192. Pubertal Timing in Relation to Nutritional Status Among Adolescents Living in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis

Despite increasing global attention to adolescent health in low- and middle-income countries (LMIC), limited literature exists on the timing of pubertal development in these settings. This study aims to determine the age at menarche (AAM) and age of puberty onset (female Tanner Stage Breast 2 (B2) and male Tanner Stage Genital 2 (G2)] among healthy adolescents living in LMIC. It also aims to explore the impact of nutritional status on pubertal...