2年身体活动和饮食干预对上腺和青春期发育的影响:PANIC研究
Jani Liimatta1,2,3, Christa E Flück2,3, Aino Mäntyselkä1,4
1Kuopio Pediatric Research Unit (KuPRU), University of Eastern Finland, 70029 Kuopio, Finland.
The Journal of clinical endocrinology and metabolism
|June 17, 2023
概括
生活方式干预减少了雄激素和延迟了儿童的青春期. 这项研究表明,身体活动和饮食可以影响性成熟,独立于体重变化.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 童年发展 儿童发展
- 代谢健康 代谢健康
背景情况:
- 儿童超重与早期的上腺和青春期有关.
- 生活方式干预对一般儿童群体的性成熟的影响尚未得到充分理解.
研究的目的:
- 为了确定一个2年的生活方式干预是否会影响循环中的雄激素度和儿童一般人口的性成熟.
- 研究身体活动和饮食变化对性发育关键激素标志物的影响.
主要方法:
- 一项为期2年的随机对照试验,涉及421名青春期前儿童 (6-9岁).
- 干预组接受了联合体育活动和饮食指导;对照组没有.
- 测量了脱水氨 (DHEA),DHEAS,androstenedione (A4),的血清度,并评估了上腺和青春期的临床症状.
主要成果:
- 生活方式干预显著减弱了男孩的DHEA,DHEAS,A4和的增加,以及女孩的DHEA和DHEAS.
- 干预后,男孩的阴道发育延迟了.
- 这些影响独立于身体大小和组成的变化,并部分由禁食血清胰岛素的变化解释.
结论:
- 联合体育活动和饮食干预有效地减轻了青春期前儿童血清雄激素度的上升.
- 干预还延迟了性成熟的关键指标,如青春期,在一般儿童群体中.
- 观察到的效应独立于身体组成的变化,突出显示生活方式对内分泌发育的直接影响.
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