Ponnapakkam Adharsh, Gensure Robert
Ochsner J. 2008 Fall;8(3):129-33.
Hurricanes Katrina and Rita caused widespread damage that resulted in increased stress levels for families living in the New Orleans area. This study examined the relationship between this stress and the onset of puberty in children by conducting a retrospective chart review of patients referred before and after the storm to a pediatric endocrine practice in New Orleans. The total number of new patients referred and the incidence of diagnoses that are unlikely to be affected by stress (ie, thyroid disease and premature adrenarche) were essentially unchanged. On the other hand, the incidence of central precocious puberty decreased by 52% after the storm, while the incidence of pubertal delay increased by 9% in the post storm period. This study thus provides evidence that stress delays the onset of puberty in children.
卡特里娜飓风和丽塔飓风造成了广泛破坏，导致居住在新奥尔良地区的家庭压力水平上升。本研究通过对风暴前后转诊至新奥尔良一家儿科内分泌诊所的患者进行回顾性病历审查，研究了这种压力与儿童青春期开始之间的关系。新转诊患者的总数以及不太可能受压力影响的诊断发病率（即甲状腺疾病和早熟性肾上腺初现）基本未变。另一方面，风暴过后，中枢性性早熟的发病率下降了52%，而青春期延迟的发病率在风暴后时期上升了9%。因此，本研究提供了证据表明压力会延迟儿童青春期的开始。
