RT Book, Section
A1 Sebastian, Meghna R.
A1 Hergenroeder, Albert C.
A2 Kline, Mark W.
SR Print(0)
ID 1182922299
T1 Somatic Growth and Development in Adolescence
T2 Rudolph's Pediatrics, 23e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259588594
LK accesspediatrics.mhmedical.com/content.aspx?aid=1182922299
RD 2024/04/24
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.