بررسی فعالیت بدنی و وضعیت تغذیه در کودکان دارای بلوغ زودرس

نوع مقاله : مقاله پژوهشی Released under (CC BY-NC 4.0) license I Open Access I

نویسندگان

1 گروه تغذیه ورزشی، دانشکده علوم اجتماعی، دانشگاه رجاء، قزوین، ایران.

2 گروه تربیت بدنی، دانشگاه آزاد اسلامی، واحد چالوس، مازندران، ایران.

چکیده

هدف: هدف از تحقیق حاضر، بررسی فعالیت بدنی و وضعیت تغذیه در کودکان دارای بلوغ زودرس و کودکان با بلوغ طبیعی بود.
روش شناسی: پژوهش حاضر از نوع توصیفی- همبستگی بوده و جامعه پژوهش حاضرکودکان 7 تا 11 سال ساکن در شهر قزوین بودند که از بین آنها تعداد 100 نفر(70نفر دختر و30 نفر پسر) به روش غیر احتمالی در دسترس به عنوان شرکت کنندگان پژوهش انتخاب شدند. به منظور گردآوری داده‌ها از پرسشنامه‌های یادآمد غذایی 24 ساعته خوراک، رفتار تغذیه‌ای و پرسشنامه فعالیت بدنی IPAQ استفاده شد.
یافته‌ ها: یافته‌های پژوهش نشان داد، میزان فعالیت بدنی و خواب کودکان با بلوغ طبیعی از کودکان دارای بلوغ زودرس بیشتر بود (001/0=p). وضعیت تغذیه شامل مصرف میوه (0/006=p)، سبزیجات (0/009=p)، شیر (0/001=p) در کودکان با بلوغ طبیعی بیشتر از کودکان با بلوغ زودرس بود، در حالی‌که مصرف فست‌فود (0/037=p) و تنقلات (0/009=p) بالعکس بود. مصرف گوشت (0/124=p) و نان و غلات (0/564=p) دردو گروه تفاوت معناداری نداشت. وزن (0/005=p) و قد کودکان (0/022=p) دارای بلوغ زودرس از کودکان با بلوغ طبیعی بیشتر و بلندتر بود. استفاده از وسایل الکترونیکی در بین کودکان با بلوغ طبیعی وکودکان دارای بلوغ زودرس تفاوت معناداری نداشت (0/189=p).

نتیجه گیری: وضعیت فعالیت بدنی، تغذیه (مصرف میوه، سبزیجات و شیر) و خواب در کودکان با بلوغ طبیعی بهتر از کودکان با بلوغ زودرس بود. کودکان با بلوغ طبیعی زندگی سالم‌تری داشتند.

تازه های تحقیق

 

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Evaluation of physical activity and nutritional status in children with precocious puberty

نویسندگان [English]

  • Zahra Zokaei 1
  • Zohreh Eskandari 1
  • Masoud Mirmoezzi 1
  • Mandana Sangari 2
1 Department of Sports Nutrition, Faculty of Social Sciences, Raja University, Qazvin, Iran.
2 Department of Physical Education, Islamic Azad University Chalous Branch, Mazandaran, Iran.
چکیده [English]

Aims: The aim of this study was to investigate physical activity and nutritional status in children with precocious puberty.
Methods: The current research was of a descriptive-correlation type. The present research population was children aged 7 to 11 years living in Qazvin city, from which 100 people (70 girls and 30 boys) were selected as research participants in a non-probabilistic way. In order to collect data, 24-hour food recall questionnaires, nutritional behavior and IPAQ physical activity questionnaires were used.
Results: The findings of the research showed that the amount of physical activity and sleep of children with normal puberty was higher than children with premature puberty (p=0.001). The nutritional status including the consumption of fruit (p=0.006), vegetables (p=0.009), milk (p=0.001) in children with normal puberty was more than children with precocious puberty, while the consumption of fast food (p=0.037) and snacks (p=0.009) was the opposite. The consumption of meat (p=0.124) and bread and cereals (p=0.564) was not significantly different in the two groups. Weight (p=0.005) and height (p=0.022) of children with precocious puberty were more and taller than children with normal puberty. There was no significant difference in the use of electronic devices between children with normal puberty and children with premature puberty (p=0.189).
Conclusion: The status of physical activity, nutrition (consumption of fruits, vegetables and milk) and sleep in children with normal puberty was better than children with precocious puberty. Children with normal puberty had healthier lives.

