{"id":"https://openalex.org/W7225609441","doi":"https://doi.org/10.3389/fradm.2026.1968088","title":"Agreement between self-reported and physician-assessed tanner stages in adolescents: a cross-sectional study","display_name":"Agreement between self-reported and physician-assessed tanner stages in adolescents: a cross-sectional study","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225609441","doi":"https://doi.org/10.3389/fradm.2026.1968088"},"language":"en","primary_location":{"id":"doi:10.3389/fradm.2026.1968088","doi":"https://doi.org/10.3389/fradm.2026.1968088","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fradm.2026.1968088","pdf_url":"https://www.frontiersin.org/journals/adolescent-medicine/articles/10.3389/fradm.2026.1968088/pdf","source":{"id":"https://openalex.org/S4389158174","display_name":"Frontiers in Adolescent Medicine","issn_l":"2813-8589","issn":["2813-8589"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Adolescent Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/adolescent-medicine/articles/10.3389/fradm.2026.1968088/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008585889","display_name":"Sofia Moeda","orcid":"https://orcid.org/0000-0001-9324-3594","observed_orcids":["https://orcid.org/0000-0001-9324-3594"]},"institutions":[{"id":"https://openalex.org/I141596103","display_name":"University of Lisbon","ror":"https://ror.org/01c27hj86","country_code":"PT","type":"education","lineage":["https://openalex.org/I141596103"]},{"id":"https://openalex.org/I4210149283","display_name":"Hospital de Santa Maria","ror":"https://ror.org/05bz1tw26","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210149283"]},{"id":"https://openalex.org/I4405255475","display_name":"Unidade Local de Sa\u00fade Santa Maria","ror":"https://ror.org/031xaae12","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405255475"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Sofia Moeda","raw_affiliation_strings":["Department of Pediatrics, Hospital de Santa Maria, ULSSM","WHO Collaborating Centre for Adolescent Medicine and Training, Cl\u00ednica Universit\u00e1ria de Pediatria, Faculdade de Medicina, Universidade de Lisboa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Hospital de Santa Maria, ULSSM","institution_ids":["https://openalex.org/I4210149283","https://openalex.org/I4405255475"]},{"raw_affiliation_string":"WHO Collaborating Centre for Adolescent Medicine and Training, Cl\u00ednica Universit\u00e1ria de Pediatria, Faculdade de Medicina, Universidade de Lisboa","institution_ids":["https://openalex.org/I141596103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046022148","display_name":"Ant\u00f3nio Videira\u2010Silva","orcid":"https://orcid.org/0000-0002-8209-1676","observed_orcids":["https://orcid.org/0000-0002-8209-1676"]},"institutions":[{"id":"https://openalex.org/I141596103","display_name":"University of Lisbon","ror":"https://ror.org/01c27hj86","country_code":"PT","type":"education","lineage":["https://openalex.org/I141596103"]},{"id":"https://openalex.org/I182534213","display_name":"Universidade do Porto","ror":"https://ror.org/043pwc612","country_code":"PT","type":"education","lineage":["https://openalex.org/I182534213"]},{"id":"https://openalex.org/I4405254388","display_name":"Centro de Investiga\u00e7\u00e3o em Desporto Educa\u00e7\u00e3o F\u00edsica Exerc\u00edcio e Sa\u00fade","ror":"https://ror.org/01rftrx87","country_code":"PT","type":"facility","lineage":["https://openalex.org/I4405254388","https://openalex.org/I88596544"]},{"id":"https://openalex.org/I88596544","display_name":"Universidade Lus\u00f3fona","ror":"https://ror.org/05xxfer42","country_code":"PT","type":"education","lineage":["https://openalex.org/I88596544"]}],"countries":["PT"],"is_corresponding":true,"raw_author_name":"Antonio Videira-Silva","raw_affiliation_strings":["Centro de Investiga\u00e7\u00e3o em Desporto, Educa\u00e7\u00e3o F\u00edsica, Exerc\u00edcio e Sa\u00fade (CIDEFES), Universidade Lus\u00f3fona","Research Centre in Physical Activity, Health and Leisure (CIFI2D), Faculty of Sport, University of Porto","WHO Collaborating Centre for Adolescent Medicine and Training, Cl\u00ednica Universit\u00e1ria de Pediatria, Faculdade de Medicina, Universidade de