Adolescence () is a transitional stage of human physical and psychological development that generally occurs during the period from puberty to adulthood (typically corresponding to the age of majority). Adolescence is usually associated with the teenage years, but its physical, psychological or cultural expressions may begin earlier or end later. Puberty typically begins during preadolescence, particularly in females. Physical growth (particularly in males) and cognitive development can extend past the teens. Age provides only a rough marker of adolescence, and scholars have not agreed upon a precise definition. Some definitions start as early as 10 and end as late as 30. The World Health Organization definition officially designates adolescence as the phase of life from ages 10 to 19.
Biological development Puberty in general
Puberty is a period of several years in which rapid physical growth and psychological changes occur, culminating in sexual maturity. The average age of onset of puberty is 10–11 for girls and 11–12 for boys. Every person's individual timetable for puberty is influenced primarily by heredity, although environmental factors, such as diet and exercise, also exert some influences. These factors can also contribute to precocious and delayed puberty.
Some of the most significant parts of pubertal development involve distinctive physiological changes in individuals' height, weight, body composition, and circulatory and respiratory systems. These changes are largely influenced by hormonal activity. Hormones play an organizational role, priming the body to behave in a certain way once puberty begins, and an active role, referring to changes in hormones during adolescence that trigger behavioral and physical changes.
Puberty occurs through a long process and begins with a surge in hormone production, which in turn causes a number of physical changes. It is the stage of life characterized by the appearance and development of secondary sex characteristics (for example, a deeper voice and larger Adam's apple in boys, and development of breasts and more curved and prominent hips in girls) and a strong shift in hormonal balance towards an adult state. This is triggered by the pituitary gland, which secretes a surge of hormonal agents into the blood stream, initiating a chain reaction. The male and female gonads are thereby activated, which puts them into a state of rapid growth and development; the triggered gonads now commence mass production of hormones. The testes primarily release testosterone, and the ovaries predominantly dispense estrogen. The production of these hormones increases gradually until sexual maturation is met. Some boys may develop gynecomastia due to an imbalance of sex hormones, tissue responsiveness or obesity.
Facial hair in males normally appears in a specific order during puberty: The first facial hair to appear tends to grow at the corners of the upper lip, typically between 14 and 16 years of age. It then spreads to form a moustache over the entire upper lip. This is followed by the appearance of hair on the upper part of the cheeks, and the area under the lower lip. The hair eventually spreads to the sides and lower border of the chin, and the rest of the lower face to form a full beard. As with most human biological processes, this specific order may vary among some individuals. Facial hair is often present in late adolescence, around ages 17 and 18, but may not appear until significantly later. Some men do not develop full facial hair for 10 years after puberty. Facial hair continues to get coarser, much darker, and thicker for another 2–4 years after puberty.
The major landmark of puberty for males is spermarche, the first ejaculation, which occurs, on average, at age 13. For females, it is menarche, the onset of menstruation, which typically occurs around age 13, plus or minus two or three years. The age of menarche is influenced by heredity, but a girl's diet and lifestyle contribute as well. Regardless of genes, a girl must have a certain proportion of body fat to attain menarche. Consequently, girls who have a high-fat diet and who are not physically active begin menstruating earlier, on average, than girls whose diet contains less fat and whose activities involve fat reducing exercise (e.g. ballet and gymnastics). Girls who experience malnutrition or are in societies in which children are expected to perform physical labor also begin menstruating at later ages.
The timing of puberty can have important psychological and social consequences. Early maturing boys are usually taller and stronger than their friends. They have the advantage in capturing the attention of potential partners and in being picked first for sports. Pubescent boys often tend to have a good body image, are more confident, secure, and more independent. Late maturing boys can be less confident because of poor body image when comparing themselves to already developed friends and peers. However, early puberty is not always positive for boys; early sexual maturation in boys can be accompanied by increased aggressiveness due to the surge of hormones that affect them. Because they appear older than their peers, pubescent boys may face increased social pressure to conform to adult norms; society may view them as more emotionally advanced, despite the fact that their cognitive and social development may lag behind their appearance. Studies have shown that early maturing boys are more likely to be sexually active and are more likely to participate in risky behaviors.
