Volume 44 Issue 12
Dec.  2023
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LYU Huiling, WANG Xi, HU Jiale, HAN Di, HU Jia, SHEN Hui. Association between different types of obesity and puberty timing in primary and secondary school students in Suzhou City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1848-1852. doi: 10.16835/j.cnki.1000-9817.2023.12.019
Citation: LYU Huiling, WANG Xi, HU Jiale, HAN Di, HU Jia, SHEN Hui. Association between different types of obesity and puberty timing in primary and secondary school students in Suzhou City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1848-1852. doi: 10.16835/j.cnki.1000-9817.2023.12.019

Association between different types of obesity and puberty timing in primary and secondary school students in Suzhou City

doi: 10.16835/j.cnki.1000-9817.2023.12.019
  • Received Date: 2023-09-13
  • Rev Recd Date: 2023-10-12
  • Available Online: 2023-12-26
  • Publish Date: 2023-12-25
  •   Objective  To explore the association between obesity types and puberty timing, in order to provide clues for healthy development in children and adolescents.  Methods  From October to November 2022, a stratified cluster random sampling method was used to select a total of 2 009 students from 4 primary schools and 4 middle schools in Suzhou City. The basic information, diet, exercise behaviors, outdoor activities, sleep, view screen and pubertal development of students were collected through standardized questionnaires. Height, weight and waist circumference were measured. The association between different types of obesity and pubertal development was analyzed using Logistic regression model.  Results  The median age of menarche for girls in primary and middle schools in Suzhou was 11.64 years old, the median age of first spermatorrhea in boys was 14.43 years old. After adjusting the covariates, the Logistic regression analysis results showed that overweight and simple obesity, central obesity, and mixed obesity groups were positively correlated with puberty onset among girls [OR(95%CI)=3.20(1.63-6.29), 4.15(2.18-7.91), 2.70(1.52-4.79), 2.42(1.23-4.76)], as well as early puberty onset [OR(95%CI)=2.41(1.54-3.75), 2.46(1.55-3.90), 1.59(1.05-2.40), 1.72(1.06-2.81)] (P < 0.05). The overweight, simple obesity and central obesity group were negatively correlated with delayed onset of puberty [OR(95%CI)=0.45(0.24-0.85), 0.48(0.25-0.92), 0.44(0.24-0.80), respectively] (P < 0.05). There was no statistically significant association between overweight and obesity among boys and the onset and phase of puberty (P>0.05).  Conclusions  There are gender differences in the association between different types of obesity and the onset and timing of puberty among children and adolescents. Intervention measures should be taken to control obesity in children and adolescents, especially in girls, in order to improve their adolescent development.
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