DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20171771

A cross sectional study on the precocious puberty among girls in the age group of 11-15 years, in two schools in Kollam

Jeffy Binu, Sonia Raichel Thomas

Abstract


Background: Puberty is the period during which human development progresses, from the first pubertal sign to full sexual maturation. Precocious puberty is a common problem affecting up to 29 per 100 000 girls per year. The objective of this study is to find out the prevalence of precocious puberty among school going girls and to find out relation with various risk factors.

Methods: A cross sectional study was conducted by enrolling 250 school going girls by selecting one school each from urban and rural setup. Prevalence of precocious puberty was expressed in percentage and Chi square test was applied to check association. P value for statistical significance was fixed at P<0.05.

Results: The prevalence of precocious puberty was found to be 10.4%. In urban it was found to be 12.35% and in rural it was 8.43%. Girls whose fathers have primary education are risky to have precocious puberty (P<0.049). Those students who take fish occasionally, that is once or thrice in a week were more prone to have precocious puberty (P<0.000). Prevalence of Precocious puberty is more in rural area when compared to urban area. Parents, especially fathers who were less educated should take of care of their daughter’s health by not giving them dried and junk foods. It is better to take fish daily, rather than once or thrice in a week, occasional consumption of fish is found to be a reason for precocious puberty.

Conclusions: Prevalence of Precocious puberty was 10.4%. Fathers of the girls, who are not well educated and occasional fish consumption of girls was found to be the significant reason for Precocious puberty.


Keywords


Precocious puberty, Girls, Father, Rural, Urban

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References


Mrug S, Elliott MN, Davies S, Tortolero SR, Cuccaro P, Schuster MA. Early puberty, negative peer influence and problem behavior in adolescent girls. Pediatrics. 2014;133(1):7-14.

Zhu M, Fu J, Liang L, Gong C, Xiong F, Lui G, et al. Epidemiological study on current pubertal development in Chinese school aged children. Zhejiang Da Xue Xue Bao Yi Xue Ban. 2013;42(4):396-02.

Biro FM, Khoury P, Morrison JA. Influence of obesity on timing of puberty. Int J Androl. 2006;29(1):272-7.

Ayele E, Berham Y. Age at menarche among in school adolescents in Sawala Town, South Ethiopia. Ethiop J Health Science. 2013;23(3):189-200.

Song Y, WaMng HJ, Wang Z, Hu P, Zhang B, Agardh A. Trends of age at menarche and association with Body Mass Index in Chinese school aged girls, 1985-2010. J Pediatr. 2014;165(6):1172-7.

Miller T. Early Puberty in girls on the rise. Health Science. 2013.

Yang YD, Ma J, Fu LG, Wang HJ, Dong B, Song Y, et al. Association between early onset of menarche and anthropometry measurements among adolescents in China. Zhonghua Yu Fang Yi Xue Za Zhi. 2013;47(8):712-7.

Ma HM, Du ML, Luo XP, Chen SK, Lui L, Chen RM, et al. Onset of breast and pubic hair development and menstruation in urban Chinese girls. Pediatr. 2009;124(2):267-77.

Colmenares A, Gunczler P, Lans R. Higher prevalence of obesity and overweight without an adverse metabolic profile in girls with central precocious puberty compared to girls with early puberty, regardless of GnRH analogues treatment. Int J Pediatr Endocrinol. 2014;2014(1):5.

Parent AS, Teilmann G, Juul A, Skakkeback NE, Toppari J, Bourgugnon JP. Timing of normal puberty and age limits of sexual precocity: variations around world, secular trend and changes after migration. Endocr Rev. 2003;24(5):668-93.

Tan TX, Camras LA. Premenarche pubertal development following unique form of immigration: The case of girls adopted from China. J Innmigr Minor health. 2015;17(1):232-8.

Huen KF, Leung SS, Lau JT, Cheung AY, Leung NK, Chui MC. Secular trend in the sexual maturation of southern Chinese girls. Acta Paediatr. 1997;86(10):1121-4.

Mahajan BK. Methods in Biostatistics. 6th edition. Biometry; 2002: 92-93.

Carel JC, Lahlou N, Roger M, Chaussain JL. Precocious Puberty and Statural growth. Hum Reprod Update. 2004;10(2):135-47.

Cesario SK, Hughes LA. Precocious Puberty: a comprehensive review of Literature. J Obstet Gynecol Neonatal Nurs. 2007;36(3):263-74.

Mitra P. Girls in Cities reach puberty earlier. TNN. 2006.