For girls, early maturation can sometimes lead to increased self-consciousness, a typical aspect in maturing females. Because of their bodies' developing in advance, pubescent girls can become more insecure and dependent. Consequently, girls that reach sexual maturation early are more likely than their peers to develop eating disorders (such as anorexia nervosa and bulimia nervosa). Nearly half of all American high school girls' diets are to lose weight. In addition, girls may have to deal with sexual advances from older boys before they are emotionally and mentally mature. Early-maturing girls may date earlier than late-maturing girls, and so have earlier sexual experiences and more unwanted pregnancies. Earlier-maturing girls are more exposed to alcohol and drug abuse. Those who have had such experiences tend to not perform as well in school as their "inexperienced" peers.
Girls have usually reached full physical development around ages 15–17, while boys usually complete puberty around ages 16–17. Any increase in height beyond the post-pubertal age is uncommon. Girls attain reproductive maturity about four years after the first physical changes of puberty appear. In contrast, boys develop more slowly but continue to grow for about six years after the first visible pubertal changes.
Growth spurt The physical development of girls during their teenage years can be broken down into three distinct stages. At the start, which generally coincides with the beginning of rapid growth, there is the development of breast buds and pubic hair. The peak period of physical growth occurs approximately one year later in concert with stage two of sexual maturity. Approximately 1 to 1.6 years after the onset of secondary sex characteristics, girls enter into the third stage which typically includes menarche. By this time, they will have finished their growth spurt and experience a notable broadening of the hips as well as an adult fat distribution. Additionally, breast development is complete and hair in both the pubic region and armpits (axillary hair) will be darker and more widespread. In comparison to girls, it can be tricky to define when exactly sexual development in boys begins.
For boys, puberty typically takes around 5 years to finish, as opposed to just years for girls (menarche). By this point in time, they have already experienced their growth spurt and there are evident changes in their body shape – wider hips and fat distribution is more adult-like. Breast development will also be completed by this stage. In boys, four stages in development can be correlated with the curve of general body growth at adolescence. The initial sign of sexual maturation in boys usually is the "fat spurt". The maturing boy gains weight and becomes almost chubby, with a somewhat feminine fat distribution. This probably occurs because estrogen production by the Leydig cells in the testes is stimulated before the more abundant Sertoli cells begin to produce significant amounts of testosterone. During this stage, boys may appear obese and somewhat awkward physically. Approximately 1 year after the scrotum begins to increase in size, stage II can be seen. During this time, there is a redistribution of subcutaneous fat and the start of pubic hair growth. Following 8 to 12 months of the peak velocity in height gain, stage III ensues. This period is marked by an obvious widenening of hips with a more adult-like fat distribution and full development of the breasts. All together, these three stages culminate in a complete growth spurt for most individuals. At this time, axillary hair appears and facial hair appears on the upper lip only. A spurt in muscle growth also occurs, along with a continued decrease in subcutaneous fat and an obviously harder and more angular body form. Pubic hair distribution appears more adult but has not yet spread to the medial area of the thighs. The penis and scrotum are near adult size. Stage IV for boys, which occurs anywhere from 15 to 24 months after stage III, is difficult to pinpoint. At this time, the spurt of growth in height ends. There is facial hair on the chin and the upper lip, adult distribution and color of pubic and axillary hair, and a further increase in muscular strength.
The adolescent growth spurt is a rapid increase in the individual's height and weight during puberty resulting from the simultaneous release of growth hormones, thyroid hormones, and androgens. Males experience their growth spurt about two years later, on average, than females. During their peak height velocity (the time of most rapid growth), adolescents grow at a growth rate nearly identical to that of a toddler—typically per year for males (about 70% at age between 13 and 15 years) and per year for females (age 11–13) (based on data from white British adolescents who participated in the Harpenden Growth Study). In addition to changes in height, adolescents also experience a significant increase in body mass / weight. The weight gained during adolescence constitutes nearly half of one's adult body weight. Teenage and early adult males may continue to gain natural muscle growth even after puberty.
The accelerated growth in different body parts happens at different times, but for all adolescents, it has a fairly regular sequence. The first places to grow are the extremities—the head, hands and feet—followed by the arms and legs, then the torso and shoulders. This non-uniform growth is one reason why an adolescent body may seem out of proportion.
During puberty, bones become harder and more brittle. At the conclusion of puberty, the ends of the long bones close during the process called epiphysis. There can be ethnic differences in these skeletal changes. For example, in the United States, bone density increases significantly more among black than white adolescents, which might account for decreased likelihood of black women developing osteoporosis and having fewer bone fractures there.