TY - CHAP M1 - Book, Section TI - Somatic Growth and Development in Adolescence A1 - Sebastian, Meghna R. A1 - Hergenroeder, Albert C. A2 - Kline, Mark W. PY - 2018 T2 - Rudolph's Pediatrics, 23e AB - Puberty has been defined as the activation of the hypothalamic–pituitary–gonadal axis, which leads to gonadal maturation and the subsequent somatic manifestations associated with increased sex steroids and anabolic hormones. Adolescence refers to the development of adult social and cognitive behaviors. This is a period of intense physical and psychological changes. The sexual maturity rating (SMR) system described by Tanner and Marshall has been used to characterize the secondary sexual stages of puberty in boys based on pubic hair and genital development (PH1–5 and G1–5), and in girls based on breast and pubic hair development (B1–5 and PH1–5). Somatic changes observed during puberty correlate more closely with the SMR stage than with chronological age. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182922299 ER -