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. 2021 May 3;4(5):e216831. doi: 10.1001/jamanetworkopen.2021.6831

Table 3. Association Between Infant Rapid Growth and Puberty Onset.

Growth metric by age Participants with puberty onset, No./total No. (%)a Unadjusted Adjustedb
HR (95% CI) P value HR (95% CI) P value
Rapid weight gain
Birth to 3 mo
No 83/113 (73.5) 1 [Reference] NA 1 [Reference] NA
Yes 118/133 (88.7) 1.37 (1.03-1.81) .03 1.39 (1.02-1.91) .04
Birth to 6 mo
No 75/96 (78.1) 1 [Reference] NA 1 [Reference] NA
Yes 129/153 (84.3) 1.15 (0.86-1.53) .34 1.10 (0.79-1.52) .58
6 to 12 mo
No 178/217 (82.0) 1 [Reference] NA 1 [Reference] NA
Yes 22/26 (84.6) 1.08 (0.69-1.69) .73 1.01 (0.63-1.62) .98
12 to 24 mo
No 193/232 (83.2) 1 [Reference] NA 1 [Reference] NA
Yes 15/19 (78.9) 0.99 (0.58-1.67) .97 0.98 (0.55-1.75) .94
Birth to 24 mo
No 115/145 (79.3) 1 [Reference] NA 1 [Reference] NA
Yes 95/109 (87.2) 1.33 (1.02-1.75) .04 1.40 (1.01-1.93) .04
Rapid length gain
Birth to 3 mo
No 159/196 (81.1) 1 [Reference] NA 1 [Reference] NA
Yes 41/49 (83.7) 1.10 (0.78-1.55) .58 1.18 (0.81-1.73) .39
Birth to 6 mo
No 164/199 (82.4) 1 [Reference] NA 1 [Reference] NA
Yes 40/48 (83.3) 1.09 (0.77-1.54) .63 1.06 (0.72-1.55) .78
6 to 12 mo
No 132/164 (80.5) 1 [Reference] NA 1 [Reference] NA
Yes 68/79 (86.1) 1.00 (0.74-1.34) .97 1.05 (0.76-1.45) .76
12 to 24 mo
No 187/226 (82.7) 1 [Reference] NA 1 [Reference] NA
Yes 23/27 (85.2) 1.10 (0.71-1.69) .67 1.05 (0.66-1.68) .83
Birth to 24 mo
No 168/200 (84.0) 1 [Reference] NA 1 [Reference] NA
Yes 43/53 (81.1) 1.02 (0.73-1.43) .91 1.01 (0.69-1.48) .95

Abbreviations: HR, hazard ratio; NA, not applicable.

a

Denominators may differ owing to missing values.

b

Adjusted by small for gestational age, parental age, parental occupation, parental educational attainment, parity, maternal age at menarche, maternal BMI, household wealth index, and randomized prenatal supplement regimens.