Association among sexual maturation, overweight and central adiposity in children and adolescents at two schools in são Paulo

Authors

  • Jéssica Rodrigues de Oliveira Faculdade de Saúde Pública, Universidade de São Paulo
  • Maria Fernanda Petroli Frutuoso Universidade Federal de São Paulo
  • Ana Maria Dianezi Gambardella Faculdade de Saúde Pública, Universidade de São Paulo

DOI:

https://doi.org/10.7322/jhgd.81230

Keywords:

adolescents, precocious puberty, sexual development, body mass index, overweight, central adiposity

Abstract

Abstract
The objective of this study was to assess the association among sexual maturation (SM), overweight and central adiposity in children and adolescents. A total of 617 children and adolescents age 8 to 18 years old participated in the longitudinal study. Three samples were collected including data on weight, height and waist circumference. Overweight was classi-fied based on critical values for body mass index (BMI) adopted for Brazilian children and teenagers. SM stage (SMS) was done by self-assessment in three children and adolescent samples. Participants were distributed in quartiles based on SMS and sex. Accelerated-maturing subjects were compared to others. Data was analyzed by linear regression and logistic regression. We found a negative association between BMI z-score and onset of SM in boys, whereas for girls relatively-accelerated SM was positively associated to overweight and values of BMI z-score. Relatively-accelerated maturing girls showed more central adi-posity. The research concluded that accelerated SM was associated to overweight and high-er increase in BMI for both sexes, highlighting the importance of identifying SMS in nutri-tional assessment for children and teenagers.

Author Biographies

  • Jéssica Rodrigues de Oliveira, Faculdade de Saúde Pública, Universidade de São Paulo

    Doutoranda, Programa de Nutrição em Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr Arnaldo, 715 – 01246-904, São Paulo, Brasil.

  • Maria Fernanda Petroli Frutuoso, Universidade Federal de São Paulo
    Departamento de Ciências da Saúde, Universidade Federal de São Paulo, Av. Ana Costa, 95 –11060-001, Santos, Brasil.
  • Ana Maria Dianezi Gambardella, Faculdade de Saúde Pública, Universidade de São Paulo

    Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil, Av. Dr Arnaldo, 715 – 01246-904, São Paulo, Brasil.

References

World Health Organization. Obesity: preventing and managing the global epidemic. Geneva, 2000 (Technical Report Series, 894).

Pan American Health Organization. Globesity: The crisis of growing proportions. Pers-pec Health Mag. 2002; 7:6-11.

Ogden CL, Flegal KM, Carroll MD, et al.. Prevalence and trends in overweight among US children and adolescents, 1999-2000. J Am Med Assoc 2002; 288:1728-1732.

Ogden CL, Carroll MD, Curtin LR, et al.. Prevalence of overweight and obesity in United States 1999-2004. J Am Med Assoc 2006; 295:1549-1555.

Neutzling MB, Taddei JAAC, Rodrigues EM, et al. Overweight and obesity in Brazili-an adolescents. Int J Obes 2000; 24:869-874.

Veiga GV, Cunha AS, Sichieri R. Trends in overweight among adolescents living in the poorest and richest regions of Brazil. Am J Public Health 2004; 94:1544-1548.

Cintra IP, Passos MAS, Fisberg M, et al.. Evolução de duas séries históricas do índice de massa corporal em adolescentes. J Pedatr (Rio J) 2007; 83:157-162.

Taylor RW, Falorni A, Jones IE, et al.. Indentifying adolescents with high percentage body fat: a comparison of BMI cutoffs using age and stage of pubertal development compared with BMI cutoffs using age alone. Eur J Clin Nutr 2003;57:764-769.

Sievorgel RM, Demerath EW, Schuber C, Remsberg KE, et al.. Puberty and body composition. Horm Res 2003; 60:36-45.

Pereira FN, Oliveira JR, Zölner CC, Gambardella AMD. Body weight perception and associated factors in students. J Human Growth And Development 2013; 23(3): 196-302.

Frisch RE, Revelle R. Height and weight at menarche and a hypothesis of critical body weights and adolescent events. Science 1970;169:397-379.

Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child 1969; 44:291-303.

Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in boys. Arch Dis Child 1970; 45:13-23.

Adair LS, Gordon-Larsen P. Maturational timing and overweight prevalence in US ado-lescent girls. Am J Public Health 2001:91:642-644.

Wang Y. Is obesity associated with early sexual maturation? A comparison of the association in American boys versus girls. Pediatrics 2002;110:903-910.

Ribeiro J, Santos P, Duarte J, et al.. Association between overweight and early sexual maturation in Portuguese boys and girls. Ann Hum Biol 2006; 33:55-63.

Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Illinois: Human Kinetics Books 1988.

Conde WL, Monteiro CA. Body mass index cutoff points for evaluation of nutritional status in Brazilian children and adolescents. J Pediatr (Rio J). 2006; 82:266-272.

