Association between Dietary Patterns and Precocious Puberty in Children: A Population-Based Study

Objective. The aim of the present study was to investigate the association between dietary patterns and precocious puberty among Shanghai children. Methods. A cross-sectional study was conducted among Shanghai children by multistage stratified cluster random sampling in June 2014. Diet was assessed...

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Main Authors: Chang Chen, Yao Chen, Yunting Zhang, Wanqi Sun, Yanrui Jiang, Yuanjin Song, Qi Zhu, Hao Mei, Xiumin Wang, Shijian Liu, Fan Jiang
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2018/4528704
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author Chang Chen
Yao Chen
Yunting Zhang
Wanqi Sun
Yanrui Jiang
Yuanjin Song
Qi Zhu
Hao Mei
Xiumin Wang
Shijian Liu
Fan Jiang
author_facet Chang Chen
Yao Chen
Yunting Zhang
Wanqi Sun
Yanrui Jiang
Yuanjin Song
Qi Zhu
Hao Mei
Xiumin Wang
Shijian Liu
Fan Jiang
author_sort Chang Chen
collection DOAJ
description Objective. The aim of the present study was to investigate the association between dietary patterns and precocious puberty among Shanghai children. Methods. A cross-sectional study was conducted among Shanghai children by multistage stratified cluster random sampling in June 2014. Diet was assessed using a simplified food frequency questionnaire (FFQ). Height, weight, and Tanner stages of breast development, pubic hair growth, and testicular volume were carefully measured. Exploratory factor analysis was used to identify dietary patterns, and logistic regression analysis was used to assess the association between dietary patterns and precocious puberty. Results. Three distinct dietary patterns, “traditional diet,” “unhealthy diet,” and “protein diet,” were established. Neither the “traditional diet” pattern nor the “protein diet” pattern showed any association with precocious puberty, taking gender, BMI, and adjustment factors into consideration. The “unhealthy diet” pattern was significantly positively associated with precocious puberty in both boys (OR = 1.24, 95% CI = 1.02–1.51) and girls (OR = 1.31, 95% CI = 1.10–1.56). The relationship remained positive only for girls (OR = 1.25, 95% CI = 1.04–1.49) after adjustment for age and BMI but statistically nonsignificant after further adjustment for socioeconomic factors in both boys and girls. Conclusions. Dietary patterns were found to be related to precocious puberty among Shanghai children.
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spelling doaj-art-e4e71745f5a941d5bed87206c9a621282025-08-20T03:26:25ZengWileyInternational Journal of Endocrinology1687-83371687-83452018-01-01201810.1155/2018/45287044528704Association between Dietary Patterns and Precocious Puberty in Children: A Population-Based StudyChang Chen0Yao Chen1Yunting Zhang2Wanqi Sun3Yanrui Jiang4Yuanjin Song5Qi Zhu6Hao Mei7Xiumin Wang8Shijian Liu9Fan Jiang10Pediatric Translational Medicine Institute, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Endocrine and Genetic Metabolic Diseases, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Developmental and Behavioral Pediatrics, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Developmental and Behavioral Pediatrics, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Developmental and Behavioral Pediatrics, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaPediatric Translational Medicine Institute, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaPediatric Translational Medicine Institute, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Endocrine and Genetic Metabolic Diseases, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaPediatric Translational Medicine Institute, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaPediatric Translational Medicine Institute, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaObjective. The aim of the present study was to investigate the association between dietary patterns and precocious puberty among Shanghai children. Methods. A cross-sectional study was conducted among Shanghai children by multistage stratified cluster random sampling in June 2014. Diet was assessed using a simplified food frequency questionnaire (FFQ). Height, weight, and Tanner stages of breast development, pubic hair growth, and testicular volume were carefully measured. Exploratory factor analysis was used to identify dietary patterns, and logistic regression analysis was used to assess the association between dietary patterns and precocious puberty. Results. Three distinct dietary patterns, “traditional diet,” “unhealthy diet,” and “protein diet,” were established. Neither the “traditional diet” pattern nor the “protein diet” pattern showed any association with precocious puberty, taking gender, BMI, and adjustment factors into consideration. The “unhealthy diet” pattern was significantly positively associated with precocious puberty in both boys (OR = 1.24, 95% CI = 1.02–1.51) and girls (OR = 1.31, 95% CI = 1.10–1.56). The relationship remained positive only for girls (OR = 1.25, 95% CI = 1.04–1.49) after adjustment for age and BMI but statistically nonsignificant after further adjustment for socioeconomic factors in both boys and girls. Conclusions. Dietary patterns were found to be related to precocious puberty among Shanghai children.http://dx.doi.org/10.1155/2018/4528704
spellingShingle Chang Chen
Yao Chen
Yunting Zhang
Wanqi Sun
Yanrui Jiang
Yuanjin Song
Qi Zhu
Hao Mei
Xiumin Wang
Shijian Liu
Fan Jiang
Association between Dietary Patterns and Precocious Puberty in Children: A Population-Based Study
International Journal of Endocrinology
title Association between Dietary Patterns and Precocious Puberty in Children: A Population-Based Study
title_full Association between Dietary Patterns and Precocious Puberty in Children: A Population-Based Study
title_fullStr Association between Dietary Patterns and Precocious Puberty in Children: A Population-Based Study
title_full_unstemmed Association between Dietary Patterns and Precocious Puberty in Children: A Population-Based Study
title_short Association between Dietary Patterns and Precocious Puberty in Children: A Population-Based Study
title_sort association between dietary patterns and precocious puberty in children a population based study
url http://dx.doi.org/10.1155/2018/4528704
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