Study protocol: the Childhood to Adolescence Transition Study (CATS)
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BACKGROUND: Puberty is a multifaceted developmental process that begins in late-childhood with a cascade of endocrine changes that ultimately lead to sexual maturation and reproductive capability. The transition through puberty is marked by an increased risk for the onset of a range of health problems, particularly those related to the control of behaviour and emotion. Early onset puberty is associated with a greater risk of cancers of the reproductive tract and cardiovascular disease. Previous studies have had methodological limitations and have tended to view puberty as a unitary process, with little distinction between adrenarche, gonadarche and linear growth. The Childhood to Adolescence Transition Study (CATS) aims to prospectively examine associations between the timing and stage of the different hormonally-mediated changes, as well as the onset and course of common health and behavioural problems that emerge in the transition from childhood to adolescence. The initial focus of CATS is on adrenarche, the first hormonal process in the pubertal cascade, which begins for most children at around 8 years of age. METHODS/DESIGN: CATS is a longitudinal population-based cohort study. All Grade 3 students (8-9 years of age) from a stratified cluster sample of schools in Melbourne, Australia were invited to take part. In total, 1239 students and a parent/guardian were recruited to participate in the study. Measures are repeated annually and comprise student, parent and teacher questionnaires, and student anthropometric measurements. A saliva sample was collected from students at baseline and will be repeated at later waves, with the primary purpose of measuring hormonal indices of adrenarche and gonadarche. DISCUSSION: CATS is uniquely placed to capture biological and phenotypic indices of the pubertal process from its earliest manifestations, together with anthropometric measures and assessment of child health and development. The cohort will provide rich detail of the development, lifestyle, external circumstances and health of children during the transition from childhood through to adolescence. Baseline associations between the hormonal measures and measures of mental health and behaviour will initially be examined cross-sectionally, and then in later waves longitudinally. CATS will make a unique contribution to the understanding of adrenarche and puberty in children's health and development.
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The study used a prospective longitudinal design with data from waves one, two and three of the Childhood to Adolescence Transition Study (CATS).
“Data for this study were drawn from waves one (conducted in 2012), two (2013) and three (2014) of the Childhood to Adolescence Transition Study (CATS). This is a longitudinal cohort study with a broad focus on health, education and social adjustment as children transition through puberty.”
From Electronic media use and academic performance in late childhood: A longitudinal study (2020) · cites this paper as [44]
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Ellis, R., Fernandes, A., Simmons, J. G., Mundy, L. K., Patton, G. C., Allen, N. B., & Whittle, S. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.02.016 · Cited by 36 · see citing works
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Self-citationMurray, C., Simmons, J. G., Allen, N. B., Byrne, M. L., Mundy, L. K., Seal, M. L., Patton, G. C., Olsson, C. A., & Whittle, S. (2015) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2015.11.004 · Cited by 36 · see citing works
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Study protocol: Imaging brain development in the Childhood to Adolescence Transition Study (iCATS)
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Self-citationPreservice Teachers’ Sources of Information on Mandatory Reporting of Child Sexual Abuse
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Noble, J., Cardini, A., Flavel, A., & Franklin, D. (2018) · Forensic Science International · doi:10.1016/j.forsciint.2018.10.022 · Cited by 32 · see citing works
Rentala, S., Lau, B. H. P., Aladakatti, R., & Thimmajja, S. G. (2019) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_378_18 · Cited by 30 · see citing works
Multiple Imputation for Longitudinal Data: A Tutorial
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Barendse, M. E. A., Simmons, J. G., Byrne, M. L., Seal, M. L., Patton, G. C., Mundy, L. K., Wood, S. J., Olsson, C. A., Allen, N. B., & Whittle, S. (2017) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.11.009 · Cited by 29 · see citing works
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Reduced frontal white matter volume in children with early onset of adrenarche
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Self-citationZhu, W., Liu, J., Lou, H., Mu, F.-Z., & Li, B. (2024) · BMC Psychology · doi:10.1186/s40359-024-02276-6 · Cited by 26 · see citing works
School engagement of children in early grades: Psychometric, and gender comparisons
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Barendse, M. E. A., Simmons, J. G., Byrne, M. L., Patton, G. C., Mundy, L. K., Olsson, C. A., Seal, M. L., Allen, N. B., & Whittle, S. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.07.020 · Cited by 26 · see citing works
Self-citationBarendse, M. E. A., Simmons, J. G., Patton, G. C., Mundy, L. K., Byrne, M. L., Seal, M. L., Allen, N. B., & Whittle, S. (2019) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2019.04.018 · Cited by 26 · see citing works
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Kosola, S. K., Mundy, L. K., Sawyer, S. M., Canterford, L. D., van der Windt, D., Dunn, K. M., & Patton, G. C. (2017) · Pain · doi:10.1097/j.pain.0000000000000984 · Cited by 24 · see citing works
