Comparison of physician- and self-assessed pubertal onset in Japanese children
IntroductionPhysical examinations to assess pubertal development are challenging in large epidemiological surveys. This study aimed to assess the reliability of judgment of pubertal onset in Japanese children by the original pubertal self-assessment sheet.MethodsA total of 144 children aged 10 or 12...
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.950541/full |
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| author | Mayako Saito-Abe Minaho Nishizato Kiwako Yamamoto-Hanada Liming Yang Maki Fukami Yoshiya Ito Kenji Ihara Atsushi Iwabuchi Shingo Okamoto Yasuhiro Naiki Yukihiro Ohya Reiko Horikawa |
| author_facet | Mayako Saito-Abe Minaho Nishizato Kiwako Yamamoto-Hanada Liming Yang Maki Fukami Yoshiya Ito Kenji Ihara Atsushi Iwabuchi Shingo Okamoto Yasuhiro Naiki Yukihiro Ohya Reiko Horikawa |
| author_sort | Mayako Saito-Abe |
| collection | DOAJ |
| description | IntroductionPhysical examinations to assess pubertal development are challenging in large epidemiological surveys. This study aimed to assess the reliability of judgment of pubertal onset in Japanese children by the original pubertal self-assessment sheet.MethodsA total of 144 children aged 10 or 12 years were recruited between March 2019 and September 2020 from the pediatric endocrine outpatient clinics of participating institutions. Agreement between the physician- and participantassessed pubertal onsets was determined using unweighted kappa (UK) and Gwet's agreement coefficient (AC1).ResultsThe physician's assessment of pubertal onset was in slight agreement with that of the self-assessment sheet in 10-year-old boys (UK: 0.23 and AC1: 0.14), whereas the agreement between the physician's assessment and self-assessment sheet results was good and the physician's assessment was fair (UK: 0.64 and AC1: 0.94) in 12-year-old boys. The physician's assessment of pubertal onset were in good and moderate agreement with the self-assessment sheet in 10-year-old girls (UK/AC1: 0.74/0.78, respectively). In 12-year-old girls, although it showed poor agreement with UK (0.46), there was a very good agreement with AC1 (0.88).ConclusionsAlthough self-assessment of breast development was in good agreement with that of the physician's assessment for determining pubertal onset in girls, large-scale epidemiological studies are difficult to conduct for adolescent boys, especially for those in the early pubertal stage. |
| first_indexed | 2024-04-09T23:31:13Z |
| format | Article |
| id | doaj.art-d0677cf411c24c61aa5096e271faef50 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-09T23:31:13Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-d0677cf411c24c61aa5096e271faef502023-03-21T05:31:02ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-03-011110.3389/fped.2023.950541950541Comparison of physician- and self-assessed pubertal onset in Japanese childrenMayako Saito-Abe0Minaho Nishizato1Kiwako Yamamoto-Hanada2Liming Yang3Maki Fukami4Yoshiya Ito5Kenji Ihara6Atsushi Iwabuchi7Shingo Okamoto8Yasuhiro Naiki9Yukihiro Ohya10Reiko Horikawa11Medical Support Center for the Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, JapanMedical Support Center for the Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, JapanMedical Support Center for the Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, JapanMedical Support Center for the Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, JapanMedical Support Center for the Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, JapanThe Red Cross Hokkaido College of Nursing, Division of Clinical Medicine, Hokkaido, JapanDepartment of Pediatrics, Faculty of Medicine, Oita University, Oita, JapanDepartment of Pediatrics, Faculty of Medicine, University of Tsukuba, Ibaraki, JapanOkamoto Internal Medicine and Pediatrics Clinic, Nara, JapanEndocrinology and Metabolism Division, National Center for Child Health and Development, Tokyo, JapanMedical Support Center for the Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, JapanEndocrinology and Metabolism Division, National Center for Child Health and Development, Tokyo, JapanIntroductionPhysical examinations to assess pubertal development are challenging in large epidemiological surveys. This study aimed to assess the reliability of judgment of pubertal onset in Japanese children by the original pubertal self-assessment sheet.MethodsA total of 144 children aged 10 or 12 years were recruited between March 2019 and September 2020 from the pediatric endocrine outpatient clinics of participating institutions. Agreement between the physician- and participantassessed pubertal onsets was determined using unweighted kappa (UK) and Gwet's agreement coefficient (AC1).ResultsThe physician's assessment of pubertal onset was in slight agreement with that of the self-assessment sheet in 10-year-old boys (UK: 0.23 and AC1: 0.14), whereas the agreement between the physician's assessment and self-assessment sheet results was good and the physician's assessment was fair (UK: 0.64 and AC1: 0.94) in 12-year-old boys. The physician's assessment of pubertal onset were in good and moderate agreement with the self-assessment sheet in 10-year-old girls (UK/AC1: 0.74/0.78, respectively). In 12-year-old girls, although it showed poor agreement with UK (0.46), there was a very good agreement with AC1 (0.88).ConclusionsAlthough self-assessment of breast development was in good agreement with that of the physician's assessment for determining pubertal onset in girls, large-scale epidemiological studies are difficult to conduct for adolescent boys, especially for those in the early pubertal stage.https://www.frontiersin.org/articles/10.3389/fped.2023.950541/fullepidemiologyself-assessmenttanner stagepubertal development scalepuberty onset |
| spellingShingle | Mayako Saito-Abe Minaho Nishizato Kiwako Yamamoto-Hanada Liming Yang Maki Fukami Yoshiya Ito Kenji Ihara Atsushi Iwabuchi Shingo Okamoto Yasuhiro Naiki Yukihiro Ohya Reiko Horikawa Comparison of physician- and self-assessed pubertal onset in Japanese children Frontiers in Pediatrics epidemiology self-assessment tanner stage pubertal development scale puberty onset |
| title | Comparison of physician- and self-assessed pubertal onset in Japanese children |
| title_full | Comparison of physician- and self-assessed pubertal onset in Japanese children |
| title_fullStr | Comparison of physician- and self-assessed pubertal onset in Japanese children |
| title_full_unstemmed | Comparison of physician- and self-assessed pubertal onset in Japanese children |
| title_short | Comparison of physician- and self-assessed pubertal onset in Japanese children |
| title_sort | comparison of physician and self assessed pubertal onset in japanese children |
| topic | epidemiology self-assessment tanner stage pubertal development scale puberty onset |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.950541/full |
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