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首页> 外文期刊>Journal of pediatric endocrinology & metabolism: JPEM >Accuracy of self-assessed Tanner staging against hormonal assessment of sexual maturation in overweight African-American children.
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Accuracy of self-assessed Tanner staging against hormonal assessment of sexual maturation in overweight African-American children.

机译：自我评估的Tanner分期对超重非洲裔美国儿童性成熟激素评估的准确性。

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AIM: To evaluate the accuracy of self-reported Tanner (SRT) staging against a proxy method of physician's assessment of sexual maturation, using pubertal hormones in overweight African-American (AA) children. METHODS: Cross-sectional data from 196 children (113 girls, 83 boys) aged 9-11 years, who were 'overweight' (>85th and <95th percentile for age- and gender-matched BMI; n = 43) or 'obese' (>95th percentile; n = 153) were used. Children assessed their breast or genital and pubic hair development using standardized Tanner drawings representing different stages of sexual maturity. SRT data were compared to pubertal stage assessed by measuring fasting serum concentrations of luteinizing hormone (LH) in boys, and LH and estradiol (E2) in girls, which were used to stage children into pubertal stages 1-5. RESULTS: SRT stages of genital and pubic hair assessments in boys, and breast and pubic hair assessments in girls, yielded 15-20% concordance (kappa statistic = 0.02-0.12) compared to their hormone-derived pubertal stages. CONCLUSIONS: Among overweight AA 9-11 year-old children, self-assessment of Tanner staging did not accurately assess their pubertal development when compared to a hormone-derived pubertal assessment method.
机译：目的：在超重的非洲裔美国人（AA）儿童中使用青春期激素，对照医师评估性成熟的代理方法，评估自我报告的Tanner（SRT）分期的准确性。方法：从196名9-11岁的儿童（113名女孩，83名男孩）的横断面数据中，发现他们的“超重”（年龄和性别匹配的BMI分别> 85和95％; n = 43）或“肥胖” '（> 95％; n = 153）。儿童使用代表性成熟不同阶段的标准化Tanner图评估他们的乳房或生殖器和阴毛的发育。通过测量男孩的空腹血清黄体生成素（LH）和女孩的LH和雌二醇（E2）的空腹血清浓度，将SRT数据与青春期进行了比较，这被用来将儿童分入1-5岁。结果：与激素衍生的青春期相比，男孩的生殖器和阴毛评估的SRT阶段，以及女孩的乳房和阴毛评估的SRT阶段的一致性为15-20％（kappa统计= 0.02-0.12）。结论：在超重AA 9-11岁儿童中，与激素衍生的青春期评估方法相比，Tanner分期的自我评估不能准确评估其青春期发育。

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