Evidence map›Paper›PMID 33630047›Full record

ArticleThe Journal of clinical endocrinology and metabolism2021

Longitudinal Investigation of Pubertal Milestones and Hormones as a Function of Body Fat in Girls.

Madison T Ortega, John A McGrath, Lauren Carlson, Vanessa Flores Poccia, Gary Larson, Christian Douglas, Bob Z Sun, Shanshan Zhao, Breana Beery, Hubert W Vesper and 4 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07437976 (A Natural History of Genetic and Environmental Predictors of Pubertal Timing Among Youth With Obesity), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07437976 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Natural History of Genetic and Environmental Predictors of Pubertal Timing Among Youth With Obesity

TypeobservationalSponsorNational Institute of Environmental Health Sciences (NIEHS)Ran2026 to 2036Enrolled400ConditionsObesityArmsWeight loss intervention, No Weight loss intervention
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 33 citations in OpenAlex.

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  15. The effects of obesity on the menstrual cycle.Current problems in pediatric and adolescent health care · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Madison T OrtegaNational Institute of Environmental Health Sciences, National Institutes of Health, Durham, North Carolina, USA.ORCID 0000-0001-9580-1393
John A McGrathSocial & Scientific Systems Inc, Durham, North Carolina, USA.
Lauren CarlsonNational Institute of Environmental Health Sciences, National Institutes of Health, Durham, North Carolina, USA.
Vanessa Flores PocciaNational Institute of Environmental Health Sciences, National Institutes of Health, Durham, North Carolina, USA.
Gary LarsonSocial & Scientific Systems Inc, Durham, North Carolina, USA.
Christian DouglasSocial & Scientific Systems Inc, Durham, North Carolina, USA.
Bob Z SunNational Institute of Environmental Health Sciences, National Institutes of Health, Durham, North Carolina, USA.
Shanshan ZhaoNational Institute of Environmental Health Sciences, National Institutes of Health, Durham, North Carolina, USA.
Breana BeeryNational Institute of Environmental Health Sciences, National Institutes of Health, Durham, North Carolina, USA.
Hubert W VesperDivision of Laboratory Sciences, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Lumi DukeDivision of Laboratory Sciences, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Julianne C BotelhoDivision of Laboratory Sciences, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Armando C FilieCytopathology Section, Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Natalie D ShawNational Institute of Environmental Health Sciences, National Institutes of Health, Durham, North Carolina, USA.ORCID 0000-0002-0847-9170
National Institutes of Health · USCenters for Disease Control and Prevention · USSocial and Scientific Systems (United States) · US

Funding

Cytopathology CoreZICBC011052 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI FILIE, ARMANDO · 2009 to 2025
$30.8M
Investigating the impact of obesity on pubertal development in girlsZIAES103315 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SHAW, NATALIE · 2016 to 2025
$5.9M
6 · The paper itself

Abstract

contextEpidemiologic studies have demonstrated that overweight/obese girls (OW/OB) undergo thelarche and menarche earlier than normal weight girls (NW). There have been no longitudinal studies to specifically investigate how body weight/fat affects both clinical and biochemical pubertal markers in girls.

objectiveTo investigate the effect of total body fat on reproductive hormones and on the maturation of estrogen-sensitive tissues during puberty in girls.

methodsNinety girls (36 OW/OB, 54 NW), aged 8.2 to 14.7 years, completed 2.8 ± 1.7 study visits over 4 years. Visits included dual-energy x-ray absorptiometry to calculate total body fat (TBF), Tanner staging, breast ultrasound for morphological staging (BMORPH; A-E), pelvic ultrasound, hormone tests, and assessment of menarchal status. The effect of TBF on pubertal markers was determined using a mixed, multistate, or Cox proportional hazards model, controlling for baseline BMORPH.

resultsNW were older than OW/OB (11.3 vs 10.2 years, P < .01) at baseline and had more advanced BMORPH (P < .01). Luteinizing hormone, estradiol, and ovarian and uterine volumes increased with time with no effect of TBF. There was a time × TBF interaction for follicle-stimulating hormone, inhibin B, estrone, total and free testosterone, and androstenedione: Levels were initially similar, but after 1 year, levels increased in girls with higher TBF, plateaued in girls with midrange TBF, and decreased in girls with lower TBF. Girls with higher TBF progressed through BMORPH stage D more slowly but achieved menarche earlier than girls with lower TBF.

conclusionIn late puberty, girls with higher TBF demonstrate differences in standard hormonal and clinical markers of puberty. Investigation of the underlying causes and clinical consequences of these differences in girls with higher TBF deserves further study.

Indexed as

Absorptiometry, PhotonAdipose TissueAdolescentAdolescent DevelopmentBody CompositionChildFemaleHumansLongitudinal StudiesMenarcheObesityOverweightPubertyUnited Statesadolescentbody fatneuroendocrineobesitypuberty

Identifiers

PMID33630047
PMCPMC8118584
OpenAlexW3129856944

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.