What is puberty?
A series of physical changes culminating in sexual development and reproductive maturity.
What are primary sex characteristics?
Sex organs directly involved in reproduction (e.g., testes, ovaries).
What are secondary sex characteristics?
External physical changes not directly involved in reproduction (e.g., breasts, body hair).
When are primary and secondary sex characteristics usually complete?
Several years before the end of adolescence.
What hormone triggers puberty?
Gonadotrophin, released by the pituitary gland.
What do gonadotrophins stimulate?
The testes and ovaries to produce sex hormones (testosterone and oestrogen).
What are androgens?
A collective term for sex hormones like testosterone and oestrogen that drive sexual development.
Do both males and females produce testosterone and oestrogen?
Yes, both sexes produce both hormones but in different proportions.
What factors influence individual variation in puberty timing?
Ethnicity, environment, and possibly pollution.
How does the WHO account for variation in child development?
They use growth charts based on data from 8500 children with diverse ethnic and cultural backgrounds.
What are the three main environmental influences on physical growth in children?
Why is diet critical for child growth?
Inadequate nutrition slows or halts growth; recovery can occur with improved diet.
What happens if undernutrition is short and not severe?
Children can experience a catch-up growth spurt once diet improves.
What is marasmus?
A severe form of undernutrition due to lack of protein and calories, leading to frailty and wrinkled. Impair social and intellectual development.
What causes marasmus?
Separation from mother or malnourished mother unable to produce sufficient breast milk.
What are long-term effects of marasmus?
Small stature, impaired social and intellectual development.
What is kwashiorkor?
A nutritional disease from adequate calories but insufficient protein, often post-weaning.
What are symptoms of kwashiorkor?
Swollen abdomen, thinning hair, water retention in face/limbs, severe skin lesions.
What is overnutrition?
Dietary excess, especially from poor food choices, leading to obesity.
How prevalent is childhood obesity?
Around 380 million children and adolescents globally are overweight or obese.
What factors contribute to rising obesity rates?
Increased fast food consumption and reduced physical activity.
What did Dutch studies of Famine show about prenatal nutrition?
o Higher BMI
o Elevated plasma lipids increased risk of type 2 diabete
o Increased risks of schizophrenia
o Increased risk of cardiovascular disease
Which trimester is especially sensitive to nutritional deficits?
The first trimester.