Obesity

Association between puberty timing and metabolic health at young adulthood

J Clin Endocrinol MetabPublished Prospective cohort study

Main finding · MetS by pubertal timing, adjusted for BMI at puberty and maternal educationResult — go to the resultOdds ratio 0.54 95% CI 0.33–0.90

Authors' conclusion

Earlier puberty is associated with adverse metabolic outcomes, but this persists after adjustment only in girls.

Study context

Population
Boys and girls of the Growth and Obesity Chilean Cohort Study; pubertal timing by Tanner stage (B2 in girls; G2, testicular volume >3 cc, in boys) and age at menarche; Metabolic syndrome (MetS) evaluated at age 18evaluated at age 18
Participants
729 participants
Exposure
Earlier vs later pubertal timing
Outcome
MetS
Follow-up
18 years
Methodological detailslongitudinal, Growth and Obesity Chilean Cohort Study
  • Longitudinal
  • Growth and Obesity Chilean Cohort Study

Main finding

As reported in the abstract

MetS by pubertal timing, adjusted for BMI at puberty and maternal education · age 18

Odds ratio

0.54

95% CI 0.33–0.90

Earliervs later pubertal timing (age at B2, G2 and menarche)
OR 0.54 (95% CI 0.33–0.90)

Observational data: associations, not effects.

Further findings

High TG, girls · age 18

OR (95% CI)
Age at menarche (girls)Fully adjusted0.57 (0.39–0.83)

High TG/glycemia ratio, girls · age 18

OR (95% CI)
Age at menarche (girls)Fully adjusted0.63 (0.43–0.92)

Prevalence at age 18, boys vs girls

MetS, boys vs girls
9.8% vs 4.1%
Elevated blood pressure, boys vs girls
9.8% vs 0.3%
Elevated TG, boys vs girls
18.1% vs 8.5%

Waist circumference and waist to height ratio, boys · age 18

Only crude models showed inverse associations with age at G2

Original publication

Association between puberty timing and metabolic health at young adulthood. J Clin Endocrinol Metab. Published 1 April 2026. doi:10.1210/clinem/dgag138

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