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Information for parents and children about precocious puberty.
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precocious puberty is one of the grey areas for pediatricians and gyenecologists. this is an attempt to answer some of the questions the content is references taken from authorative textbooks
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Adolescence* Physical & Cognitive Development Sources include: Boyd & Bee (2012) “Lifespan Development” Defining Adolescence Challenging: Synonymous with teenage years? Physical changes may occur by age 9 Level of increased maturity/responsibility Transitional Period (Childhood – Adult) Def. Puberty - Collective term for all physical changes (seen/unseen) required for reproductive maturity Prefrontal Cortex Changes in Brain 13 - 15 years: Cortex thickens Neural pathway efficiency increases Increased energy produced/consumed Just before Puberty Synapses from Cortex form w/ other parts of brain Changes in Brain At Approx. 17 years – beginning Early Adulthood Frontal lobes (logic/planning) more developed Still, limited Prefrontal Cortex (PFC) Executive Functioning – control & organize thought processes Impulse Control Won’t be complete until mid 20s May lead to impulsive actions (Not well thought out- consequences) Body Systems Adolescents: may grow 3 - 6 inches/year Full adult height: Girls: by 16 years Boys: by 18 – 20 years Cephalocaudal/Proximodistal Dev - “Reversed” Hands/feet full adult size before arms/legs Shoe size rapid changes - signal of puberty Muscle mass differences: Men - 40% of total body mass is muscle Women - 24% Milestones of Puberty Pituitary Gland (Master Gland – controls all glands) Signals Adrenal Gland to increase “Androgen” Adrenarche – begins around aged 7-8 Hormone that stimulates growth of: Ovaries (Girls) - Estradiol (Form of estrogen) Testes (Boys) - Testosterone Pituitary Gland Pituitary Gland (cont.) Pituitary gland secretes two other hormones: Thyroid Stimulating Hormone General Growth Hormone Two sets of body changes triggered: 1. Development of sex organs 2. General changes in brain, bone, muscles… Puberty: Physical Changes Physical change most obvious and most associated with adolescence is sexual maturity Primary Sex Characteristics Females - Ovaries, Uterus, Vagina Males - Testes, Penis Secondary Sex Characteristics Females – Breast development, body hair Males – Voice pitch, facial hair, body hair AGING – Biological / Psychological / Social Sexual Development: Females First Menstruation (Menarche): Tends to occur 2 years after other visible changes 10% females experience Menarche before age 11 90% females by age 14 Still possible to become pregnant after menarche However, irregular cycles initially Approx. 2-3 years after Menarche – no Ovum released Full adult development takes years Historical Trends Timing of menarche Between 1850 – 1950 (approx. 4 mos./decade earlier) 1840: age 17 years (Dropping 4 months/decade until 1950s) Secular TrendChanges that occur in developing nations when nutrition and health improve. Lifestyle/Diet: Increases in protein and fat consumption N. Korean refugee camps (limited food): age 16 Critical value: 17% body fat Sexual Development: Males First Ejaculation (Spermarche) Typically between 13-14 years.
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