Evidence map›Paper›PMID 41331916›Full record

SynthesisBMC public health2025

Global prevalence and incidence of precocious puberty: a systematic review and meta-analysis.

Xinyu Zhang, Yujie Xu, Longping Yan, Xiaoyu Wang, Jingyuan Xiong, Fei Wang, Guo Cheng

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. 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

7 authors.

Xinyu ZhangWest China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Yujie XuLaboratory of Molecular Translational Medicine, Center for Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Maternal & Child Nutrition Center, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Longping YanWest China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China.
Xiaoyu WangLaboratory of Molecular Translational Medicine, Center for Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Maternal & Child Nutrition Center, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Jingyuan XiongDepartment of Occupational and Environmental Health, Healthy Food Evaluation Research Center, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China.
Fei Wang *Research Center for Healthcare Service Management and Policy, Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China. wangfeiwhu@126.com.
Guo Cheng *Laboratory of Molecular Translational Medicine, Center for Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Maternal & Child Nutrition Center, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China. gcheng@scu.edu.cn.

Funding

National Natural Science Foundation of China 82304135
6 · The paper itself

Abstract

backgroundThe significant rise in precocious puberty rates over recent decades has adversely impacted children's health, spurring numerous epidemiological studies. However, prevalence and incidence estimates vary widely across regions and lack a comprehensive global perspective. Therefore, we estimated the global prevalence and incidence of precocious puberty among children.

methodsWe comprehensively searched PubMed, Embase, and Web of Science from inception to February 2024 for articles reporting the prevalence or incidence of precocious puberty. For studies based on cross-sectional surveys, we used a random-effects model to estimate the pooled prevalence and 95% confidence interval (CI) of precocious puberty in girls and boys. The 95% CI was calculated using the inverse-variance method, which accounts for both within-study and between-study variability. Subgroup analyses considered socioeconomic and individual characteristics. For studies based on medical registration data, we described the results individually due to significant heterogeneity, rather than pooling the data.

resultsOf 8737 articles identified, 27 were included. Survey-based studies showed pooled prevalence estimates of 7.87% (95% CI: 5.90%-9.84%) for girls and 3.98% (95% CI: 2.70%-5.25%) for boys. European and the United States studies were generally conducted earlier than those in Asia. Older and obese children exhibited significantly higher prevalence. Registry-based studies reported overall prevalence ranging from 37 to 935.1 per 100,000 girls and from 0.46 to 37.4 per 100,000 boys, with incidence ranging from 1.123 to 489.3 per 100,000 girls and from 0.096 to 22.4 per 100,000 boys.

conclusionsThis study synthesized the global prevalence and incidence of precocious puberty, offering valuable insights for public health awareness and policy-making. Further research is needed to enhance understanding of the condition and to guide targeted interventions.

trial registrationPROSPERO number: CRD42024508384.

Indexed as

Global HealthPuberty, PrecociousChildFemaleHumansIncidenceMalePrevalenceIncidenceMeta-analysisPrecocious pubertyPrevalenceSystematic review

Identifiers

PMID41331916
PMCPMC12781560

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.