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Self-citationde Gruijter, N. M., Naja, M., Peckham, H., Radziszewska, A., Kinsella, M., Glenister, J., Rosser, E. C., Butler, G. E., Jury, E. C., & Ciurtin, C. (2021) · Pediatric Rheumatology · doi:10.1186/s12969-021-00528-y · Cited by 23 · see citing works
Impact of the Familiar Environment in 11–14-Year-Old Minors’ Mental Health
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Ashtree, D. N., Orr, R., Lane, M. M., Akbaraly, T. N., Bonaccio, M., Costanzo, S., Gialluisi, A., Grosso, G., Lassale, C. M., Martini, D., et al. (2025) · JMIR Research Protocols · doi:10.2196/65576 · Cited by 21 · see citing works
Self-citationSpry, E., Olsson, C. A., Hearps, S. J. C., Aarsman, S. R., Carlin, J. B., Howard, L. M., Moreno‐Betancur, M., Romaniuk, H., Doyle, L. W., Brown, S., et al. (2020) · Paediatric and Perinatal Epidemiology · doi:10.1111/ppe.12602 · Cited by 21 · see citing works
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The association of PTPN22 rs2476601 with juvenile idiopathic arthritis is specific to females
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Puberty, the Brain and Mental Health in Adolescence
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Self-citationWhittle, S., Barendse, M. E. A., Pozzi, E., Vijayakumar, N., & Simmons, J. G. (2019) · NeuroImage · doi:10.1016/j.neuroimage.2019.116256 · Cited by 19 · see citing works
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The contribution of drama pedagogy in developing adolescents’ self-confidence: a case study
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Characterization of Puberty in an Australian Population-Based Cohort Study
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Self-citationGrowth and adrenarche: findings from the CATS observational study
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Brower, A., Rosen, S., Gorb, N., & Cavalli, L. (2025) · Journal of Voice · doi:10.1016/j.jvoice.2025.03.041 · Cited by 5 · see citing works
Thomas, A. J., Reavley, N. J., Wickramaarachchi, T., Sweeny, K., Erskine, H. E., Husin, H. M., Azzopardi, P. S., Sawyer, S. M., & Scott, N. (2025) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674251370449 · Cited by 5 · see citing works
Self-citationModelling timing and tempo of adrenarche in a prospective cohort study
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Self-citationO’Connor, M., Olsson, C. A., Lange, K., Downes, M., Moreno‐Betancur, M., Mundy, L. K., Viner, R., Goldfeld, S. R., Patton, G. C., Sawyer, S. M., et al. (2024) · Epidemiology · doi:10.1097/ede.0000000000001798 · Cited by 5 · see citing works
Self-citationMundy, L. K., Canterford, L. D., Dashti, S. G., Husin, H. M., Beatson, R. M., Edwards, B., & Patton, G. C. (2023) · Australian Journal of Social Issues · doi:10.1002/ajs4.249 · Cited by 5 · see citing works
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García, J. C. G., & Hernández, E. H. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18137083 · Cited by 4 · see citing works
Vijayakumar, N., Dashti, S. G., Canterford, L. D., Ellul, S., Parissi, A. J. A., Goddings, A., Viner, R., Moran, P., Borschmann, R., Mundy, L. K., et al. (2026) · The Medical Journal of Australia · doi:10.5694/mja2.70220 · Cited by 3 · see citing works
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Self-citationLuo, D., Sawyer, S. M., Vijayakumar, N., & Dashti, S. G. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.121012 · Cited by 3 · see citing works
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Junior, E. J. F. R., Neave, N., Marsili, B. K., Figueiredo, E. C. G., Martino‐Andrade, A. J., & Moraes, W. (2023) · American Journal of Human Biology · doi:10.1002/ajhb.23979 · Cited by 2 · see citing works
Effects of Nutritional and Socioeconomic Status on Puberty
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The effect of missing levels of nesting in multilevel analysis
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CORRELACIÓN ENTRE ECO-INTENSIDAD MUSCULAR Y SALTO VERTICAL EN ESCOLARES
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Self-citation
- Authors
- Mundy, L. K., Simmons, J. G., Allen, N. B., Viner, R. M., Bayer, J. K., Olds, T., Williams, J., Olsson, C., Romaniuk, H., Mensah, F., Sawyer, S. M., Degenhardt, L., Alati, R., Wake, M., Jacka, F., & Patton, G. C.
- Affiliations
- Murdoch Children's Research Institute (AU)
- The University of Melbourne (AU)
- University College London (GB)
- La Trobe University (AU)
- Royal Children's Hospital (AU)
- The University of Queensland (AU)
- Deakin University (AU)
- Corresponding author
- Mundy, Lisa K
- ORCID
- Venue
- BMC Pediatrics
- Published
- 2013-10-08
- Volume
- 13
- Issue
- 1
- Pages
- 160-160
- ISSN
- 1471-2431 (ISSN-L)
- PMC
- PMC3852285
- OpenAlex
- W2154286936
- Cited by
- 77
- References
- 92
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 4 · 2023: 6 · 2022: 7 · 2021: 7 · 2020: 12 · 2019: 7 · 2018: 6 · 2017: 4 · 2016: 3 · 2015: 8 · 2014: 4
- Type
- conference abstract
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Pediatrics (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UniSA Research Outputs Repository (University of South Australia) (acceptedVersion, other-oa)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by)
- UCL Discovery (University College London) (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Funders
- State Government of Victoria
- Medical Research Council
- National Health and Medical Research Council (1010018)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Human Health and Disease
- Keywords
- puberty, adrenarche, gonadarche, precocious puberty, transition to adolescence, salivary hormones, child mental health, child behavior, linear growth, school-based cohort, longitudinal cohort
- MeSH terms
- Adolescent, Anthropometry, Australia, Mental Disorders, Child, Clinical Protocols, Dehydroepiandrosterone, Female, Humans, Longitudinal Studies, Male, Psychiatric Status Rating Scales, Saliva, Testosterone, Adolescent Development, Adrenarche
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