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Potential Role of Sleep Disturbance in the Development of Early Puberty: Past Clinical Evidence for Future Management
Dolrutai Puttawong1, Karn Wejaphikul1, Chanisa Thonusin2
1Faculty of Medicine, Division of Pediatric Endocrinology and Metabolism, Department of Pediatrics, Chiang Mai University, Chiang Mai, Thailand.
Insights
Early puberty is rising, with sleep disturbances potentially accelerating its onset. This review explores the link between sleep and puberty, offering insights for future treatments.
Area of Science:
- Pediatrics
- Endocrinology
- Sleep Medicine
Background:
- Increasing incidence of early puberty in children.
- Suspected influence of genetic and environmental factors (nutrition, hormones).
- Emerging evidence links sleep patterns to pubertal development.
Purpose of the Study:
- To comprehensively review the association between sleep disturbance and early puberty.
- To discuss findings, including contrary evidence.
- To explore potential therapeutic implications.
Main Methods:
- Literature review of studies on sleep and puberty.
- Analysis of hormonal markers like luteinizing hormone (LH).
- Examination of prevalence in sleep disorder patients.
Main Results:
- Luteinizing hormone (LH) increases during deep sleep, a puberty marker.
- Higher prevalence of early puberty observed in individuals with sleep disorders, notably narcolepsy.
- Existing research indicates a significant correlation between sleep disruption and precocious puberty.
Conclusions:
- Sleep disturbance is a key factor associated with early puberty.
- Understanding this link can inform future therapeutic strategies for central precocious puberty.
- Further research into sleep's role may offer novel treatment options.
Abstract:
The incidence of early puberty in children has been increasing. It has been suspected that both genetic and various environmental factors such as nutrition and hormonal exposure could influence the mechanisms underlying the earlier onset of puberty. Interestingly, several previous studies have reported a strong connection between sleep and puberty. Specifically, it was discovered that luteinizing hormone (LH), a potential marker for the onset of puberty, was increased during the deep sleep period. Furthermore, a high prevalence of early puberty was observed in patients with sleep disorders, especially in those experiencing narcolepsy. In this review article, findings related to the association between sleep disturbance and early puberty have been comprehensively summarized. Any contrary findings are also included and discussed. Advances in the knowledge surrounding sleep disturbance have led to a greater understanding of a correlation between early puberty and sleep disorder and provide alternative therapeutic options for the treatment of central precocious puberty in the future.
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