Department of Pediatrics, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Yuhua District, Shijiazhuang, 050000, Hebei, China.
Department of Laboratory Medicine, The First Hospital of Hebei Medical University, Shijiazhuang, China.
BMC Pediatr. 2023 Sep 11;23(1):456. doi: 10.1186/s12887-023-04265-x.
The purpose of this study is to explore the related factors of precocious puberty in children.
1239 children who underwent physical examination in our hospital from January 2020 to December 2022 were analyzed, including 198 precocious children and 1041 normal children. According to the age of 198 precocious children and 1041 normal children, 205 normal children were selected, and the remaining 836 normal children were excluded. They were divided into precocious group and normal group. The general data of the two groups were recorded. Logistic regression was used to analyze the influencing factors of precocious puberty in children.
There were statistically significant differences (P < 0.05) between the two groups in sex, bone age, daily exercise time, E2, FSH, LH, leptin, mother's menarche time, living environment, consumption of nutritional supplements, consumption of foods containing pigments and preservatives, consumption of high-protein foods, and sleeping time. The multifactor logistic regression analysis shows that the risk factors of children's precocious puberty included gender (female), bone age (> 10 years old), and daily exercise time (< 0.9 h), E2 (≥ 66.00pmol/L), FSH (≥ 6.00U/L), LH (≥ 3.50U/L), leptin (≥ 8.00 µ G/L), mother's menarche time (< 12 years old), living environment (chemical industry zone), consumption of nutritional supplements (often), consumption of high-protein food (often), and sleep time (< 10 h).
In conclusion, children's gender, bone age, exercise habits, E2, FSH, LH, leptin, mother's menarche time, living environment, eating habits, sleep time and other factors are closely related to precocious puberty in children. Reminding parents to actively prevent related factors in clinical work is helpful to prevent the occurrence of precocious puberty in children.
本研究旨在探讨儿童性早熟的相关因素。
分析 2020 年 1 月至 2022 年 12 月在我院体检的 1239 例儿童,包括性早熟儿童 198 例,正常儿童 1041 例。根据 198 例性早熟儿童和 1041 例正常儿童的年龄,选择 205 例正常儿童,排除其余 836 例正常儿童,分为性早熟组和正常组,记录两组一般资料。采用 logistic 回归分析儿童性早熟的影响因素。
两组性别、骨龄、每日运动时间、E2、FSH、LH、瘦素、母亲初潮时间、生活环境、营养补充剂摄入、含色素和防腐剂食品摄入、高蛋白食物摄入、睡眠时间比较,差异有统计学意义(P<0.05)。多因素 logistic 回归分析显示,儿童性早熟的危险因素包括性别(女)、骨龄(>10 岁)和每日运动时间(<0.9 h)、E2(≥66.00pmol/L)、FSH(≥6.00U/L)、LH(≥3.50U/L)、瘦素(≥8.00 µg/L)、母亲初潮时间(<12 岁)、生活环境(化工区)、营养补充剂摄入(常)、高蛋白食物摄入(常)、睡眠时间(<10 h)。
综上所述,儿童性别、骨龄、运动习惯、E2、FSH、LH、瘦素、母亲初潮时间、生活环境、饮食习惯、睡眠时间等因素与儿童性早熟密切相关。提醒家长在临床工作中积极预防相关因素,有助于预防儿童性早熟的发生。