膳食营养对青春期启动时间的影响

doi:10.11852/zgetbjzz2021-0359

摘要/Abstract

摘要： 青春期是一生中至关重要的发育阶段。青春期的提前开始,可影响儿童生理、心理健康。多项研究发现膳食营养与青春期启动存在关联,肉类、高脂饮食、糖摄入可能促进青春期提前开始,大豆制品和奶类的作用存在争议,膳食纤维可能避免青春期的提前。微量营养素与青春期存在一定关联。反季节蔬菜水果、营养滋补品也可能导致性早熟风险增加。本文对相关研究进行综述。

关键词: 青春期, 性早熟, 饮食, 营养

Abstract: Puberty is a crucial stage of development in life.Early onset of puberty can affect children's physical and mental health.Many studies have found that diet and nutrition are related to the onset of puberty.Meat, high-fat diet and intake of sugar may promote the earlier onset of puberty, but the roles of soybean products and milk are controversial, and dietary fiber may avoid it.There is relation between micronutrients and puberty.Out-of-season vegetables and fruits, nutritional supplements may also increase the risk of precocious puberty.This article will review the related researches.

Key words: puberty, precocious puberty, diet, nutrition

中图分类号:

R153.2

秦煜洁, 肖延风. 膳食营养对青春期启动时间的影响[J]. 中国儿童保健杂志, 2022, 30(1): 49-52.

QIN Yu-jie, XIAO Yan-feng. Dietary nutrition and the onset time of puberty[J]. Chinese Journal of Child Health Care, 2022, 30(1): 49-52.

