Department of Paediatrics, Ibn Sina National College, College of Medicine, King AbdulAziz University Hospital, Jeddah, Saudi Arabia.
Department of Paediatric Endocrinology, King AbdulAziz University Hospital, Jeddah, Saudi Arabia.
Ann Afr Med. 2021 Jul-Sep;20(3):193-197. doi: 10.4103/aam.aam_41_20.
The objective is to investigate the timing of pubertal onset as determined by the development of secondary sexual characteristics in relation to body weight and dietary patterns among Saudi females.
Children/adolescents visiting general and endocrinology pediatric clinics in King AbdulAziz University Hospital were invited to participate in this study. Female subjects between the ages of 5 and 20 years were included in this study, and those with syndromic disease, chronic comorbidities, endocrinopathies, organic causes of precocious puberty, positive family history of early pubertal onset, and under chronic medication were excluded from the study. Data were collected through clinical interviews with the consent of the legal guardians, and physical examinations were conducted.
A.
total of 164 females were investigated. The mean age of thelarche, adrenarche, and menarche was 10, 11.3, and 12.2 years, respectively. We found a significant correlation between higher weight standard deviation and an earlier age of both thelarche and adrenarche. In addition, daily consumption of fast foods was significantly associated with an earlier menarchal age. Consumption of nonorganic poultry was linked to early thelarche.
Efforts should be directed to increase public and community awareness that fast food consumption, inorganic poultry, and higher body weight are important modifiable factors that lead to an earlier onset of female puberty across different parameters: breast development, adrenarche, and menstruation.
本研究旨在探讨沙特女性青春期启动的时间与第二性征的发育与体重和饮食模式的关系。
我们邀请了在阿卜杜勒阿齐兹国王大学医院普通儿科和内分泌儿科诊所就诊的儿童/青少年参与本研究。本研究纳入了年龄在 5 至 20 岁之间的女性受试者,排除了患有综合征疾病、慢性合并症、内分泌疾病、性早熟的器质性原因、青春期提前的阳性家族史和正在接受慢性药物治疗的受试者。数据通过法定监护人同意的临床访谈和体格检查收集。
共调查了 164 名女性。乳房发育、肾上腺皮质功能初现和月经初潮的平均年龄分别为 10 岁、11.3 岁和 12.2 岁。我们发现,较高的体重标准差与乳房发育和肾上腺皮质功能初现的年龄较早显著相关。此外,快餐的日常消费与月经初潮年龄较早显著相关。食用非有机家禽与较早的乳房发育有关。
应努力提高公众和社区的认识,即快餐消费、非有机家禽和较高的体重是导致女性青春期不同参数(乳房发育、肾上腺皮质功能初现和月经初潮)提前启动的重要可改变因素。