Early growth faltering in post-institutionalized youth and later anthropometric and pubertal development

Background Early-life adversity that increases the risk of growth stunting is hypothesized to increase the risk of obesity and, in girls, early-onset puberty. This hypothesis was tested in children adopted from orphanages. Methods Post-institutionalized (PI) youth were compared with youth reared in...

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Veröffentlicht in:Pediatric research 2017-08, Vol.82 (2), p.278-284
Hauptverfasser: Reid, Brie M, Miller, Bradley S, Dorn, Lorah D, Desjardins, Christopher, Donzella, Bonny, Gunnar, Megan
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container_end_page 284
container_issue 2
container_start_page 278
container_title Pediatric research
container_volume 82
creator Reid, Brie M
Miller, Bradley S
Dorn, Lorah D
Desjardins, Christopher
Donzella, Bonny
Gunnar, Megan
description Background Early-life adversity that increases the risk of growth stunting is hypothesized to increase the risk of obesity and, in girls, early-onset puberty. This hypothesis was tested in children adopted from orphanages. Methods Post-institutionalized (PI) youth were compared with youth reared in comparable families (non-adopted; NA) on height, weight, pubertal stage, and fat mass (127 PI, 80 female; 156 NA, 85 female, aged 7–14 years). Anthropometric findings at adoption were obtained from first US clinic visits. Results Overall, 25% of PI youth were height-stunted (
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This hypothesis was tested in children adopted from orphanages. Methods Post-institutionalized (PI) youth were compared with youth reared in comparable families (non-adopted; NA) on height, weight, pubertal stage, and fat mass (127 PI, 80 female; 156 NA, 85 female, aged 7–14 years). Anthropometric findings at adoption were obtained from first US clinic visits. Results Overall, 25% of PI youth were height-stunted (&lt;3rd percentile) at adoption. Years post adoption, PI youth had lower BMI-for-age ( P =0.004), height-for-age ( P &lt;0.001), and less body fat ( P &lt;0.001) than NA youth had, but they did not differ by sex. Pubertal status did not differ by group or sex. The anthropometric findings held when the stunted-at-adoption subset was examined; they were also less likely to be in central puberty than other PI youth. Conclusion Early deprived orphanage care increases the risk of growth stunting but not obesity in children adopted into US families, and it does not independently contribute to early-onset puberty for PI girls. The role of the environment following early adversity may modify the impact of early adverse care.</description><identifier>ISSN: 0031-3998</identifier><identifier>EISSN: 1530-0447</identifier><identifier>DOI: 10.1038/pr.2017.35</identifier><identifier>PMID: 28170387</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/699/2743/1530 ; 692/699/2743/393 ; 692/700/1720/3187 ; 692/700/1750 ; Adolescent ; Adoption ; Anthropometry ; Body measurements ; Child ; clinical-investigation ; Female ; Growth ; Humans ; Institutionalization ; Male ; Medicine ; Medicine &amp; Public Health ; Orphanages ; Pediatric Surgery ; Pediatrics ; Physical growth ; Puberty</subject><ispartof>Pediatric research, 2017-08, Vol.82 (2), p.278-284</ispartof><rights>International Pediatric Research Foundation, Inc. 2017</rights><rights>Copyright Nature Publishing Group Aug 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-1920b45efd355be16342da1f1fad47dd25e73bcc4551ccf5e0fe365a515b52693</citedby><cites>FETCH-LOGICAL-c508t-1920b45efd355be16342da1f1fad47dd25e73bcc4551ccf5e0fe365a515b52693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/pr.2017.35$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/pr.2017.35$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27915,27916,41479,42548,51310</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28170387$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reid, Brie M</creatorcontrib><creatorcontrib>Miller, Bradley S</creatorcontrib><creatorcontrib>Dorn, Lorah D</creatorcontrib><creatorcontrib>Desjardins, Christopher</creatorcontrib><creatorcontrib>Donzella, Bonny</creatorcontrib><creatorcontrib>Gunnar, Megan</creatorcontrib><title>Early growth faltering in post-institutionalized youth and later anthropometric and pubertal development</title><title>Pediatric research</title><addtitle>Pediatr Res</addtitle><addtitle>Pediatr Res</addtitle><description>Background Early-life adversity that increases the risk of growth stunting is hypothesized to increase the risk of obesity and, in girls, early-onset puberty. This hypothesis was tested in children adopted from