参考文献

[1] Bradley SH,Lawrence N,Steele C,et al.Precocious puberty[J].BMJ, 2020, 368:l6597.
[2] 林甦,杨文庆,俞建.中医儿科临床诊疗指南·性早熟(修订)[J].中医儿科杂志,2016,12(3):1-5.
[3] Poomthavorn P,Suphasit R,Mahachoklertwattana P. Adult height, body mass index and time of menarche of girls with idiopathic central precocious puberty after gonadotropin-releasing hormone analogue treatment.[J].Gynecol Endocrinol, 2011, 27:524-528.
[4] Mishra SR,Chung HF,Waller M, et al.Duration of estrogen exposure during reproductive years, age at menarche and age at menopause, and risk of cardiovascular disease events, all-cause and cardiovascular mortality:A systematic review and meta-analysis[J].BJOG, 2021, 128:809-821.
[5] 凌辉,朱阿敏,张建人,等.青春期开始时间早晚对女生抑郁、焦虑和问题行为的影响[J].中国临床心理学杂志,2017,25(5):955-958.
[6] Duan R,Qiao T,Chen Y, et al.The overall diet quality in childhood is prospectively associated with the timing of puberty[J].Eur J Nutr, 2020,60(5):2423-2424.
[7] Eckert-Lind C,Busch AS,Petersen JH, et al.Worldwide secular trends in age at pubertal onset assessed by breast development among girls:A systematic review and meta-analysis[J].JAMA Pediatr, 2020, 174:e195881.
[8] Lei YT,Luo DM,Yan XJ, et al.The mean age of menarche among Chinese schoolgirls declined by 6 months from 2005 to 2014[J].Acta Paediatr, 2021, 110:549-555.
[9] Leone T,Brown LJ. Timing and determinants of age at menarche in low-income and middle-income countries[J].BMJ Glob Health, 2020, 5(12):e003689.
[10] Garenne M. Age at menarche in Nigerian demographic surveys[J].J Biosoc Sci,2021,53(5):745-757.
[11] Su PH,Huang JY,Li CS, et al.The age distribution among children seeking medical treatment for precocious puberty in taiwan[J].Int J Environ Res Public Health, 2020, 17(18):6765.
[12] Kim YJ,Kwon A,Jung MK, et al.Incidence and prevalence of central precocious puberty in korea:An epidemiologic study based on a national database[J].J Pediatr, 2019, 208:221-228.
[13] Stagi S,De Masi S,Bencini E, et al.Increased incidence of precocious and accelerated puberty in females during and after the Italian lockdown for the coronavirus 2019 (COVID-19) pandemic[J].Ital J Pediatr, 2020, 46:165.
[14] Remer T,Shi LJ,Buyken AE, et al.Prepubertal adrenarchal androgens and animal protein intake independently and differentially influence pubertal timing[J].J Clin Endocrinol Metab, 2010, 95:3002-3009.
[15] Nguyen Ngan TK,Fan HY,Tsai MC, et al.Nutrient intake through childhood and early menarche onset in girls:Systematic review and meta-analysis[J].Nutrients, 2020, 12(9):2544.
[16] Jansen EC,Marín C,Mora-Plazas M, et al.Higher childhood red meat intake frequency is associated with earlier age at menarche[J].J Nutr, 2015, 146:792-798.
[17] Rogers IS,Northstone K,Dunger DB, et al.Diet throughout childhood and age at menarche in a contemporary cohort of British girls[J].Public Health Nutr, 2010, 13:2052-2063.
[18] 罗交,杨明喆,段若男,等.成都市儿童青少年肉类、奶类及锌的摄入状况与青春期发育的关系[J].四川大学学报(医学版),2015,46(5):726-731.
[19] 吕红仙.儿童性早熟日常膳食习惯分析与干预效果研究[J].中国妇幼保健,2015,30(18):2977-2979.
[20] 杨挺,王明欢.儿童性早熟与影响因素的调查分析[J].中国妇幼保健,2016,31(7):1510-1512.
[21] Givens DI.MILK Symposium review:the importance of milk and dairy foods in the diets of infants, adolescents, pregnant women, adults, and the elderly[J].J Dairy Sci, 2020, 103:9681-9699.
[22] Biro FM,Huang B,Wasserman H, et al.Pubertal growth, IGF-1, and windows of susceptibility:Puberty and future breast cancer risk[J].J Adolesc Health,2021,68(3):517-522.
[23] Wiley Andrea S. Milk intake and total dairy consumption:associations with early menarche in NHANES 1999-2004[J].PLoS One, 2011, 6:e14685.
[24] Günther Anke LB,Karaolis-Danckert N,Kroke A, et al.Dietary protein intake throughout childhood is associated with the timing of puberty[J].J Nutr, 2010, 140:565-571.
[25] Ramezani TF,Moslehi N,Asghari G, et al.Intake of dairy products, calcium, magnesium, and phosphorus in childhood and age at menarche in the tehran lipid and glucose study[J].PLoS One, 2013, 8:e57696.
