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Life course epidemiology: recognising the importance of puberty
  1. C Mary Schooling
  1. School of Urban Public Health at Hunter College and City University of New York School of Public Health, New York, USA
  1. Correspondence to Professor C Mary Schooling, 2180 Third Avenue, New York, NY 10035, USA; mschooli{at}

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Given the emphasis within the developmental origins of adult health and disease paradigm on the first 1000 days, Viner et al 1 are to be applauded for drawing attention to adolescence as a key developmental stage for brain development, psychosocial development, health behaviour, obesity and mental health, with ramifications throughout the life course. Viner et al 1 also highlight the importance of adolescence as a critical or sensitive period for adult health and disease, including cardiovascular disease and cardiometabolic outcomes, with the risk perhaps mediated by programming of metabolic factors, such as insulin-like growth factor 1, or by obesity.

One further aspect of adolescence that …

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  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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