Association between healthy lifestyle pattern and early onset of puberty: based on a longitudinal follow-up study
The present study aimed to explore the association between healthy lifestyle pattern and childhood early onset of puberty. Based on a cohort study in Xiamen of China, a total of 1294 children was followed for three and a half years. Children’s lifestyles, including dietary behaviour, physical activi...
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Veröffentlicht in: | British journal of nutrition 2022-12, Vol.128 (12), p.2320-2329 |
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description | The present study aimed to explore the association between healthy lifestyle pattern and childhood early onset of puberty. Based on a cohort study in Xiamen of China, a total of 1294 children was followed for three and a half years. Children’s lifestyles, including dietary behaviour, physical activity, sleep duration, smoking and drinking behaviour and sedentary behaviour, were collected by questionnaires. Healthy lifestyle pattern was determined mainly according to the recommendations by the Dietary Guidelines for Chinese school-age children and Canadian Guidelines for children and youth. The pubertal development was assessed by clinical examination according to Tanner stages. The association between pre-pubertal lifestyle and early onset of puberty was estimated using linear regression and log-binomial regression. We found that children who adhered to a healthy lifestyle had a 0·36-year delay of the age of puberty onset (coef = 0·36, 95 % CI (0·08, 0·65)) and 53 % lower risk of early onset of puberty (risk ratio = 0·47, 95 % CI (0·27, 0·80)), compared with those who had a poor lifestyle. However, the beneficial effect of favourable lifestyles on the early onset of puberty was found only in boys with normal weight. Boys who adhered to active physical activity and low sedentary behaviour had a relatively delayed age of puberty onset (coef = 0·49, 95 % CI (0·26, 0·72)). This is the first time to find that healthy lifestyle pattern was associated with a substantially lower risk of early onset of puberty, especially in boys with normal weight. Advocating an integrated healthy lifestyle is essential for the development of children. |
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Based on a cohort study in Xiamen of China, a total of 1294 children was followed for three and a half years. Children’s lifestyles, including dietary behaviour, physical activity, sleep duration, smoking and drinking behaviour and sedentary behaviour, were collected by questionnaires. Healthy lifestyle pattern was determined mainly according to the recommendations by the Dietary Guidelines for Chinese school-age children and Canadian Guidelines for children and youth. The pubertal development was assessed by clinical examination according to Tanner stages. The association between pre-pubertal lifestyle and early onset of puberty was estimated using linear regression and log-binomial regression. We found that children who adhered to a healthy lifestyle had a 0·36-year delay of the age of puberty onset (coef = 0·36, 95 % CI (0·08, 0·65)) and 53 % lower risk of early onset of puberty (risk ratio = 0·47, 95 % CI (0·27, 0·80)), compared with those who had a poor lifestyle. However, the beneficial effect of favourable lifestyles on the early onset of puberty was found only in boys with normal weight. Boys who adhered to active physical activity and low sedentary behaviour had a relatively delayed age of puberty onset (coef = 0·49, 95 % CI (0·26, 0·72)). This is the first time to find that healthy lifestyle pattern was associated with a substantially lower risk of early onset of puberty, especially in boys with normal weight. Advocating an integrated healthy lifestyle is essential for the development of children.</description><identifier>ISSN: 0007-1145</identifier><identifier>EISSN: 1475-2662</identifier><identifier>DOI: 10.1017/S0007114522000563</identifier><identifier>PMID: 35236516</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Age ; Canada ; Child ; Children ; Children & youth ; Cohort analysis ; Cohort Studies ; Dietary guidelines ; Disease prevention ; Drinking behavior ; Electronic games ; Follow-Up Studies ; Guidelines ; Health behavior ; Health care ; Healthy Lifestyle ; Humans ; Lifestyles ; Male ; Metabolism and Metabolic Studies ; Nutrition ; Nutritional status ; Physical activity ; Population ; Puberty ; Questionnaires ; Risk ; Sleep ; Teenagers ; Trends ; Weight control ; Youth</subject><ispartof>British journal of nutrition, 2022-12, Vol.128 (12), p.2320-2329</ispartof><rights>The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-19ef0ff56cb015806e735e1d12c9d814634d07be30ae0c546412b34de8a6181a3</citedby><cites>FETCH-LOGICAL-c373t-19ef0ff56cb015806e735e1d12c9d814634d07be30ae0c546412b34de8a6181a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007114522000563/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27923,27924,55627</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35236516$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Yanhui</creatorcontrib><creatorcontrib>Gao, Di</creatorcontrib><creatorcontrib>Chen, Manman</creatorcontrib><creatorcontrib>Ma, Ying</creatorcontrib><creatorcontrib>Chen, Li</creatorcontrib><creatorcontrib>Ma, Jun</creatorcontrib><creatorcontrib>Dong, Yanhui</creatorcontrib><title>Association between healthy lifestyle pattern and early onset of puberty: based on a longitudinal follow-up study</title><title>British journal of nutrition</title><addtitle>Br J Nutr</addtitle><description>The present study aimed to explore the association between healthy lifestyle pattern and childhood early onset of puberty. Based on a cohort study in Xiamen of China, a total of 1294 children was followed for three and a half years. Children’s lifestyles, including dietary behaviour, physical