RESUMO
BACKGROUND: Pubertal changes in body composition significantly influence future health, with links to various diseases. This study aimed to evaluate the weight changes, fat-free mass (FFM), and body fat mass (BFM) during pubertal growth in Korean children and adolescents. METHODS: We utilized mixed longitudinal data, employing bioelectrical impedance analysis for 4641 height measurements (2204 boys, 2437 girls) from 361 individuals (170 boys, 191 girls) aged 7-18 years. Utilizing the Superimposition by Translation and Rotation (SITAR) model, a shape-invariant growth curve model, reference curves for height, weight, and body composition change velocities were estimated. RESULTS: Korean boys experience peak weight velocity (PWV) at an average age of 12.41 years, with a rate of 8.19 kg/year, peak fat-free mass velocity (PFFV) at 12.70 years (7.60 kg/year), and peak body fat mass velocity (PBFV) at 9.69 years (2.67 kg/year). Korean girls show PWV at 11.28 years (6.33 kg/year), PFFV at 11.13 years (4.86 kg/year), and PBFV at 12.33 years (2.72 kg/year). Positive correlations exist among the ages of peak height velocity, PWV, PFFV, and PBFV. CONCLUSIONS: This research represents the groundbreaking application of the SITAR model in analyzing changes in body composition during pubertal growth in Korean children and adolescents. IMPACT: This study utilized the SITAR model to analyze longitudinal changes in the body composition of the general pediatric population in Korea across pre- and post-pubertal stages, addressing overlooked aspects in cross-sectional studies. Examining growth parameters, including size (mean mass), tempo (timing), and velocity (compression and expansion) for each body component, revealed positive correlations among ages at peak velocities for various body composition parameters. This study can be employed for further investigations that compare the tempo, size, and velocity of various body composition parameters in pediatric disease cohorts and the general population.
RESUMO
Objectives: Understanding the characteristics of the pubertal growth spurt in Korean children and adolescents can serve as crucial foundational data for researching puberty and growth-related disorders. This study aims to estimate the key parameters of pubertal growth, specifically the age and magnitude of the pubertal growth spurt, utilizing longitudinal data from a cohort of Korean children and adolescents. Methods: This study used mixed longitudinal height data from a cohort of Korean elementary, middle, and high school students aged 7-18 years. The Superimposition by Translation and Rotation (SITAR) model, a shape-invariant growth curve model, was utilized to estimate a reference height velocity curve for the entire dataset and individual curves via random effects to evaluate pubertal growth parameters. Altogether, 3,339 height measurements (1,519 for boys and 1,820 for girls) from 270 individuals (123 boys and 147 girls) were analyzed. Results: The average age of growth spurt onset in Korean boys was 10.17 ± 0.61 years (mean ± SE), with peak height velocity occurring at 12.46 ± 0.69 years of age (9.61 ± 1.26â cm/year). Korean girls, contrarily, experience their growth spurt at an earlier age (8.57 ± 0.68 years), with peak height velocity occurring at 10.99 ± 0.74 years of age (8.32 ± 1.09â cm/year). An earlier onset of puberty in both sexes is associated with a shorter growth spurt duration (0.63 years for boys and 0.58 years for girls) and a higher peak height velocity (1.82â cm/year for boys and 1.39â cm/year for girls). These associations were statistically significant for both sexes (all p < 0.0001). Conclusion: This study is the first to use the height velocity curve from the SITAR model to examine the pubertal growth spurt of Korean children and adolescents. The estimated timing and magnitude of the pubertal growth spurt, and their relationships can be useful data for clinicians and researchers.