Evidence map›Paper›PMID 29310614›Full record

SynthesisBMC pediatrics2018

Preterm birth and the timing of puberty: a systematic review.

Evlyn James, Claire L Wood, Harish Nair, Thomas C Williams

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  5. Onset of puberty in boys with short stature is earlier in those born small-for-gestational age and later in those born appropriate-for-gestational age than in the general healthy population.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2025
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  15. Preterm birth in evolutionary context: a predictive adaptive response?Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2019
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Evlyn JamesRoyal Oldham Hospital, Rochdale Road, Oldham, UK.
Claire L WoodNewcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID 0000-0002-6084-5174
Harish NairUsher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
Thomas C WilliamsInstitute of Genetics and Molecular Medicine, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, UK. thomaschristiewilliams@gmail.com.
Newcastle upon Tyne Hospitals NHS Foundation Trust · GBRoyal Oldham Hospital · GBUniversity of Edinburgh · GBWestern General Hospital · GB

Funding

Medical Research Council MC_PC_U127597124Medical Research Council MC_UU_00007/11Medical Research Council MR/N020588/1Wellcome TrustWellcome Trust 204802/Z/16/Z
6 · The paper itself

Abstract

backgroundAn estimated 11% of births occur preterm, and survival is improving. Early studies suggested an association between preterm birth and earlier puberty. Given the adverse outcomes associated with early puberty this could have significant public health implications. The objective of this review was to assess the timing of puberty after preterm birth.

methodsPubmed, Embase, Popline, Global Health and Global Health Library were searched using terms relating to "premature birth", "menarche", "puberty" and "follow up studies". Inclusion criteria were a population consisting of pubertal or post-pubertal adolescents and adults; studies which defined preterm delivery in participants and compared outcomes to those after term delivery; and a quantitative assessment of pubertal onset. Assessment of risk of bias was conducted using principles from the Critical Appraisal Study Process.

resultsOur search identified 1051 studies, of which 16 met the inclusion criteria. In females, 8 studies found no association between preterm birth and the timing of menarche. Five studies found earlier onset in preterm infants, 1 found later onset, and 1 showed both earlier and later menarche, depending on birth weight. The range of effect of studies showing earlier menarche was - 0.94 to -0.07 years in the preterm group, with a median of - 0.3 years. In males, 2 studies showed earlier onset of puberty in the preterm group, 5 showed no difference, and 1 showed later onset. Most studies did not present outcomes in the form of a mean with standard deviation, precluding a meta-analysis. There was insufficient data to address potential confounding factors.

conclusionsThe published evidence does not suggest that being born preterm leads to a significant acceleration in the onset of puberty. This should prove reassuring for public health purposes, and for clinicians counseling parents of infants born preterm.

Indexed as

MenarchePremature BirthConfounding Factors, EpidemiologicFemaleGestational AgeHumansInfant, NewbornInfant, PrematureSample SizeSelection BiasTime FactorsFollow up studiesMenarche

Identifiers

PMID29310614
PMCPMC5759269
OpenAlexW2783840298

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.