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Abstract
Background: Population variation in the timing of reproductive maturation among boys has received relatively little attention. However, evidence that the timing of pubertal onset is related to measures of adiposity suggests that the onset of reproductive maturation among boys in populations with poor nutritional status will be delayed.
Aim: This study seeks to determine the impact of nutritional status on the timing of reproductive maturation by comparing urban and rural boys in an African population.
Subjects and methods: Subjects were 794 rural and urban Tonga boys from Zambia, ages 5–19. Onset of puberty was defined as testicular volume >3 mL, which was measured using Prader beads. Data on height, weight, triceps skinfolds, and dental development were also obtained.
Results: Onset of testicular growth was 11.2 years (95% CI 10.9–11.4) for urban boys and 12.4 (95% CI 12.1–12.9) years for rural boys. Completion of testicular growth was also earlier in the urban sample: 15.3 years (95% CI 15.0–5.6) versus 17.1 years (95% CI 15.6–25.2). Both onset and completion of testicular growth were significantly and positively related to height and arm muscle area. In addition, triceps skinfolds by residence interaction was a significant predictor of testicular maturity, indicating a stronger relationship between energetic status and testicular growth in the rural sample.
Conclusion: Our results demonstrate that delayed onset and slow testicular development among rural Gwembe boys is related to poor nutritional status.