin peripheral concentrations are related to sexual maturation in humans, specially using non-invasive measures that allow more widespread testing. Using a cross-sectional design, we investigated whether peripheral kisspeptin concentrations, measured by enzyme-linked immunosorbent assays (ELISA) in two-hour retention midstream urine, are associated with developmental markers in 209 (120 girls) typically developing, 9 to 15-year-olds. Developmental variables were age, self-reported pubertal status using the Pubertal Development Scale, and saliva concentrations of hormones that indicate gonadal (testosterone) and adrenal (dehydroepiandrosterone sulfate) functioning. We found marked sexual differences in urine kisspeptins (controlled for body mass index and socioeconomic status). While concentrations were similar in both sexes until the age of around 12 years, in males there was a positive linear correlation with all developmental measures thereafter, while in girls, kisspeptin concentrations did not change. Our results are in line with those of previous studies using more invasive methods (e.g. blood samples). We conclude that kisspeptin concentrations from two-hour retention midstream urine have potential in exploring sex-specific peripheral action of these peptides.

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Adapted version of the Pubertal Development Scale for use in Brazil

Cited by 15 publications

References 34 publications

Self-assessed puberty is reliable in a low-income setting in rural Pakistan

Self-assessed puberty is reliable in a low-income setting in rural Pakistan

Feasibility of Remote Performance Assessment Using the Free Research Executive Evaluation Test Battery in Adolescents

Sex-specific association between urinary kisspeptin and pubertal development

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