Institute of Nutrition and Food Technology, University of Chile, Santiago, Chile.
Institute of Maternal and Child Research, Faculty of Medicine, University of Chile, Hospital San Borja Arriarán, Santiago, Chile.
Endocr Res. 2020 Feb-May;45(2):102-110. doi: 10.1080/07435800.2019.1681448. Epub 2019 Oct 31.
: Recent reports show that girls with higher body mass index (BMI) have an earlier puberty onset (thelarche). It has been suggested that earlier puberty is a consequence of higher levels of estrogen due to increased aromatization of androgens in adipose tissue. Thus, we aimed to assess the relation between serum levels of estrogen and excess weight (BMI ≥1SD) and central adiposity (>75th percentile for waist circumference) in prepubertal girls at age 7.: We conducted a cross-sectional study within the Growth and Obesity Cohort Study of 1190 low-middle income children from Santiago, Chile. We selected a random sample of 107 prepubertal girls at age 7. A trained dietitian measured weight, height and waist circumference. Additionally, a fasting blood sample was collected to measure serum levels of estradiol equivalents (via ultrasensitive recombinant cell bioassay), dehydroepiandrosterone sulfate (DHEAS), insulin, insulin-like growth factor 1 (IGF-1), and leptin.: Excess weight was observed in 40% of our sample; 11.2% had high central adiposity, and the mean level of estradiol equivalents was 3.6 ± 2.3 pg/ml. In the univariate and multivariate analyzes, we did not observe an association between excess weight, central adiposity and estradiol equivalent levels; however, insulin was inversely associated with the serum level of estradiol equivalents.: Our participants had a mean level of estradiol equivalents of 3.6 pg/ml (±2.3 pg/ml) at the pre-pubertal stage. However, with the exception of insulin, we did not observe an association between estradiol equivalents and markers of adiposity and metabolic and hormonal factors.
: 最近的报告显示,身体质量指数(BMI)较高的女孩青春期开始较早(乳房发育)。有人认为,由于脂肪组织中雄激素的芳香化作用增加,雌激素水平升高是青春期提前的结果。因此,我们旨在评估青春期前女孩 7 岁时血清雌激素水平与超重(BMI≥1SD)和中心性肥胖(腰围>第 75 百分位数)之间的关系。: 我们在智利圣地亚哥的生长和肥胖队列研究中进行了一项横断面研究。我们从 1190 名中低收入儿童中随机选择了 107 名青春期前的 7 岁女孩。一名经过培训的营养师测量了体重、身高和腰围。此外,还采集了空腹血样,以通过超敏重组细胞生物测定法测量雌二醇当量(E2)、硫酸脱氢表雄酮(DHEAS)、胰岛素、胰岛素样生长因子 1(IGF-1)和瘦素的血清水平。: 我们的样本中有 40%存在超重;11.2%存在中心性肥胖,雌二醇当量的平均水平为 3.6±2.3pg/ml。在单变量和多变量分析中,我们没有观察到超重、中心性肥胖与雌二醇当量水平之间存在关联;然而,胰岛素与雌二醇当量的血清水平呈负相关。: 我们的参与者在青春期前阶段的雌二醇当量平均水平为 3.6pg/ml(±2.3pg/ml)。然而,除了胰岛素,我们没有观察到雌二醇当量与肥胖和代谢及激素因素的标志物之间存在关联。