A Natural History of Genetic and Environmental Predictors of Pubertal Timing Among Youth With Obesity

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• Current use of medications or supplements that affect reproductive hormones (e.g., estrogen, progesterone, testosterone, puberty blockers, regular use of lavender oil or tea tree oil)
• Chronic medical conditions (e.g., type 1 or type 2 diabetes, cancer, renal failure, lupus, etc.), at the discretion of the Principal Investigator
• International adoptee (associated with earlier puberty); Individuals who do not meet the criteria for participation in this study (screen failure) because of an acute, reversible or transient medical reason may be rescreened upon reversal, improvement or stabilization of their clinical status. Participants who develop an acute, reversible or transient medical condition during the study may return upon reversal, improvement or stabilization of their clinical status
• Clinically significant abnormal laboratory values, at the discretion of the Principal Investigator
• An individual who meets any of the following criteria will be excluded from participation in this study:
• Known diagnosis of syndromic/genetic form of obesity

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• INCLUSION CRITERIA:; To be eligible to participate in this study, an individual must meet all of the following criteria:
• Stated willingness to comply with all study procedures and availability for the duration of the study, including sharing medical records
• Male or female, aged 5 to 7 years at the screening visit
• Normal weight (defined as BMI > 5th percentile and <85th percentile for age and sex) or Obese weight (defined as BMI > 95th percentile for age and sex)
• Ability of parent or guardian to understand and willingness to sign a written informed consent document. And ability of the participant (child) to provide verbal assent and/or to sign a written assent document