Accuracy of Pubertal Tanner Staging Self-Reporting

Desmangles, Jean Claude; Lipaczewski, Gina; Haynatzki, Gleb

doi:10.1515/jpem.2006.19.3.213

Cited by 99 publications

(85 citation statements)

References 6 publications

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“…These data significantly differ from those published by Saito,6 who found good concordance between objective assessment and self-assessment of pubertal development in a considerably smaller outpatient population of adolescents using similar pictures to those shown in the present study. The results also differ from the data described by Desmangles et al 20 in 2006, in which these authors concluded that self-assessment of pubertal development in a North American population was not reliable, bearing some resemblance to the results published by Martin et al, 22 who observed significant, but moderate, concordance between objective assessment and self-assessment of boys by means of pictures and drawings.…”

Section: Discussioncontrasting

confidence: 97%

Comparação entre avaliação objetiva e autoavaliação da maturação sexual em crianças e adolescentes

Azevedo¹,

Brasil²,

Macedo³

et al. 2009

J. Pediatr. (Rio J.)

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Objective: To assess the correlations between objective assessment and self-assessment of sexual maturation in the outpatient and school settings. Methods:Three hundred and nineteen individuals, 178 (96 boys and 82 girls) from an outpatient clinic and 141 (73 boys and 68 girls) from public schools (8.3-18.7 years), of whom 73 individuals (39 girls an d 34 boys) had a body mass index above the 85th percentile, according to 2000 CDC Growth Chart, were analyzed. All of them were examined sequentially and individually by two trained physicians after a written consent form was signed by parents or surrogates, and then submitted to self-assessment using pictures (Tanner stages). Kappa coefficients between examiners and the self-assessment were calculated based on the collected data. A p value < 5% was established as statistically significant. Conclusions:In the studied sample, self-assessment of the pubertal stage should not replace the objective assessment made by trained professionals. Improvement of the self-assessment method may validate its use in population-based studies.J Pediatr (Rio J). 2009;85(2):135-142: Puberty, sexual development, assessment.

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Section: Discussioncontrasting

confidence: 97%

Comparação entre avaliação objetiva e autoavaliação da maturação sexual em crianças e adolescentes

Azevedo¹,

Brasil²,

Macedo³

et al. 2009

J. Pediatr. (Rio J.)

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“…40 All devices were calibrated by measuring BP in five resting individuals using 20 devices (two were bought by each center) following the procedure in the operations manual; we observed no significant differences between devices ( Table 2). The interdevice coefficient of variation was o 5% for measurements of SBP, DBP and heart rate.…”

Section: Methodsmentioning

confidence: 78%

Socioeconomic questionnaire and clinical assessment in the HELENA Cross-Sectional Study: methodology

et al. 2008

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Rationale: Environmental factors such as dietary habits, breastfeeding, socioeconomic conditions and educational factors are strong influences on nutritional and puberty status, physical activity, food choices and their interactions. Several diseases of adulthood seem to be linked to, or to originate from, lifestyle in childhood and adolescence. Objective: The aims of this study are to describe birth parameters and socioeconomic factors and to assess clinical status in adolescents aged 13-16 years from 10 European countries participating in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Cross-Sectional Study (CSS). Methodology: A self-report questionnaire on the socioeconomic status, a parental questionnaire concerning neonatal period and also a case report form (CRF), in which clinical items during clinical examination (such as medical history, treatments, anthropometry, Tanner staging, blood pressure, heart rate) were assessed. To develop these documents, first a list of items was established, a search of existing documents was performed and the advice of local and international experts was taken. All documents (questionnaires and an operations manual) were discussed in plenary HELENA meetings; a final version of these documents was fixed, and the process of translation and back translation was performed. Results:The questionnaires and CRF were tested for validation in all 10 participant cities; 208 adolescents were enrolled during the pilot study. All items that caused problems or questions in one or more participating centers or were completed by o 85% of the adolescents were reviewed before the beginning of the HELENA-CSS. Conclusion: These final questionnaires and CRF will contribute to better understanding of the inequalities in nutrition, behavior and health in the European adolescent population. The experience and process should be useful for other multicenter studies.

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“…19,28,31 In contrast, the boys tended to overestimate genital and pubic hair stage, which has also been reported previously. [18][19][20]31 Age had a significant influence on pubertal self-assessment, in that the children who underestimated physical development tended to be younger, whereas older children tended to overestimate. We therefore hypothesize that older prepubertal boys overestimate and younger pubertal girls underestimate because they had a preconceived expectation to be at the same development stage as their peers.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies found reasonable agreement between self-assessment and examination by a physician, [13][14][15][16] whereas others found discrepancies. [17][18][19][20] Most studies include few children (girls, n = 37-182; boys, n = 23-172) in view of the broad age range of puberty. We therefore aimed to validate selfassessment of sexual maturation compared with clinical examination by trained physicians in a large cohort of boys and girls.…”

mentioning

confidence: 99%

Validity of Self-Assessment of Pubertal Maturation

et al. 2015

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BACKGROUND AND OBJECTIVES: Studies of adolescents often use self-assessment of pubertal maturation, the reliability of which has shown conflicting results. We aimed to examine the reliability of child and parent assessments of healthy boys and girls.METHODS: A total of 898 children (418 girls, 480 boys, age 7.4-14.9 years) and 1173 parents (550 daughters, 623 sons, age 5.6-14.7 years) assessed onset of puberty or development of breasts, genitals, and pubic hair according to Tanner stages by use of a questionnaire and drawings. Physicians' assessments were blinded and set as the gold standard. Percentage agreement, k, and Kendall's correlation were used to analyze the agreement rates.RESULTS: Breast stage was assessed correctly by 44.9% of the girls (k = 0.28, r = 0.74, P , .001) and genital stage by 54.7% of the boys (k = 0.33, r = 0.61, P , .001). For pubic hair stage 66.8% of girls (k = 0.55, r = 0.80, P , .001) and 66.1% of boys (k = 0.46, r = 0.70, P , .001) made correct assessments. Of the parents, 86.2% correctly assessed onset of puberty in girls (k = 0.70, r = 0.71, P , .001) and 68.4% in boys (k = 0.30, r = 0.37, P , .001). Children who underestimated were younger and children who overestimated older than their peers who made correct assessments. Girls and their parents tended to underestimate, whereas boys overestimated their pubertal stage.CONCLUSIONS: Pubertal assessment by the child or the parents is not a reliable measure of exact pubertal staging and should be augmented by a physical examination. However, for large epidemiologic studies self-assessment can be sufficiently accurate for a simple distinction between prepuberty and puberty.WHAT'S KNOWN ON THIS SUBJECT: Many population-based studies including pubertal children are based on self-assessment of pubertal maturation, the reliability of which is uncertain.WHAT THIS STUDY ADDS: Self-assessment is not reliable for precise pubertal staging. Simple distinctions between prepuberty and puberty showed moderate agreement with clinical examinations. Parents and girls tended to underestimate and boys to overestimate pubertal development by up to 50% and 30%, respectively.

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Accuracy of Pubertal Tanner Staging Self-Reporting

Abstract: The results of this analysis suggest that self-rated Tanner pubertal staging is not influenced by age and is not a reliable method of assessing Tanner stage.

Cited by 99 publications

References 6 publications

Comparação entre avaliação objetiva e autoavaliação da maturação sexual em crianças e adolescentes

Comparação entre avaliação objetiva e autoavaliação da maturação sexual em crianças e adolescentes

Socioeconomic questionnaire and clinical assessment in the HELENA Cross-Sectional Study: methodology

Validity of Self-Assessment of Pubertal Maturation

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