Adolescence is a time of rapid growth in height and weight and of
physical changes throughout the body. Most of these changes occur with
puberty, which in Canada usually begins for
girls between the ages of 9 and 11, and for most boys between the ages of 9½
and 13 years.
Breast buds—slight elevation and enlargement of the nipple area—are
one of the first signs of puberty in girls. Pubic hair also usually starts
developing around the same time. In boys, the first indication of puberty is
that the
testicles increase in size, followed by the growth of
pubic hair and by penis lengthening.
Girls usually grow rapidly during early puberty and slow down with
the first menstrual period, which typically begins around age 12, although the
normal range is age 10 to 16½ years.1 For boys, the
height spurt occurs after other signs of puberty have developed. While boys lag
behind girls in height in early adolescence, they generally end up being taller
than girls, because once growth starts they grow at a faster rate and for a
longer period of time. Girls reach their approximate adult height around 16
years of age, and boys at about 18 years of age.1
Researchers have documented a long-term trend toward earlier puberty
and larger growth related to better health and nutrition. Also, race seems to
affect the timing of puberty. For example, girls who are black generally enter
puberty earlier than girls who are white.
The surging hormones related to puberty often stimulate the sex drive
in both males and females. It is normal for members of both sexes to masturbate
in private. Hormones may also trigger episodes of difficult behaviour, such as
challenging parents and other authority figures.
Growth in body parts may occur out of sync with each other. For
example, the nose, arms, and legs may grow faster than the rest of the body.
Other physical development during puberty usually includes:
- Bone growth, accounting for nearly 25% of final
adult height.
- An increase of about 15% in skull bone thickness; the
forehead becomes more prominent and the jaw grows forward.
- Weight
gain. The increase in weight during the growth spurt that happens with puberty
typically accounts for about 40% of the final adult ideal body weight.1
- Changes in body fat composition. Girls' body fat
increases, while boys' decreases. Teens who are obese at the end of puberty are
at increased risk for being obese during adulthood.2
- An increase in the size of organs. The heart
doubles in weight, and lung size increases.
- Growth of facial hair
in boys. Hair growth usually starts on the upper lip, gradually reaches the
cheeks, and then the chin area.
Gynecomastia, the development of breast tissue, occurs in more than
60% of adolescent boys during early puberty to midpuberty. This resolves in 70%
of boys within 1 year and 90% of boys in 2 years.3