黑素补充剂使用对青春期时间的影响:青少年大脑认知发展研究中的目标试验仿真
Ekaterina Sadikova1, Alejandro Szmulewicz2, Divyangana Rakesh3
1Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
American journal of epidemiology
|March 21, 2025
概括
补充黑素的使用没有影响男性或女性的青春期时间. 对大样本的严格因果分析发现,黑激素与青春期开始或初潮之间没有联系.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 青少年健康 青少年健康
- 药理学研究药理学研究
背景情况:
- 有限的证据表明,黑激素补充剂可能会延迟青春期的开始.
- 了解黑激素对青春期时间的影响对于青少年健康至关重要.
研究的目的:
- 评估持续使用黑激素补充剂对男性青春期开始时间和女性初潮的影响.
- 评估开始和持续使用黑激素对青春期发育的因果关系.
主要方法:
- 利用了青少年大脑认知发展研究 (N=3,134名男性,N=4,424名女性) 的数据.
- 模拟的顺序目标试验,以评估黑激素的启动和延续.
- 采用考克斯模型进行比较分析 (从未与从未使用者,发起者与非发起者).
主要成果:
- 向试验模拟显示,男性青春期发病风险 (RR=1.00) 或女性初潮风险 (RR=0.93) 没有差异.
- 经过调整后,Cox模型表明,对于常用者来说,初潮的潜在延迟 (HR=0.80).
- 严格的因果分析控制混因素没有发现对青春期时间的影响.
结论:
- 在大量青少年样本中,持续使用黑激素补充剂似乎不会影响青春期的时间.
- 因果推断方法表明,黑激素对青春期发育没有显著影响.
- 可能需要进一步的研究来协调来自不同分析方法的相互矛盾的发现.
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