orphanages. Methods Post-institutionalized (PI) youth were compared with youth reared in comparable families (non-adopted; NA) on height, weight, pubertal stage, and fat mass (127 PI, 80 female; 156 NA, 85 female, aged 7–14 years). Anthropometric findings at adoption were obtained from first US clinic visits. Results Overall, 25% of PI youth were height-stunted (&lt;3rd percentile) at adoption. Years post adoption, PI youth had lower BMI-for-age ( P =0.004), height-for-age ( P &lt;0.001), and less body fat ( P &lt;0.001) than NA youth had, but they did not differ by sex. Pubertal status did not differ by group or sex. The anthropometric findings held when the stunted-at-adoption subset was examined; they were also less likely to be in central puberty than other PI youth. Conclusion Early deprived orphanage care increases the risk of growth stunting but not obesity in children adopted into US families, and it does not independently contribute to early-onset puberty for PI girls. 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Miller, Bradley S ; Dorn, Lorah D ; Desjardins, Christopher ; Donzella, Bonny ; Gunnar, Megan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-1920b45efd355be16342da1f1fad47dd25e73bcc4551ccf5e0fe365a515b52693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>692/699/2743/1530</topic><topic>692/699/2743/393</topic><topic>692/700/1720/3187</topic><topic>692/700/1750</topic><topic>Adolescent</topic><topic>Adoption</topic><topic>Anthropometry</topic><topic>Body measurements</topic><topic>Child</topic><topic>clinical-investigation</topic><topic>Female</topic><topic>Growth</topic><topic>Humans</topic><topic>Institutionalization</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Orphanages</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Physical growth</topic><topic>Puberty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reid, Brie M</creatorcontrib><creatorcontrib>Miller, Bradley S</creatorcontrib><creatorcontrib>Dorn, Lorah D</creatorcontrib><creatorcontrib>Desjardins, Christopher</creatorcontrib><creatorcontrib>Donzella, Bonny</creatorcontrib><creatorcontrib>Gunnar, Megan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatric research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reid, Brie M</au><au>Miller, Bradley S</au><au>Dorn, Lorah D</au><au>Desjardins, Christopher</au><au>Donzella, Bonny</au><au>Gunnar, Megan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early growth faltering in post-institutionalized youth and later anthropometric and pubertal development</atitle><jtitle>Pediatric research</jtitle><stitle>Pediatr Res</stitle><addtitle>Pediatr Res</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>82</volume><issue>2</issue><spage>278</spage><epage>284</epage><pages>278-284</pages><issn>0031-3998</issn><eissn>1530-0447</eissn><abstract>Background Early-life adversity that increases the risk of growth stunting is hypothesized to increase the risk of obesity and, in girls, early-onset puberty. This hypothesis was tested in children adopted from orphanages. Methods Post-institutionalized (PI) youth were compared with youth reared in comparable families (non-adopted; NA) on height, weight, pubertal stage, and fat mass (127 PI, 80 female; 156 NA, 85 female, aged 7–14 years). Anthropometric findings at adoption were obtained from first US clinic visits. Results Overall, 25% of PI youth were height-stunted (&lt;3rd percentile) at adoption. Years post adoption, PI youth had lower BMI-for-age ( P =0.004), height-for-age ( P &lt;0.001), and less body fat ( P &lt;0.001) than NA youth had, but they did not differ by sex. Pubertal status did not differ by group or sex. The anthropometric findings held when the stunted-at-adoption subset was examined; they were also less likely to be in central puberty than other PI youth. Conclusion Early deprived orphanage care increases the risk of growth stunting but not obesity in children adopted into US families, and it does not independently contribute to early-onset puberty for PI girls. The role of the environment following early adversity may modify the impact of early adverse care.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>28170387</pmid><doi>10.1038/pr.2017.35</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/699/2743/1530
692/699/2743/393
692/700/1720/3187
692/700/1750
Adolescent
Adoption
Anthropometry
Body measurements
Child
clinical-investigation
Female
Growth
Humans
Institutionalization
Male
Medicine
Medicine & Public Health
Orphanages
Pediatric Surgery
Pediatrics
Physical growth
Puberty
title Early growth faltering in post-institutionalized youth and later anthropometric and pubertal development
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