The aim of this study was to investigate the relationships between adi
posity and skeletal maturity, relative skeletal maturity and percentag
e of predicted adult stature. A representative sample of 6,029 Flemish
girls aged 6-16 years of age was investigated. Age specific correlati
ons between adiposity and biological maturity indicators were calculat
ed and in each age group the fattest 5% were compared with the leanest
5%. Adiposity was estimated from the sum of five skinfolds (biceps, t
riceps, subscapular, suprailiac and medial calf). Skeletal age was ass
essed according to the Tanner-Whitehouse technique. Relative skeletal
age was calculated as the difference between skeletal age and chronolo
gical age and percentage of predicted adult stature was calculated acc
ording to the Tanner-Whitehouse Mark II regression technique. Correlat
ions between adiposity and maturity indicators are positive, but vary
between r = 0.00 and r = 0.39. When stature is statistically controlle
d, correlations are reduced slightly. The 5% fattest girls are equally
advanced (0.2 to 1.2 years) as the 5% leanest girls are delayed (0.0
to 0.9 years) in skeletal maturation. Attained statures are consistent
with the maturity data and indicate that size differences between fat
and lean girls are primarily due to maturity differences. It was conc
luded that during childhood and adolescence, fatness is associated wit
h advanced and leanness with delayed biological maturity status. This
association seems to have long term effects that merit further study.