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.

BMC Pediatrics
|September 11, 2023
PubMed

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.
Abstract

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