activity, sleep duration, smoking and drinking behaviour and sedentary behaviour, were collected by questionnaires. Healthy lifestyle pattern was determined mainly according to the recommendations by the Dietary Guidelines for Chinese school-age children and Canadian Guidelines for children and youth. The pubertal development was assessed by clinical examination according to Tanner stages. The association between pre-pubertal lifestyle and early onset of puberty was estimated using linear regression and log-binomial regression. We found that children who adhered to a healthy lifestyle had a 0·36-year delay of the age of puberty onset (coef = 0·36, 95 % CI (0·08, 0·65)) and 53 % lower risk of early onset of puberty (risk ratio = 0·47, 95 % CI (0·27, 0·80)), compared with those who had a poor lifestyle. However, the beneficial effect of favourable lifestyles on the early onset of puberty was found only in boys with normal weight. Boys who adhered to active physical activity and low sedentary behaviour had a relatively delayed age of puberty onset (coef = 0·49, 95 % CI (0·26, 0·72)). This is the first time to find that healthy lifestyle pattern was associated with a substantially lower risk of early onset of puberty, especially in boys with normal weight. Advocating an integrated healthy lifestyle is essential for the development of children.</description><subject>Adolescent</subject><subject>Age</subject><subject>Canada</subject><subject>Child</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Dietary guidelines</subject><subject>Disease prevention</subject><subject>Drinking behavior</subject><subject>Electronic games</subject><subject>Follow-Up Studies</subject><subject>Guidelines</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Healthy Lifestyle</subject><subject>Humans</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Metabolism and Metabolic Studies</subject><subject>Nutrition</subject><subject>Nutritional status</subject><subject>Physical activity</subject><subject>Population</subject><subject>Puberty</subject><subject>Questionnaires</subject><subject>Risk</subject><subject>Sleep</subject><subject>Teenagers</subject><subject>Trends</subject><subject>Weight 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Lifestyle</topic><topic>Humans</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Metabolism and Metabolic Studies</topic><topic>Nutrition</topic><topic>Nutritional status</topic><topic>Physical activity</topic><topic>Population</topic><topic>Puberty</topic><topic>Questionnaires</topic><topic>Risk</topic><topic>Sleep</topic><topic>Teenagers</topic><topic>Trends</topic><topic>Weight control</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Yanhui</creatorcontrib><creatorcontrib>Gao, Di</creatorcontrib><creatorcontrib>Chen, Manman</creatorcontrib><creatorcontrib>Ma, Ying</creatorcontrib><creatorcontrib>Chen, Li</creatorcontrib><creatorcontrib>Ma, Jun</creatorcontrib><creatorcontrib>Dong, Yanhui</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE 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healthy lifestyle pattern and early onset of puberty: based on a longitudinal follow-up study</atitle><jtitle>British journal of nutrition</jtitle><addtitle>Br J Nutr</addtitle><date>2022-12-28</date><risdate>2022</risdate><volume>128</volume><issue>12</issue><spage>2320</spage><epage>2329</epage><pages>2320-2329</pages><issn>0007-1145</issn><eissn>1475-2662</eissn><abstract>The present study aimed to explore the association between healthy lifestyle pattern and childhood early onset of puberty. Based on a cohort study in Xiamen of China, a total of 1294 children was followed for three and a half years. Children’s lifestyles, including dietary behaviour, physical activity, sleep duration, smoking and drinking behaviour and sedentary behaviour, were collected by questionnaires. Healthy lifestyle pattern was determined mainly according to the recommendations by the Dietary Guidelines for Chinese school-age children and Canadian Guidelines for children and youth. The pubertal development was assessed by clinical examination according to Tanner stages. The association between pre-pubertal lifestyle and early onset of puberty was estimated using linear regression and log-binomial regression. We found that children who adhered to a healthy lifestyle had a 0·36-year delay of the age of puberty onset (coef = 0·36, 95 % CI (0·08, 0·65)) and 53 % lower risk of early onset of puberty (risk ratio = 0·47, 95 % CI (0·27, 0·80)), compared with those who had a poor lifestyle. However, the beneficial effect of favourable lifestyles on the early onset of puberty was found only in boys with normal weight. Boys who adhered to active physical activity and low sedentary behaviour had a relatively delayed age of puberty onset (coef = 0·49, 95 % CI (0·26, 0·72)). This is the first time to find that healthy lifestyle pattern was associated with a substantially lower risk of early onset of puberty, especially in boys with normal weight. Advocating an integrated healthy lifestyle is essential for the development of children.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>35236516</pmid><doi>10.1017/S0007114522000563</doi><tpages>10</tpages></addata></record> |
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subjects | Adolescent Age Canada Child Children Children & youth Cohort analysis Cohort Studies Dietary guidelines Disease prevention Drinking behavior Electronic games Follow-Up Studies Guidelines Health behavior Health care Healthy Lifestyle Humans Lifestyles Male Metabolism and Metabolic Studies Nutrition Nutritional status Physical activity Population Puberty Questionnaires Risk Sleep Teenagers Trends Weight control Youth |
title | Association between healthy lifestyle pattern and early onset of puberty: based on a longitudinal follow-up study |
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