The overall diet quality in childhood is prospectively associated with the timing of puberty View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-11-02

AUTHORS

Ruonan Duan, Tian Qiao, Yue Chen, Mengxue Chen, Hongmei Xue, Xue Zhou, Mingzhe Yang, Yan Liu, Li Zhao, Lars Libuda, Guo Cheng

ABSTRACT

PurposeThe influences of nutrition in childhood on puberty onset could have sustained consequences for health and wellbeing later in life. The aim of this study was to investigate the prospective association of diet quality prior to puberty with the timing of puberty onset.MethodsWe considered data from 3983 SCCNG (Southwest China Childhood Nutrition and Growth) study participants with dietary data, anthropometric measurement, and information on potential confounders at their baseline assessment (mean age: 7.1 years for girls and 7.3 years for boys; mean length of follow-up was 4.2 years). Cox proportional hazard regression estimating hazard ratios (HRs) and 95% confidence intervals (CIs) were used to examine the relationship between diet quality and puberty onset. Dietary intake at baseline was assessed using a validated food frequency questionnaire. Diet quality was determined using the Chinese Children Dietary Index (CCDI) which measures adherence to current dietary recommendations (theoretical range: 0–160 points). Age at Tanner stage 2 for breast/genital development (B2/G2), menarche or voice break (M/VB) were used as pubertal markers. ResultsThe CCDI score ranged from 56.2 to 136.3 for girls and 46.1–131.5 for boys. Pubertal markers consistently indicate that girls and boys with higher diet quality were more likely to enter their puberty later than their counterparts with lower CCDI scores (higher vs. lower CCDI tertiles: adjusted HR for age at B2: 0.85 (95% CI, 0.81–0.94), p for trend = 0.02; G2: 0.86 (95% CI,0.80–0.96), p for trend = 0.02; M: 0.86 (95% CI,0.80–0.95), p for trend = 0.02; VB: 0.86 (95% CI,0.79–0.98), p for trend = 0.03), after adjustment for paternal education level, baseline energy intake, and pre-pubertal body fat.ConclusionsOur data suggested a later puberty onset and later timing of progressed puberty stages in children with a high diet quality, which were independent of pre-pubertal body fat. More... »

PAGES

2423-2434

Journal

TITLE

European Journal of Nutrition

ISSUE

5

VOLUME

60

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00394-020-02425-8

DOI

http://dx.doi.org/10.1007/s00394-020-02425-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1132270364

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/33140158


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27 schema:keywords Chinese Children Dietary Index
28 ConclusionsOur data
29 MethodsWe
30 PurposeThe influence
31 Tanner stage 2
32 adherence
33 adjustment
34 age
35 aim
36 anthropometric measurements
37 assessment
38 association
39 baseline
40 baseline assessment
41 baseline energy intake
42 body fat
43 boys
44 breaks
45 childhood
46 children
47 confidence intervals
48 confounders
49 consequences
50 counterparts
51 current dietary recommendations
52 data
53 development
54 diet quality
55 dietary data
56 dietary indices
57 dietary intake
58 dietary recommendations
59 education level
60 energy intake
61 fat
62 food frequency questionnaire
63 frequency questionnaire
64 genital development
65 girls
66 hazard ratio
67 hazards regression
68 health
69 higher diet quality
70 index
71 influence
72 information
73 intake
74 interval
75 levels
76 life
77 markers
78 measurements
79 menarche
80 nutrition
81 onset
82 overall diet quality
83 participants
84 paternal education level
85 potential confounders
86 proportional hazards regression
87 prospective associations
88 pubertal markers
89 puberty
90 puberty onset
91 puberty stage
92 quality
93 questionnaire
94 ratio
95 recommendations
96 regression
97 relationship
98 scores
99 stage
100 stage 2
101 study
102 timing
103 timing of puberty
104 voice breaks
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