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Experts explain the reasons why children go through puberty early

Báo Thanh niênBáo Thanh niên26/07/2023


According to Master - Doctor Nguyen Trong Tin (Traditional Medicine Pediatric Clinic, University of Medicine and Pharmacy Hospital, Ho Chi Minh City - Campus 3), in recent years, the physical condition of Vietnamese people has been changing in a positive direction, as shown by the remarkable increase in height of young people. However, modern social lifestyle as well as unreasonable nutrition also bring about some consequences, including early puberty.

Chuyên gia lý giải nguyên nhân khiến trẻ em dậy thì sớm  - Ảnh 1.

Early puberty in children has a huge impact on both physical and mental health.

Early puberty and its harmful effects

Dr. Nguyen Trong Tin said that puberty is an important period of growth and development characterized by a complex process regulated by the neuroendocrine system. Precocious puberty is defined as the onset of pubertal development before the age of 8 in girls and 9 in boys.

In early puberty, height development is a factor that is seriously affected, when the child's bone age becomes "old" too soon, causing the child to grow taller than their age but stop growing earlier than other children.

"In addition, early puberty in children has a huge impact on both physical and mental health. Early sexual development will make children isolated from their classmates, leading to many psychological consequences. In addition, according to many studies, children with early puberty will have a risk of high blood pressure, type 2 diabetes, cardiovascular disease, and an increased risk of breast cancer in adulthood," Dr. Tin shared.

Causes of early puberty

Precocious puberty includes two types: peripheral precocious puberty and central precocious puberty. For peripheral precocious puberty, it is necessary to find the cause of excessive secretion of sex hormones such as ovarian cysts, ovarian tumors, Leydig cell tumors, adrenal gland diseases, etc. and once the exact cause is found, the child's medical condition can be resolved soon.

For central precocious puberty, 80% of cases are idiopathic, meaning no cause is found, the remaining 20% ​​are due to many different causes such as central nervous system abnormalities, gene mutations...

Central precocious puberty is still being studied for its influencing factors, of which nutrition is a very important factor that many studies have found.

How does nutrition affect?

Dr. Nguyen Trong Tin also said: "Nutritional status is considered one of the important factors related to the development of puberty, including the mother's nutrition during pregnancy, the child's nutrition during infancy as well as the child's diet during childhood."

Chuyên gia lý giải nguyên nhân khiến trẻ em dậy thì sớm - Ảnh 2.

Breastfeeding plays an extremely important role and has a great influence on the child's later puberty.

Speaking more clearly about the mother's nutritional factors during pregnancy, Dr. Tin said: "Some studies have discovered a correlation between the mother's obesity and the daughter's age of menstruation."

Specifically, there is growing evidence that high pre-pregnancy BMI (body mass index) and excessive weight gain during pregnancy are both associated with early puberty in girls. In addition, dietary intake of phytoestrogens during pregnancy is also thought to influence pubertal development in children.

Regarding postnatal nutrition in children, Dr. Tin said that breastfeeding plays an extremely important role and has a great influence on the child's later puberty.

"Currently, many health organizations in the world such as the World Health Organization (WHO), the American Academy of Pediatrics or the Academy of Nutrition and Dietetics always emphasize the importance of breastfeeding in the first months of life, at least from 6-12 months of age. Breastfeeding has been proven to reduce the risk of early puberty in girls," Dr. Tin said clearly.

For children aged 2-12, the risk may come from energy imbalance, causing obesity. This is also the indirect cause leading to early puberty.

"In addition, although protein is very important for children's development, consuming large amounts of animal protein has also been shown to stimulate the hypothalamic-pituitary-gonadal axis through the secretion of IGF-1, and a pre-pubertal diet that is too rich in animal protein will lead to early puberty. Therefore, it is necessary to give children a balanced diet to get enough trace elements from meat and fish but not too much," Dr. Tin added.

Additionally, for the carbohydrate food group, studies have found that more frequent consumption of sugar-sweetened beverages and artificially sweetened beverages is predicted to lead to earlier puberty, primarily through increased BMI and effects on the hypothalamus.

"Early puberty causes many harmful effects, affecting children's psychological and physiological development. Therefore, we need to have knowledge on how to properly care for children to prevent diseases, and at the same time detect and treat them early when they occur," Dr. Tin recommended.



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