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母乳、配方奶与青春期提前启动

Breast and Formula Milk and Early Puberty Onset.

作者信息

Calcaterra Valeria, Cena Hellas, Sottotetti Francesca, Rossi Virginia, Loperfido Federica, Zuccotti Gianvincenzo

机构信息

Department of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, Italy.

Pediatric Department, Buzzi Children's Hospital, 20154 Milano, Italy.

出版信息

Children (Basel). 2023 Oct 14;10(10):1686. doi: 10.3390/children10101686.

DOI:10.3390/children10101686
PMID:37892349
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10605833/
Abstract

Nutrients have an enormous impact on many hormonal systems and aspects of health, and nutrition status is a crucial regulator of growth and pubertal development in children and adolescents. In this narrative review, we explore the connection between these feeding methods and the timing of puberty to provide a clearer understanding of how infant nutrition might contribute to the early development of puberty. Puberty is a key stage in the transition from childhood to adulthood and the timing of puberty represents a significant biological milestone of growth. Breast milk seems to have a pivotal role in puberty onset, mainly due to its dynamism, which shape indirectly the gut microbiota in early life, besides direct exposure of the baby to the milk microbiota through gut-breast axis. Concerning breast and formula milk and their effects on the onset of puberty, a protective role of the former occurs. As for the potential harmful effects of soy-based formulas and the isoflavones that they contain, the studies reported demonstrate conflicting opinions, underlining the need for further research on this topic. A healthy and well-nourished diet from the earliest stages of life has significant preventive potential for overall well-being, reducing the risk of many health problems later in life.

摘要

营养物质对许多激素系统和健康方面有着巨大影响,营养状况是儿童和青少年生长及青春期发育的关键调节因素。在这篇叙述性综述中,我们探讨这些喂养方式与青春期时间之间的联系,以便更清楚地了解婴儿营养如何可能促成青春期的提前发育。青春期是从儿童向成人过渡的关键阶段,青春期的时间代表着一个重要的生长生物学里程碑。母乳似乎在青春期启动中起着关键作用,这主要归因于其动态特性,它除了通过肠 - 乳腺轴使婴儿直接接触乳汁微生物群外,还在生命早期间接塑造肠道微生物群。关于母乳和配方奶及其对青春期启动的影响,前者具有保护作用。至于大豆基配方奶及其所含异黄酮的潜在有害影响,报告的研究显示出相互矛盾的观点,这突出表明需要对该主题进行进一步研究。从生命的最早阶段开始就保持健康且营养良好的饮食对整体健康具有显著的预防潜力,可降低日后生活中许多健康问题的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fde/10605833/39682067d311/children-10-01686-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fde/10605833/39682067d311/children-10-01686-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fde/10605833/39682067d311/children-10-01686-g001.jpg

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本文引用的文献

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Diet and Nutrients Intakes during Infancy and Childhood in Relation to Early Puberty: A Systematic Review and Meta-Analysis.婴儿期和儿童期的饮食和营养素摄入与早期青春期的关系:系统评价和荟萃分析。
Nutrients. 2022 Nov 24;14(23):5004. doi: 10.3390/nu14235004.
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Horm Behav. 2022 Feb;138:105101. doi: 10.1016/j.yhbeh.2021.105101. Epub 2022 Feb 3.
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The Role of Pediatric Nutrition as a Modifiable Risk Factor for Precocious Puberty.儿童营养作为性早熟可改变风险因素的作用。
Life (Basel). 2021 Dec 7;11(12):1353. doi: 10.3390/life11121353.
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Association of Soy and Exclusive Breastfeeding With Central Precocious Puberty: A Case-Control Study.大豆及纯母乳喂养与中枢性性早熟的关联:一项病例对照研究。
Front Endocrinol (Lausanne). 2021 Jul 5;12:667029. doi: 10.3389/fendo.2021.667029. eCollection 2021.
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The link between obesity and puberty: what is new?肥胖与青春期之间的联系:有哪些新情况?
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Breast feeding and timing of puberty in boys and girls: A nationwide cohort study.母乳喂养与男孩和女孩青春期的时间:一项全国性队列研究。
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