PHYSICAL DEVELOPMENT

Two boys exactly the same age can begin or complete puberty years apart, yet still fall with the broad parameters of "normal" growth. The timing and pace of a teen's physical development is determined largely by the genetic programming inherited from parents.

Every year from age two or three to adolescence, a child grows an average of two inches and gains about five pounds. During adolescence, that rate typically doubles. Over the course of two to four adolescent years, teens gain up to 25 percent of their adult height and up to 40 percent of their adult weight. Major organs double in size. Here's how teens typically develop:

  • The hands and feet grow first, resulting in a frequently awkward appearance.

  • Next the thighs widen and boys' shoulders and girls' hips broaden.

  • Then the trunk of the body lengthens.

  • The bones in the face also grow, particularly the lower jaw.

At the same time that teens experience dramatic physical growth, they also experience hormonal changes. Hormones are chemical messengers produced by the body's glands that travel through the bloodstream to regulate specific cells and organs. They are central to growth, sexual characteristics, procreation, metabolism, personality traits and mood.

Sometime between the ages of seven and eleven in girls, and nine and a half to thirteen and a half in boys, the pituitary gland at the base of the brain releases two hormones that signal a girl's ovaries and boy's testicles to begin producing the female sex hormone, estrogen, and the male sex hormone, testosterone, respectively.

Each sex hormone than instructs reproductive structures (the ovaries, uterus, fallopian tubes and vagina in girls; the testes, penis, vas deferens and epididymis in boys) to develop or mature in preparation for one day being able to bear or father children. Estrogen and testosterone also trigger the development of secondary sex characteristics, which encompass other male-female distinctions, such as women's breast and rounded hips, and men's facial hair and muscle development. The growing ovaries and testicle secrete increasing amounts of sex hormones, further fostering the process of puberty.

Source: American Academy of Pediatrics