Tanner J. Growth at adolescence. 2nd ed. Oxford: Blackwell Scientific Publications, 1962; 36-39.

World Health Organization. Physical status: the use and interpretation of anthropometry. Geneva, 1995 (Technical Report Series, 854).

de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660-7.

Cole TJ, Green P J. Smoothing reference centile curves: the LMS method and penalized likelihood. Stat Med 1992; 11:1305-1319.

Statacorp LP. Stata Statistical Software: Release 10.1. College Station, TX: Stata Corporation, 2007.

Chinn S, Rona RJ. International definitions of overweight and obesity for children: a lasting solution? Ann Hum Biol 2002;29:306-313.

Cole TJ, Bellizzi MC, Flegal KM, et al.. Establishing a standard definition for child overweight and obesity worldwide: international survey. Br Med J 2000;320:1-6.

Wang Y, Wang JQ. A comparison of international references for the assessment of child and adolescent overweight and obesity in different populations. Eur J Clin Nutr 2002;56:973-982.

Duke PM, Litt IF, Gross RT. Adolescents’ selfassessment of sexual maturation. Pediatrics 1980; 66:918-920.

Saito MI. Maturação sexual: auto-avaliação do adolescente. Pediatr (São Paulo). 1984;6:111-5.

Bonat S, Pathomvanich A, Keil MF, et al. Selfassessment of pubertal stage in over-weight children. Pediatrics 2002;110:743-747.

Desmangles JC, Lappe JM, Lipaczewski G, et al.. Accuracy of pubertal Tanner staging selfreporting. J Pediatr Endocrinol Metab 2006;19:213-221.

Chan N, Sung RY, Kong AP, et al.. Reliability of pubertal self-assessment in Hong Kong. J Pediatr Child Health 2008; 44:353-358.

Stephen MD, Bryant WP, Wilson DP. Selfassessment of sexual maturation in children and adolescents with diabetes mellitus. Endocr Pract 2008; 14:840-845.

Papadimitriou A, Pantsiotou S, Douros K, et al.. Timing of pubertal onset in girls: evi-dence for non-Gaussian distribuition. J Clin Endocrinol Metab 2008; 93:4422-4425.

Kaplowitz PB, Oberfield SE, Drug and Therapeutics Executive Committees of the Lawson Wilkins Pediatric Endocrine Society. Reexamination of the age limit for defin-ing when puberty is precocious in girls in the United States: implications for evaluation and treatment. Pediatrics 1999; 104:936-941.

Pantsiotou S, Papadimitriou A, Douros K, et al.. Maturational tempo differences in rela-tion to the timing of the onset of puberty in girls. Acta Paediatr 2008; 97:217-220.

Himes JH, Obarzanek E, Baranowski T, et al.. Early sexual maturation,body composi-tion, and obesity in African-American girls. Obes Res 2004;12:64-72S.

Bratberg GH, Nilsen TI, Holmen TL, et al.. Early sexual maturation, central adiposity and subsequent overweight in late adolescence. A four-year follow-up of 1605 adoles-cent Norwegian boys and girls: the Young HUNT study. BMC Public Health 2007; 7:54-60.

Chen X, Wang Y. The influence of sexual maturation on blood pressure and body fatness in African-American adolescent girls and boys. Am J Hum Biol. 2009; 21:105-112.

Slyper AH. The pubertal timing controversy in the USA, and a review of possible caus-ative factors for the advance in timing of onset of puberty. Clinical Endocrinology. 2006;65:1-8.

Downloads

Published

2014-06-01

Issue

Vol. 24 No. 2 (2014)

Section

Artigos Originais

License

CODE OF CONDUCT FOR JOURNAL  PUBLISHERS

 

Publishers who are Committee on Publication Ethics members and who support COPE membership for journal editors should:

 

Publishers should:

 

  • Define the relationship between publisher, editor and other parties in a contract
  • Respect privacy (for example, for research participants, for authors, for peer reviewers)
  • Protect intellectual property and copyright
  • Foster editorial independence

 

Publishers should work with journal editors to:

 

  • Set journal policies appropriately and aim to meet those policies, particularly with respect to:

–         Editorial  independence

–         Research ethics, including confidentiality, consent, and the special requirements for human and animal research

–         Authorship

–         Transparency and integrity (for example, conflicts of interest, research funding, reporting standards

–         Peer review and the role of the editorial team beyond that of the journal editor

–         Appeals and complaints

  • Communicate journal policies (for example, to authors, readers, peer reviewers)
  • Review journal policies periodically, particularly with respect to new recommendations from the COPE
  • Code of Conduct for Editors and the COPE Best Practice Guidelines
  • Maintain the integrity of the academic record
  • Assist the parties (for example, institutions, grant funders, governing bodies) responsible for the investigation of suspected research and publication misconduct and, where possible, facilitate in the resolution of these cases
  • Publish corrections, clarifications, and retractions
  • Publish content on a timely basis