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Published on: October 13, 2018
Analysis of risk factors of precocious puberty in children
Yan Dong1, Lili Dai2, Yang Dong2
1Department of Pediatrics, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Yuhua District, Shijiazhuang, 050000, Hebei, China.
Insights
Factors like female gender, advanced bone age, and reduced exercise are linked to precocious puberty in children. Early maternal menarche and environmental exposures also increase risk, highlighting the need for parental awareness.
Area of Science:
- Pediatrics
- Endocrinology
- Child Health
Background:
- Precocious puberty is a condition where children experience puberty earlier than normal.
- Identifying associated risk factors is crucial for timely intervention and management.
Purpose of the Study:
- To investigate the various factors associated with the development of precocious puberty in children.
- To analyze the differences between children with precocious puberty and their normal peers.
Main Methods:
- A retrospective analysis of 1239 children (198 with precocious puberty, 1041 normal) from January 2020 to December 2022.
- Logistic regression analysis was employed to identify significant influencing factors.
Main Results:
- Significant differences were observed in gender, bone age, exercise duration, E2, FSH, LH, leptin, maternal menarche age, living environment, and dietary habits.
- Key risk factors identified include female gender, bone age >10 years, exercise <0.9h/day, elevated E2, FSH, LH, leptin, early maternal menarche (<12 years), chemical zone living, frequent supplement/high-protein food intake, and sleep <10h.
Conclusions:
- Children's gender, bone age, exercise, hormone levels (E2, FSH, LH), leptin, maternal menarche timing, environment, diet, and sleep are strongly associated with precocious puberty.
- Awareness and prevention of these factors by parents and clinicians are vital for mitigating the occurrence of precocious puberty.
Background:
The purpose of this study is to explore the related factors of precocious puberty in children.
Methods:
1239 children who underwent physical examination in our hospital from January 2020 to December 2022 were analyzed, including 198 precocious children and 1041 normal children. According to the age of 198 precocious children and 1041 normal children, 205 normal children were selected, and the remaining 836 normal children were excluded. They were divided into precocious group and normal group. The general data of the two groups were recorded. Logistic regression was used to analyze the influencing factors of precocious puberty in children.
Results:
There were statistically significant differences (P < 0.05) between the two groups in sex, bone age, daily exercise time, E2, FSH, LH, leptin, mother's menarche time, living environment, consumption of nutritional supplements, consumption of foods containing pigments and preservatives, consumption of high-protein foods, and sleeping time. The multifactor logistic regression analysis shows that the risk factors of children's precocious puberty included gender (female), bone age (> 10 years old), and daily exercise time (< 0.9 h), E2 (≥ 66.00pmol/L), FSH (≥ 6.00U/L), LH (≥ 3.50U/L), leptin (≥ 8.00 µ G/L), mother's menarche time (< 12 years old), living environment (chemical industry zone), consumption of nutritional supplements (often), consumption of high-protein food (often), and sleep time (< 10 h).
Conclusion:
In conclusion, children's gender, bone age, exercise habits, E2, FSH, LH, leptin, mother's menarche time, living environment, eating habits, sleep time and other factors are closely related to precocious puberty in children. Reminding parents to actively prevent related factors in clinical work is helpful to prevent the occurrence of precocious puberty in children.
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