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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Pubertal Status Predicts Back Pain, Overtiredness, and Dizziness in American and Dutch Adolescents
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Pubertal Status Predicts Back Pain, Overtiredness, and Dizziness in American and Dutch Adolescents

机译：青春期状态预测美国和荷兰青少年的腰背痛，过度劳累和头晕

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OBJECTIVE: Functional somatic symptoms, symptoms for which no organic pathologic basis can be found, are more prevalent in girls than in boys, and this difference tends to increase during adolescence. This might be explained, at least in part, by pubertal development. We hypothesized that pubertal maturation predicts the development of most functional somatic symptoms and that this especially is true for girls. METHOD: We used 2 longitudinal population-based studies to examine our hypotheses: the Longitudinal Study of Pain in Adolescents in Seattle (n = 1996 [49.7% girls]) and the Dutch Tracking Adolescents' Individual Lives Survey (n = 2230 [51.0% girls]). Two assessment waves of each study were used. American adolescents were younger than Dutch adolescents at the first (11.6 vs 13.6) and second (14.5 vs 16.2) assessment waves, but they were in about the same pubertal development stage. Functional somatic symptoms were measured by pain questions, the Symptom Checklist-90, and the Youth Self-report. The Pubertal Development Scale was used to assess pubertal development on a continuous scale in both cohorts. RESULTS: Ordinal logistic regression analyses revealed that American and Dutch adolescents at a later pubertal status at baseline were more likely (odds ratios ranged from 1.24 to 1.61) to report back pain, over-tiredness, and dizziness but not stomach pain and headache 2 to 3 years later. Although these relationships were not equally strong for boys and girls, no significant gender differences were found. CONCLUSIONS: Pubertal status predicted the frequency of some, but not all, functional somatic symptoms at follow-up.
机译：目的：功能性躯体症状（没有发现器质性病理基础的症状）在女孩中比在男孩中更为普遍，并且这种差异在青春期期间趋于加剧。这可能至少部分地由青春期发育来解释。我们假设青春期成熟可以预测大多数功能性躯体症状的发展，尤其是女孩。方法：我们使用2项基于人口的纵向研究来检验我们的假设：西雅图青少年疼痛纵向研究（n = 1996 [49.7％女孩]）和荷兰追踪青少年的个人生活调查（n = 2230 [51.0％女孩]）。每个研究使用两个评估波。在第一（11.6％vs 13.6）和第二（14.5 vs 16.2）评估波中，美国青少年比荷兰青少年年轻，但他们处于相同的青春期发育阶段。功能性躯体症状通过疼痛问题，症状清单90和青年自我报告进行测量。青春期发育量表用于连续评估两个队列中的青春期发育量。结果：有序逻辑回归分析显示，青春期基线时处于青春期状态的美国和荷兰青少年更有可能报告背痛，过度劳累和头晕，但没有胃痛和头痛的发生率（比值范围为1.24至1.61），而不是2 3年后。尽管这些关系对男孩和女孩的关系不那么强，但未发现明显的性别差异。结论：青春期状态预示了一些但不是全部的功能性躯体症状的发生频率。

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