Earlier puberty seen in U.S. boys
CHICAGO – When it comes to the birds and the bees, some parents may want to have that talk with their boys a little sooner than they expected.
Researchers have found signs of puberty in American boys up to two years earlier than previously reported – age 9 on average for blacks, 10 for whites and Hispanics. Other studies have suggested that girls, too, are entering puberty younger.
Theories about why this is happening range from higher levels of obesity and inactivity to chemicals in food and water, all of which might interfere with normal hormone production.
Doctors say earlier puberty is not necessarily cause for concern. And some experts question whether the trend is even real.
Dr. William Adelman, an adolescent medicine specialist in the Baltimore area, says the new research is the first to find early, strong physical evidence that boys are maturing earlier. But he added that the study still isn’t proof.
Earlier research based on 20-year-old national data also suggested a trend toward early puberty in boys, but it was based on less rigorous information. The new study involved testes measurements in more than 4,000 boys. Enlargement of testes is generally the earliest sign of puberty in boys.
The study was published online today in Pediatrics to coincide with the American Academy of Pediatrics’ national conference in New Orleans.
Dr. Neerav Desai, an adolescent medicine specialist at Vanderbilt University in Nashville, said he’s seen a subtle trend toward slightly earlier puberty in boys. He said it’s important for parents and doctors to be aware so they can help children emotionally prepare for the changes that come with puberty.
Doctors generally consider puberty early if it begins before age 8 in girls and before age 9 in boys.
Boys are more likely than girls to have an underlying physical cause for early puberty. But it’s likely that most, if not all, of the boys in the study were free of any conditions that might explain the results, said lead author Marcia Herman-Giddens, a researcher at the University of North Carolina in Chapel Hill.
Problems such as thyroid abnormalities and brain tumors have been linked to early puberty.
In girls, early puberty has been linked with increased chances for developing breast cancer, but whether it poses health risks for boys is uncertain.
For the new study, researchers recruited pediatricians in 41 states who participate in the academy’s office-based research network. Doctors asked parents and boys ages 6 to 16 to take part during regular checkups. The visits took place between 2005 and 2010.
Half of the boys were white. The rest were almost evenly divided among blacks and Hispanics.
On average, white boys started puberty at age 10, a year and a half earlier than what has long been considered the normal average. For black boys, the average age of 9 was about two years earlier than in previous research. Among Hispanics, age 10 was similar to previous research that only involved Mexican-American boys. The new study included boys from other Hispanic backgrounds.
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