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. 2020 May 5;49(3):834–844. doi: 10.1093/ije/dyaa056

Table 3.

Sibling-matched analysis: monthly difference in timing of puberty per 5 kg/m2 higher BMI

Model 1: Shared confoundersa Model 2: Shared and non-shared confoundersb
Pubertal milestones No. Adjusted (95% CI) Adjusted (95% CI)
Boys
  Tanner Genital stage 2 796 −5.2 (−12.4, 2.0) −5.9 (−13.3, 1.5)
  Tanner Genital stage 3 796 −6.3 (−13.1, 0.6) −4.3 (−11.3, 2.8)
  Tanner Genital stage 4 796 0.3 (−8.2, 8.7) 0.8 (−7.6, 9.2)
  Tanner Genital stage 5 796 −4.1 (−17.6, 9.4) −5.5 (−19.8, 8.7)
  Tanner Pubic Hair stage 2 796 −8.9 (−15.5, −2.4) −9.3 (−15.9, −2.6)
  Tanner Pubic Hair stage 3 796 −6.7 (−12.8, −0.6) −4.1 (−10.5, 2.2)
  Tanner Pubic Hair stage 4 796 −1.3 (−8.2, 5.7) −0.1 (−7.4, 7.3)
  Tanner Pubic Hair stage 5 796 −3.1 (−14.4, 8.2) −3.3 (−14.8, 8.2)
  Axillary hair 796 −9.9 (−18.8, −0.9) −7.4 (−16.7, 1.9)
  Acne 796 −8.9 (−15.4, −2.4) −9.7 (−16.2, −3.3)
  Voice break 612 −5.5 (−15.2, 4.2) −7.9 (−17.5, 1.8)
  First ejaculation 796 −2.3 (−10.4, 5.8) −2.3 (−10.4, 5.7)
Girls
  Tanner Breast stage 2 712 −16.4 (−26.2, −6.6) −14.1 (−24, −4.2)
  Tanner Breast stage 3 712 −12.2 (−18.0, −6.4) −13.6 (−19.6, −7.6)
  Tanner Breast stage 4 712 −14.6 (−22.2, −7.0) −12.5 (−20.1, −4.8)
  Tanner Breast stage 5 712 −20.0 (−35.2, −4.8) −18.0 (−33.6, −2.4)
  Tanner Pubic Hair stage 2 712 −7.5 (−12.7, −2.3) −7.3 (−12.7, −1.9)
  Tanner Pubic Hair stage 3 712 −7.1 (−13.0, −1.3) −5.1 (−11.2, 0.9)
  Tanner Pubic Hair stage 4 712 −13.8 (−21.5, −6.1) −10.6 (−18.6, −2.5)
  Tanner Pubic Hair stage 5 712 −13.4 (−25.1, −1.7) −4.7 (−16.6, 7.2)
  Axillary hair 712 −8.2 (−14.6, −1.7) −8.6 (−15.1, −2.1)
  Acne 712 −2.0 (−9.8, 5.8) −3.1 (−11.2, 5.0)
  Menarche 712 −11.4 (−17.2, −5.7) −9.8 (−15.7, −4.0)

BMI, body mass index; CI, confidence interval.

a

Model 1 is adjusted for shared confounders by sibling-matched design.

b

Model 2 is adjusted for shared confounders by sibling-matched design and adjusted for non-shared confounders (in regression model): birth date, maternal smoking in first trimester, maternal pre-pregnancy BMI, parity, birthweight, childhood diet, childhood physical activity and childhood sedentary behaviour.