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Updated: Aug 8, 2025

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Published on: December 31, 2017
Age-Dependent and Body Composition-Dependent Association of Child Gut Microbial Enterotype With Puberty Timing: A
Yujie Xu1, Jingyuan Xiong2, Shufang Shan1
1Laboratory of Molecular Translational Medicine, Center for Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan, P.R. China.
Insights
Gut microbiome enterotypes influence puberty timing. The Bacteroides-rich enterotype is linked to later puberty, especially in younger children with higher body mass index (BMI).
Area of Science:
- Microbiome research
- Pediatric endocrinology
- Adolescent health
Background:
- Puberty timing is crucial for adult well-being.
- Gut microbiome composition, specifically enterotypes, may influence pubertal development.
- Previous research linked specific gut bacteria to puberty, but enterotype-level associations were unknown.
Purpose of the Study:
- To investigate the prospective association between gut microbial enterotype and puberty timing in children.
- To examine the interaction effects of age and body composition (BMI SDS) on this association.
Main Methods:
- 1826 children from the Chinese Adolescent Cohort Study were analyzed.
- Annual fecal samples were collected for 16S rRNA sequencing and metabolomics.
- Cox proportional hazard regression models assessed enterotype association with puberty timing, considering age and BMI SDS.
Main Results:
- Children were classified into Prevotella-rich (32.4%) and Bacteroides-rich (67.6%) enterotypes.
- Bacteroides-rich enterotype was associated with later puberty onset (HR 0.53, P=.02).
- This association was stronger in younger children with higher BMI SDS (P-interaction=.006).
Conclusions:
- Gut microbial communities play a role in pubertal development.
- Younger children with higher body mass appear more sensitive to gut microbiome influences on puberty.
Context:
Puberty timing, which is vital for adult well-being, has recently been suggested to be linked to specific gut taxa. However, the impact of comprehensive gut microbiome structure assessed by enterotype on puberty timing remains unknown.
Objective:
Investigate the prospective association of gut microbial enterotype with puberty timing and the potential interaction of age and body composition.
Methods:
This study included 1826 children from the Chinese Adolescent Cohort Study, a cohort that has collected information on sociodemographics, dietary intake, physical activity, anthropometry, and pubertal development of children aged 6-8 years since 2013 and follows them up annually until the age of 15 years. Fecal samples have been collected annually since 2019 and analyzed for 16S rRNA sequencing and targeted fecal metabolomics. Cox proportional hazard regression models were used to investigate the prospective association of enterotype with puberty timing and the impact of age and body mass index (BMI) sex- and age-independent standard deviation score (SDS).
Results:
592 (32.4%) and 1234 (67.6%) children belonged to the Prevotella-rich enterotype and the Bacteroides-rich enterotype, respectively. Children with the Bacteroides-rich enterotype experienced their menarche/voice break later than those with the Prevotella enterotype (hazard ratio 0.53, 95% CI 0.28-0.98), P = .02). Moreover, this association was more pronounced among younger children with higher BMI SDS (P for interaction = .006).
Conclusion:
Our findings supported a role for gut microbial communities in pubertal development, in which younger children with higher body mass seems more sensitive.
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