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Due to natural variation, individuals pass through the Tanner stages at different rates, depending in particular on the timing of puberty.Among researchers who study puberty, the Tanner scale is commonly considered the "gold standard" for assessing pubertal status when it is conducted by a trained medical examiner. [5]
By doing this, doctors can track a child's growth over time and monitor how a child is growing in relation to other children. There are different charts for boys and girls because their growth rates and patterns differ. For both boys and girls there are two sets of charts: one for infants ages 0 to 36 months and another for ages 2 and above.
Juniors (8–12 years old or in grades 4–6. In some situations, girls age eight and in third grade may be Juniors.) Cadettes (12–14 years old or in grades 7–9. In some situations, girls age eleven and in sixth grade may be Cadettes.) Seniors (14–17 years old or in grades 9–12) [18] In 2008 another reorganization took place.
The 2000 CDC growth charts - a revised version of the 1977 NCHS growth charts - are the current standard tool for health care providers and offer 16 charts (8 for boys and 8 for girls), of which BMI-for-age is commonly used for aiding in the diagnoses of childhood obesity. [1]
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Growth charts can also be compiled with a portion of the population deemed to have been raised in more or less ideal environments, such as nutrition that conforms to pediatric guidelines, and no maternal smoking. Charts from these sources end up with slightly taller but thinner averages. [1] Growth curve of a girl, compared to the 2006 WHO curves
The average age at which puberty begins may be affected by ethnicity as well. For example, the average age of menarche in various populations surveyed has ranged from 12 [58] [59] [60] to 18 years. The earliest average onset of puberty is for African-American females and the latest average onset for high altitude subsistence populations in Asia.
The average age of a girl's first period is 12 to 13 (12.5 years in the United States, [6] 12.72 in Canada, [7] 12.9 in the UK [8]) but, in postmenarchal girls, about 80% of the cycles are anovulatory in the first year after menarche, which declines to 50% in the third year, and to 10% by the sixth. [9]