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Updated: Dec 13, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Early and delayed puberty among Iranian children with obesity
Reihaneh Mohsenipour1, Farzaneh Abbasi1, Aria Setoodeh1
1Growth and Development Research Center, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Insights
Childhood obesity in Tehran is linked to puberty delays in boys, not girls. Higher birth weight also correlates with earlier obesity onset, highlighting the need for early prevention strategies.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Childhood Obesity Research
Background:
- Childhood obesity is a growing concern globally and in Iran.
- Weight gain in children has been hypothesized to disrupt normal puberty onset.
- Understanding puberty disturbances in obese children is crucial for health interventions.
Purpose of the Study:
- To investigate the prevalence of puberty disturbances in obese children in Tehran, Iran.
- To identify risk factors associated with puberty disturbances in this population.
Main Methods:
- A cross-sectional study was conducted with 168 obese children in Tehran.
- Data were collected between March 2018 and February 2019.
- Inclusion criteria included a Body Mass Index (BMI) percentile above 95%.
Main Results:
- No significant difference in early puberty was observed between males and females (P=0.098).
- Delayed puberty was significantly more prevalent in obese boys compared to girls (P=0.029).
- Higher birth weight was associated with an earlier onset of childhood obesity (P=0.044).
Conclusions:
- Obesity in girls was not associated with early puberty, but obese boys experienced delayed puberty.
- Higher birth weight is a predictor for the earlier development of childhood obesity.
- Findings underscore the importance of preventive interventions for childhood obesity and its associated pubertal disturbances.
Background:
It has been hypothesized that puberty onset is disturbed as the children gain more weight. This study aimed to investigate the prevalence and risk factors of the puberty disturbances among children with obesity in Tehran, Iran.
Methods:
This study was performed as a cross-sectional study, investigating 168 children with obesity from Tehran, Iran, from March 2018 to February 2019. BMI percentile more than 95% was considered as the inclusion criteria.
Results:
Seventy-eight (46.4%) of the assessed children were females. The mean weight, height, BMI were 89.65 (±11.01) kg, 169.88 (±8.32) centimeters and 31.13(±3.8) kg/m2, respectively. There was no difference between males and females regarding the early puberty (P=0.098), but delayed puberty was significantly higher among males (P=0.029). Our results indicated higher birth weight is associated with earlier onset of obesity in children (P=0.044).
Conclusions:
Our study demonstrated no association between obesity and early puberty in girls; however, boys with obesity had delayed puberty. We also found higher birth weight is associated with earlier onset of obesity, putting light on the importance of preventive interventions.
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