Lisboa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Investiga\u00e7\u00e3o em Desporto, Educa\u00e7\u00e3o F\u00edsica, Exerc\u00edcio e Sa\u00fade (CIDEFES), Universidade Lus\u00f3fona","institution_ids":["https://openalex.org/I4405254388","https://openalex.org/I88596544"]},{"raw_affiliation_string":"Research Centre in Physical Activity, Health and Leisure (CIFI2D), Faculty of Sport, University of Porto","institution_ids":["https://openalex.org/I182534213"]},{"raw_affiliation_string":"WHO Collaborating Centre for Adolescent Medicine and Training, Cl\u00ednica Universit\u00e1ria de Pediatria, Faculdade de Medicina, Universidade de Lisboa","institution_ids":["https://openalex.org/I141596103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011089459","display_name":"Ana Jo\u00e3o Martins","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210149283","display_name":"Hospital de Santa Maria","ror":"https://ror.org/05bz1tw26","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210149283"]},{"id":"https://openalex.org/I4405255475","display_name":"Unidade Local de Sa\u00fade Santa Maria","ror":"https://ror.org/031xaae12","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405255475"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Ana Jo\u00e3o Martins","raw_affiliation_strings":["Department of Pediatrics, Hospital de Santa Maria, ULSSM"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Hospital de Santa Maria, ULSSM","institution_ids":["https://openalex.org/I4210149283","https://openalex.org/I4405255475"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5056499755","display_name":"Helena Fonseca","orcid":"https://orcid.org/0000-0003-0565-1403","observed_orcids":["https://orcid.org/0000-0003-0565-1403"]},"institutions":[{"id":"https://openalex.org/I141596103","display_name":"University of Lisbon","ror":"https://ror.org/01c27hj86","country_code":"PT","type":"education","lineage":["https://openalex.org/I141596103"]},{"id":"https://openalex.org/I4210149283","display_name":"Hospital de Santa Maria","ror":"https://ror.org/05bz1tw26","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210149283"]},{"id":"https://openalex.org/I4405255475","display_name":"Unidade Local de Sa\u00fade Santa Maria","ror":"https://ror.org/031xaae12","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405255475"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Helena Fonseca","raw_affiliation_strings":["Department of Pediatrics, Hospital de Santa Maria, ULSSM","WHO Collaborating Centre for Adolescent Medicine and Training, Cl\u00ednica Universit\u00e1ria de Pediatria, Faculdade de Medicina, Universidade de Lisboa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Hospital de Santa Maria, ULSSM","institution_ids":["https://openalex.org/I4210149283","https://openalex.org/I4405255475"]},{"raw_affiliation_string":"WHO Collaborating Centre for Adolescent Medicine and Training, Cl\u00ednica Universit\u00e1ria de Pediatria, Faculdade de Medicina, Universidade de Lisboa","institution_ids":["https://openalex.org/I141596103"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5046022148"],"corresponding_institution_ids":["https://openalex.org/I141596103","https://openalex.org/I182534213","https://openalex.org/I4405254388","https://openalex.org/I88596544"],"apc_list":{"value":1950,"currency":"CHF","value_usd":2353},"apc_paid":{"value":1950,"currency":"CHF","value_usd":2353},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"4","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10960","display_name":"Hypothalamic control of reproductive hormones","score":0.9721999764442444,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10960","display_name":"Hypothalamic control of reproductive hormones","score":0.9721999764442444,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10327","display_name":"Adolescent Sexual and Reproductive Health","score":0.009600000455975533,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13309","display_name":"Reliability and Agreement in Measurement","score":0.0052999998442828655,"subfield":{"id":"https://openalex.org/subfields/1804","display_name":"Statistics, Probability and Uncertainty"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tanner-stages","display_name":"Tanner