Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA.
Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA.
Nutrients. 2019 Jul 14;11(7):1595. doi: 10.3390/nu11071595.
Alterations in pubertal timing have been associated with long-term health outcomes. While a few reports have shown that dietary intake of selenium is associated with fertility and testosterone levels in men, no human studies have considered the association between selenium and pubertal development in children. We examined the cross-sectional association of childhood dietary intake of selenium with pubertal development among 274 girls and 245 boys aged 10-18 years in Mexico City. Multiple logistic and ordinal regression models were used to capture the association between energy-adjusted selenium intake (below Recommended Dietary Allowance (RDA) vs. above RDA) and stages of sexual maturity in children, adjusted for covariates. We found that boys with consumption of selenium below the RDA had lower odds of a higher stage for pubic hair growth (odds ratio (OR) = 0.51, 95% confidence interval (95% CI): 0.27-0.97) and genital development (OR = 0.53, 95% CI: 0.28-0.99) as well as a lower probability of having matured testicular volume (OR = 0.37, 95% CI: 0.15-0.88) compared with boys who had adequate daily dietary intake of selenium (above RDA). No associations were found in girls. According to our results, it is possible that inadequate consumption of selenium may be associated with later pubertal development in boys, suggesting a sex-specific pattern. Future work with a larger sample size and measures of selenium biomarkers is needed to confirm our findings and improve understanding of the role of this mineral in children's sexual development.
青春期时间的改变与长期健康结果有关。虽然有一些报告表明,男性的硒饮食摄入量与生育能力和睾丸激素水平有关,但没有人类研究考虑过硒与儿童青春期发育之间的关系。我们在墨西哥城检查了 274 名女孩和 245 名年龄在 10-18 岁的男孩的儿童期饮食硒摄入量与青春期发育之间的横断面关联。使用多元逻辑和有序回归模型来捕捉能量调整后的硒摄入量(低于推荐膳食允许量(RDA)与高于 RDA)与儿童性成熟阶段之间的关联,调整了协变量。我们发现,摄入 RDA 以下的硒的男孩,其阴毛生长(比值比(OR)= 0.51,95%置信区间(95%CI):0.27-0.97)和生殖器发育(OR = 0.53,95%CI:0.28-0.99)的较高阶段的可能性较低,以及成熟睾丸体积(OR = 0.37,95%CI:0.15-0.88)的可能性也较低,与每日摄入足够的硒(高于 RDA)的男孩相比。在女孩中没有发现关联。根据我们的结果,可能是由于硒的摄入量不足可能与男孩青春期发育的延迟有关,这表明存在性别特异性模式。未来需要更大的样本量和硒生物标志物的测量来证实我们的发现,并加深对这种矿物质在儿童性发育中的作用的理解。