Onset of breast and pubic hair development and menses in urban chinese girls.
OBJECTIVE
To determine the current prevalence and mean ages of onset of pubertal characteristics in healthy urban Chinese girls.


METHODS
A cross-sectional study of sexual maturation of healthy Chinese girls was conducted in 9 representative cities of the eastern, western, southern, and northern parts and central region of China between 2003 and 2005. At examination, stages of breast and pubic hair development were rated on girls 3 through 19.83 years of age, and height and weight were also recorded. Data on menses were collected by the status quo method. Probit analysis was used to calculate the median age and 95% confidence interval (CI) for onset of breast and pubic hair development and menarche.


RESULTS
Data were analyzed for 20654 apparently healthy girls. At age 8 years, 19.57% of these girls had evidence of breast development. The median ages of onset of Tanner stages 2 and 3 for breast development were 9.20 (95% CI: 9.06-9.32) years and 10.37 (95% CI: 10.28-10.45) years, respectively. The median ages of onset of Tanner stages 2 and 3 for pubic hair development were 11.16 (95% CI: 11.03-11.29) years and 12.40 (95% CI: 12.25-12.55) years, respectively. Menses occurred at 12.27 years (95% CI: 12.16-12.39).


CONCLUSIONS
These data suggest that urban Chinese girls are actually experiencing earlier breast development than currently used norms. The up-to-date reference for normal pubertal development in urban Chinese girls needs to be established for the purpose of determining precocious puberty or pubertal delay.
Ma
Hua-Mei
HM
Department of Pediatrics, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, China. mahuamei@tom.com
Du
Min-Lian
ML
Luo
Xiao-Ping
XP
Chen
Shao-Ke
SK
Liu
Li
L
Chen
Rui-Min
RM
Zhu
Cheng
C
Xiong
Feng
F
Li
Tang
T
Wang
Wei
W
Liu
Ge-Li
GL
D000293:Adolescent; D000367:Age Factors; D044466:Asian People / Q000706:statistics & numerical data*; D001827:Body Height; D001835:Body Weight; D002648:Child; D002675:Child, Preschool; D002681:China; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008572:Menarche; D012016:Reference Values; D012727:Sex Characteristics; D012741:Sexual Maturation; D014505:Urban Population / Q000706:statistics & numerical data*