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Central precocious puberty during COVID-19 pandemic and sleep disturbance: an exploratory study

Giuseppina R Umano1, Ivan Maddaluno1, Simona Riccio1

  • 1Department of the Woman, the Child, of General and Specialized Surgery, University of Campania "L. Vanvitelli", Naples, Italy.

Italian Journal of Pediatrics
|April 24, 2022
PubMed

Insights

The incidence of central precocious puberty (CPP) increased post-lockdown. Children with CPP experienced more sleep disturbances and later bedtimes compared to healthy peers during this period.

Area of Science:

  • Pediatric endocrinology
  • Sleep medicine
  • Public health

Background:

  • An increase in central precocious puberty (CPP) cases following the COVID-19 lockdown has been observed.
  • This study investigates changes in CPP incidence and sleep patterns in affected children and controls.

Purpose of the Study:

  • To assess the incidence of CPP during the lockdown period.
  • To compare sleep patterns between children with CPP and healthy controls before and during lockdown.

Main Methods:

  • Retrospective evaluation of CPP cases from April 2020 to April 2021.
  • Parents completed questionnaires on sleep disturbances (SDSC) and schedules for CPP patients and matched controls.

Main Results:

  • New CPP cases rose significantly in 2020-2021 compared to previous years (5:100 vs 2:100).
  • During lockdown, CPP patients reported higher rates of sleep disturbances, including excessive somnolence and sleep-wake transition issues.
  • CPP patients also exhibited a trend towards later bedtimes compared to controls.

Conclusions:

  • The study confirms an increased incidence of CPP post-lockdown.
  • CPP is associated with heightened sleep disturbances and delayed bedtime.
  • Further research is needed to explore the causal link between sleep disturbances and CPP.
Abstract

Keywords:
COVID-19Central precocious pubertyChildrenSleep

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