[26] Gaskins AJ,Pereira A,Quintiliano D, et al.Dairy intake in relation to breast and pubertal development in Chilean girls[J].Am J Clin Nutr, 2017, 105:1166-1175.
[27] Carwile JL,Willett WC,Wang M, et al.Milk consumption after age 9 years does not predict age at menarche[J].J Nutr, 2015, 145:1900-1908.
[28] Messina M,Rogero MM,Fisberg M, et al.Health impact of childhood and adolescent soy consumption[J].Nutr Rev, 2017, 75:500-515.
[29] Cheng G,Remer T,Prinz-Langenohl R, et al.Relation of isoflavones and fiber intake in childhood to the timing of puberty[J].Am J Clin Nutr, 2010, 92:556-564.
[30] Adgent MA,Daniels JL,Rogan WJ, et al.Early-life soy exposure and age at menarche[J].Paediatr Perinat Epidemiol, 2012, 26:163-175.
[31] Segovia-Siapco G,Pribis P,Oda K, et al.Soy isoflavone consumption and age at pubarche in adolescent males[J].Eur J Nutr, 2018, 57:2287-2294.
[32] Sinai T,Ben-Avraham S,Guelmann-Mizrahi I, et al.Consumption of soy-based infant formula is not associated with early onset of puberty[J].Eur J Nutr, 2019, 58:681-687.
[33] Duitama SM,Zurita J,Cordoba D, et al.Soy protein supplement intake for 12 months has no effect on sexual maturation and may improve nutritional status in pre-pubertal children[J].J Paediatr Child Health, 2018, 54:997-1004.
[34] Kim J,Kim S,Huh K, et al.High serum isoflavone concentrations are associated with the risk of precocious puberty in Korean girls[J].Clin Endocrinol (Oxf), 2011, 75:831-835.
[35] Mueller NT,Jacobs DR,MacLehose RF, et al.Consumption of caffeinated and artificially sweetened soft drinks is associated with risk of early menarche[J].Am J Clin Nutr, 2015, 102:648-654.
[36] Carwile JL,Willett WC,Spiegelman D, et al.Sugar-sweetened beverage consumption and age at menarche in a prospective study of US girls[J].Hum Reprod, 2015, 30:675-683.
[37] Manfredi-Lozano M,Roa J,Tena-Sempere M. Connecting metabolism and gonadal function:novel central neuropeptide pathways involved in the metabolic control of puberty and fertility[J].Front Neuroendocrinol, 2018, 48:37-49.
[38] Alimujiang A,Colditz GA,Gardner JD, et al.Childhood diet and growth in boys in relation to timing of puberty and adult height:the longitudinal studies of child health and development[J].Cancer Causes Control, 2018, 29:915-926.
[39] Kim E,Chung MJ,Chung YY, et al.The effect of diet control on puberty onset and immunoreactivity of kisspeptin and neurokinin B in female rats[J].Endocr J, 2018, 65:1177-1185.
[40] Zhuo Y,Zhou DS,Che LQ, et al.Feeding prepubescent gilts a high-fat diet induces molecular changes in the hypothalamus-pituitary-gonadal axis and predicts early timing of puberty[J].Nutrition, 2014, 30:890-896.
[41] Hue-Beauvais C,Laubier J,Brun N, et al.Puberty is a critical window for the impact of diet on mammary gland development in the rabbit[J].Dev Dyn, 2019, 248:948-960.
[42] Koo MM,Rohan TE,Jain M, et al.A cohort study of dietary fibre intake and menarche[J].Public Health Nutr, 2002, 5:353-360.
[43] Nguyen Ngan TK,Fan HY,Tsai MC, et al.Nutrient intake through childhood and early menarche onset in girls:systematic review and meta-analysis[J].Nutrients, 2020, 12(9):2544.
[44] 田果,刘言,薛红妹,等.成都市儿童青少年膳食纤维摄入情况与青春期发育的关系[J].四川大学学报(医学版),2016,47(2):244-247.
[45] 杨章萍,郑晓萍,张旭慧,等.女童性早熟的影响因素分析[J].中国学校卫生,2014,35(1):133-135.
[46] Cheng G,Buyken AE,Shi LJ, et al.Beyond overweight:Nutrition as an important lifestyle factor influencing timing of puberty[J].Nutr Rev, 2012, 70:133-152.
[47] Soliman A,De Sanctis V,Elalaily R. Nutrition and pubertal development[J].Indian J Endocrinol Metab, 2014, 18(Suppl 1):39-47.
[48] Villamor E,Marín C,Mora-Plazas M, et al.Micronutrient status in middle childhood and age at menarche:Results from the Bogotá school children cohort[J].Br J Nutr, 2017, 118:1097-1105.
[49] Liu Y,Peterson KE,Sánchez BN, et al.Dietary intake of selenium in relation to pubertal development in mexican children[J].Nutrients, 2019, 11(7):1595.
[50] Villamor E,Marin C,Mora-Plazas M, et al.Vitamin D deficiency and age at menarche:A prospective study[J].Am J Clin Nutr, 2011, 94:1020-1025.