stages","score":0.8019999861717224},{"id":"https://openalex.org/keywords/pubertal-stage","display_name":"pubertal stage","score":0.5690000057220459},{"id":"https://openalex.org/keywords/self-assessment","display_name":"self-assessment","score":0.7599999904632568},{"id":"https://openalex.org/keywords/physician-assessment","display_name":"physician assessment","score":0.6600000262260437},{"id":"https://openalex.org/keywords/agreement","display_name":"agreement","score":0.4359999895095825},{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.859000027179718},{"id":"https://openalex.org/keywords/puberty","display_name":"puberty","score":0.49000000953674316},{"id":"https://openalex.org/keywords/body-weight","display_name":"body weight","score":0.7440000176429749},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.9509999752044678},{"id":"https://openalex.org/keywords/anthropometry","display_name":"anthropometry","score":0.5860000252723694}],"concepts":[{"id":"https://openalex.org/C61427482","wikidata":"https://www.wikidata.org/wiki/Q6656244","display_name":"Anthropometry","level":2,"score":0.7134000062942505},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.6055999994277954},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6019999980926514},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5788000226020813},{"id":"https://openalex.org/C2778724333","wikidata":"https://www.wikidata.org/wiki/Q14401","display_name":"Kappa","level":2,"score":0.5375999808311462},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5364999771118164},{"id":"https://openalex.org/C2776818064","wikidata":"https://www.wikidata.org/wiki/Q829903","display_name":"Agreement","level":2,"score":0.5076000094413757},{"id":"https://openalex.org/C146357865","wikidata":"https://www.wikidata.org/wiki/Q1123245","display_name":"Stage (stratigraphy)","level":2,"score":0.46480000019073486},{"id":"https://openalex.org/C3018577593","wikidata":"https://www.wikidata.org/wiki/Q470749","display_name":"Limits of agreement","level":2,"score":0.4465999901294708},{"id":"https://openalex.org/C3017783442","wikidata":"https://www.wikidata.org/wiki/Q476112","display_name":"Body height","level":3,"score":0.4325000047683716},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.42239999771118164},{"id":"https://openalex.org/C163864269","wikidata":"https://www.wikidata.org/wiki/Q1107106","display_name":"Cohen's kappa","level":2,"score":0.41190001368522644},{"id":"https://openalex.org/C94124525","wikidata":"https://www.wikidata.org/wiki/Q912550","display_name":"Categorization","level":2,"score":0.3434999883174896},{"id":"https://openalex.org/C147583825","wikidata":"https://www.wikidata.org/wiki/Q620876","display_name":"Body weight","level":2,"score":0.3398999869823456},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.3181000053882599},{"id":"https://openalex.org/C34626388","wikidata":"https://www.wikidata.org/wiki/Q721129","display_name":"Nomogram","level":2,"score":0.3075999915599823},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.299699991941452}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3389/fradm.2026.1968088","doi":"https://doi.org/10.3389/fradm.2026.1968088","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fradm.2026.1968088","pdf_url":"https://www.frontiersin.org/journals/adolescent-medicine/articles/10.3389/fradm.2026.1968088/pdf","source":{"id":"https://openalex.org/S4389158174","display_name":"Frontiers in Adolescent Medicine","issn_l":"2813-8589","issn":["2813-8589"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Adolescent Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3389/fradm.2026.1968088","doi":"https://doi.org/10.3389/fradm.2026.1968088","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fradm.2026.1968088","pdf_url":"https://www.frontiersin.org/journals/adolescent-medicine/articles/10.3389/fradm.2026.1968088/pdf","source":{"id":"https://openalex.org/S4389158174","display_name":"Frontiers in Adolescent Medicine","issn_l":"2813-8589","issn":["2813-8589"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Adolescent Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225609441.pdf","grobid_xml":"https://content.openalex.org/works/W7225609441.