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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Associations of Obesity With Growth and Puberty in Children: A Cross-Sectional Study in Fuzhou, China
Ying Zhang1, Xin Yuan1, XiaoHong Yang1
1Department of Endocrinology, Genetics and Metabolism, Fuzhou Children's Hospital of Fujian Medical University, Fuzhou, China.
Insights
Children with obesity are taller in early childhood and experience earlier puberty and growth cessation. However, obesity
Area of Science:
- Pediatric Endocrinology
- Childhood Obesity Research
- Growth and Development Studies
Background:
- Childhood obesity is a growing global health concern.
- Understanding its impact on growth and pubertal development is crucial.
- Previous studies suggest a link between obesity and altered growth trajectories.
Purpose of the Study:
- To investigate the associations between obesity and physical growth in children.
- To examine the relationship between obesity and the timing of puberty.
- To identify potential sex differences in these associations.
Main Methods:
- A cross-sectional study involving 26,879 children aged 3-18 years in Fuzhou, China.
- Assessment of height, weight, and Tanner stages for pubertal development.
- Comparison of growth parameters and pubertal onset between obese and non-obese children.
Main Results:
- Obese children were significantly taller than non-obese peers after age 4.
- Height differences diminished after 15.5 years for boys and 12.5 years for girls.
- Obese children exhibited earlier pubertal onset (e.g., breast/testicular development) and earlier growth deceleration compared to non-obese children.
- Sex dimorphism was observed in the effect of obesity on precocious puberty incidence.
Conclusions:
- Obesity in children is associated with accelerated growth in early childhood.
- Obesity leads to earlier pubertal onset and earlier cessation of growth.
- The impact of obesity on pubertal timing shows variations between boys and girls.
Abstract:
Objectives: To investigate the associations of obesity with growth and puberty in children. Methods: From November 2017 to December 2019, height, weight, and Tanner stages of 26,879 children aged 3-18 years in Fuzhou, China were assessed. Results: The obese group was significantly taller than the non-obese group after age 4 years for both genders, yet there was no significant difference in height between obese and non-obese group after 15.5 years old for boys and 12.5 years old for girls. The inflection points of significant growth deceleration in obese and non-obese groups were 14.4 and 14.6 years old for boys, and 11.8 and 12.8 years old for girls, respectively. The proportions of testicular development in boys with obesity and non-obesity were 7.96% and 5.08% at 8.5-8.9 years old, respectively, while the proportions of breast development in girls were 17.19% and 3.22% at age 7.5-7.9 years old, respectively. Conclusion: Children with obesity were taller in early childhood, earlier onset of puberty and earlier cessation of growth than children with non-obesity of the same age. However, there was sex dimorphism on the effect of obesity on the incidence of precocious puberty.
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