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Published on: October 13, 2018
Associations of fetal and infant growth with pubertal timing
Sophia Blaauwendraad1,2, Romy Gaillard1,2, Romy Gonçalves1,2
1Pediatrics, Erasmus MC, Rotterdam, Netherlands.
Insights
Fetal and infant growth impact the hypothalamic-pituitary-gonadal axis, influencing pubertal development. This study found birth weight and early growth are linked to pubertal timing and development in a sex-specific manner.
Area of Science:
- Developmental Biology
- Endocrinology
- Pediatric Growth
Background:
- Impaired fetal and infant growth can alter the developmental programming of the hypothalamic-pituitary-gonadal axis.
- This axis is crucial for regulating pubertal development.
Purpose of the Study:
- To investigate the associations between fetal and infant growth patterns and subsequent pubertal development.
- To determine if these associations are sex-specific.
Main Methods:
- A population-based prospective birth cohort study was conducted in Rotterdam, the Netherlands.
- Fetal weight was estimated via ultrasound; infant growth was tracked using birth weight and weight at 6, 12, and 24 months.
- Pubertal timing was assessed through skeletal age, testicular/ovarian volumes, age at menarche, and Tanner staging.
Main Results:
- In girls, higher birth weight correlated with larger ovarian volume and later menarche. Increased infant growth was linked to older skeletal age, earlier menarche, and advanced breast/pubic hair development.
- In boys, increased infant growth was associated with older skeletal age, larger testicular volume, and advanced pubic hair development.
Conclusions:
- Birth anthropometrics and early-life growth patterns are significantly associated with pubertal development.
- These associations manifest in a sex-specific manner, highlighting the importance of early growth for reproductive health.
Objective:
Impaired fetal and infant growth may cause alterations in developmental programming of the hypothalamic-pituitary-gonadal axis and subsequently pubertal development. We aimed to assess associations between fetal and infant growth and pubertal development.
Design:
Population-based prospective birth cohort.
Setting:
Rotterdam, the Netherlands.
Patients:
5830 singleton born children.
Interventions:
We estimated fetal weight in second and third trimester by ultrasound. Infant growth measures were gestational age and weight at birth and infant weight at 6, 12 and 24 months.
Main Outcome Measures:
Pubertal timing outcomes included difference between chronological and skeletal age assessed using dual-energy X-ray absorptiometry, testicular or ovarian volumes assessed using MRI at 10 years, age at menarche and Tanner staging at 13 years.
Results:
Among girls, 1-SD scores birth weight increase was associated with larger ovarian volume at 10 years (0.07 SD (95% CI 0.02 to 0.12) and later age at menarche (0.06 (0.02 to 0.11)). Among girls, increased infant growth was associated with an older skeletal age at 10 years (difference 2.67 (95% CI 2.26 to 3.08) months), earlier menarche (difference 0.10 (95% CI -0.14 to -0.06) years) and more advance breast and pubic hair development at 13 years (difference in Tanner stages 0.09 (0.05 to 0.13) and 0.07 (0.03 to 0.12)). In boys, increased infant growth was associated with an older skeletal age (3.13 (95% CI 2.58 to 3.69) months) and a larger testicular volume (0.07 (95% 0.02 to 0.12) SD) at 10 years, and with more advance pubic hair development (0.09 (95% CI 0.05 to 0.14) at 13 years).
Conclusion:
Birth anthropometrics and early-life growth patterns are associated with altered pubertal development in a sex-specific manner.
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