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1965561480","https://openalex.org/W1980671657","https://openalex.org/W2009620328","https://openalex.org/W2057962659","https://openalex.org/W2059796825","https://openalex.org/W2069378996","https://openalex.org/W2148924243","https://openalex.org/W2164777277","https://openalex.org/W2166817644","https://openalex.org/W2170021941","https://openalex.org/W2171589158","https://openalex.org/W2415172411","https://openalex.org/W2591766122","https://openalex.org/W2610760642","https://openalex.org/W2810444789","https://openalex.org/W2952656454","https://openalex.org/W2973991048","https://openalex.org/W3012373198","https://openalex.org/W4400694973","https://openalex.org/W4415029051","https://openalex.org/W4417088333"],"related_works":["https://openalex.org/W3012373198","https://openalex.org/W2068777246","https://openalex.org/W2810444789","https://openalex.org/W2973991048","https://openalex.org/W7223661112","https://openalex.org/W2171297930","https://openalex.org/W7205047967","https://openalex.org/W4205508456","https://openalex.org/W2009620328","https://openalex.org/W4409622688"],"abstract_inverted_index":{"Introduction":[0],"Physician-assessed":[1],"Tanner":[2,40,78,214],"staging":[3,215],"remains":[4,27],"the":[5,18,34,51,86],"clinical":[6,25,232],"standard":[7],"for":[8,101,105,193],"puberty":[9],"evaluation,":[10],"but":[11],"privacy":[12],"and":[13,38,50,55,97,104,108,116,118,122,156,170,237,244],"feasibility":[14],"concerns":[15],"have":[16],"increased":[17],"interest":[19],"in":[20,24,42],"self-assessment,":[21],"whose":[22],"validity":[23],"settings":[26],"uncertain.":[28],"This":[29,61],"study":[30,64],"aimed":[31],"to":[32,138,141],"analyze":[33],"agreement":[35,63,132,161,218],"between":[36,112],"self-reported":[37,250],"physician-assessed":[39,194],"stages":[41,103],"adolescents":[43,67],"attending":[44],"a":[45],"tertiary":[46],"Adolescent":[47],"Medicine":[48],"Unit,":[49],"influence":[52,241],"of":[53,167,181,203],"sex":[54],"anthropometrics":[56],"on":[57],"self-classification":[58,205],"accuracy.":[59],"Methods":[60],"cross-sectional":[62],"included":[65],"98":[66],"(45.9%":[68],"girls;":[69],"aged":[70],"13.9":[71],"\u00b1":[72],"2.0":[73],"years)":[74],"who":[75],"self-assessed":[76],"their":[77,175],"stage":[79,145,153],"using":[80,92,126],"sex-specific":[81],"illustrations,":[82],"with":[83,200,219],"physician-assessment":[84],"as":[85],"reference":[87],"standard.":[88],"Agreement":[89,149],"was":[90,133,150,189,198],"assessed":[91],"exact":[93],"agreement,":[94,96],"within-one-stage":[95],"quadratic-weighted":[98],"Cohen's":[99],"kappa,":[100],"individual":[102],"pre-,":[106],"mid-,":[107],"late-pubertal":[109],"phases.":[110],"Associations":[111],"age,":[113],"sex,":[114,236],"weight,":[115],"height":[117],"underestimation,":[119],"accurate":[120,204],"classification,":[121],"overestimation":[123],"were":[124],"examined":[125],"multivariable":[127],"logistic":[128],"regression.":[129],"Results":[130],"Exact":[131],"37.8%":[134],"(95%":[135],"CI":[136],"28.8":[137],"47.6%),":[139],"increasing":[140],"80.6%":[142],"within":[143],"one":[144],"(weighted":[146],"\u03ba":[147,163],"=0.55).":[148],"lowest":[151],"at":[152],"V":[154],"(19.4%),":[155],"pubertal-phase":[157],"categorization":[158],"yielded":[159],"fair":[160],"(60.2%,":[162],"=0.32).":[164],"Overall,":[165],"54.1%":[166],"participants":[168],"underestimated,":[169],"8.2%":[171],"(all":[172],"boys)":[173],"overestimated":[174],"stage.":[176,195],"Girls":[177],"had":[178],"higher":[179,201],"odds":[180,202],"underestimation":[182],"(OR":[183,206],"=":[184,207],"4.70),":[185],"although":[186],"this":[187],"association":[188],"attenuated":[190],"after":[191],"adjustment":[192],"Greater":[196],"weight":[197,239],"associated":[199],"1.36":[208],"per":[209],"10":[210],"kg).":[211],"Conclusion":[212],"Self-reported":[213],"showed":[216],"limited":[217],"physician":[220],"assessment,":[221],"even":[222],"across":[223],"broad":[224],"pubertal":[225,242,251],"phases,":[226],"suggesting":[227],"it":[228],"should":[229,245],"not":[230],"replace":[231],"evaluation.":[233],"Pubertal":[234],"stage,":[235],"body":[238],"may":[240],"self-perception":[243],"be":[246],"considered":[247],"when":[248],"interpreting":[249],"status.":[252]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}