کلیدواژه‌ها [English]

  • precocious puberty
  • Physical Activity
  • Nutritional status
  • Children

Publisher: University of Kurdistan         Copyright © The Authors

This is an open access article distributed under the following Creative Commons license: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

 

[1] Pallavee P, Samal R. Precocious puberty: A clinical review. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2018;7(3):771-7.
[2] Gruszfeld D, Kułaga Z, Wierzbicka A, Rzehak P, Grote V, Martin F, et al. Leptin and adiponectin serum levels from infancy to school age: factors influencing tracking. Childhood obesity. 2016;12(3):179-87.
[3] Villamor E, Jansen EC. Nutritional determinants of the timing of puberty. Annual review of public health. 2016;37:33-46.
[4] Shokri E, Heidarianpour A, Razavi Z. Positive effect of combined exercise on adipokines levels and pubertal signs in overweight and obese girls with central precocious puberty. Lipids in Health and Disease. 2021;20(1):1-14.
[5] Al-Agha A, Saeedi R, Tatwany B. Correlation between nutrition and early puberty in girls living in Jeddah, Saudi Arabia. Journal of Women’s Health Care. 2015;4(3):2167-0420.1000233.
[6] Li Y, Gao D, Chen M, Ma Y, Chen L, Ma J, Dong Y. Association between healthy lifestyle pattern and early onset of puberty: based on a longitudinal follow-up study. British Journal of Nutrition. 2022;128(12):2320-9.
[7] Nguyen NTK, Fan H-Y, Tsai M-C, Tung T-H, Huynh QTV, Huang S-Y, Chen YC. Nutrient intake through childhood and early menarche onset in girls: Systematic review and meta-analysis. Nutrients. 2020;12(9):2544.
[8] Heidarianpoor A, Razavi Z, Seif M. Dual Effect of Aerobic Exercise and GnRH Agonists at the Same Time, on Estradiol Serum Levels and Gonadotropins (LH,LH/FSH) in Girls with Central Precocious Puberty. Journal of Sadoughi Shahid University  of Medical Sciences. 2017;24(11):899-912.
[9] Chioma L, Bizzarri C, Verzani M, Fava D, Salerno M, Capalbo D, et al. Sedentary lifestyle and precocious puberty in girls during the COVID-19 pandemic: an Italian Endocrine connections. 2022;11(2).
[10] Soliman A, De Sanctis V, Elalaily R. Nutrition and pubertal development. Indian journal of endocrinology and metabolism. 2014;18(Suppl 1):S39.
[11] Calcaterra V, Cena H, Regalbuto C, Vinci F, Porri D, Verduci E, et al. The role of fetal, infant, and childhood nutrition in the timing of sexual maturation. Nutrients. 2021;13(2):419.
[12] Brix N, Ernst A, Lauridsen LLB, Parner ET, Arah OA, Olsen J, et al. Childhood overweight and obesity and timing of puberty in boys and girls: cohort and sibling-matched analyses. International journal of epidemiology. 2020;49(3):834-44.
[13] de Oliveira Leal V, Mafra D. Adipokines in obesity. Clinica Chimica Acta. 2013;419:87-94.
[14] Rak A, Mellouk N, Froment P, Dupont J. Adiponectin and resistin: potential metabolic signals affecting hypothalamo-pituitary gonadal axis in females and males of different species. Reproduction. 2017;153(6):R215-R26.
[15] Momtazpour M, Marnani M, Javanmardi M. The relationship between major dietary patterns and age of menarche in teenage girls of Isfahan, Iran, 2014-2015. Iranian Journal of Nutrition Sciences & Food Technology. 2017;12(1):37-46.
[16] Balagopal P, George D, Yarandi H, Funanage V, Bayne E. Reversal of obesity-related hypoadiponectinemia by lifestyle intervention: a controlled, randomized study in obese adolescents. The Journal of Clinical Endocrinology & Metabolism. 2005;90(11):6192-7.
[17] Eshaghi E, Rostami H, Rahmati-Najarkolaei F, Yaghoubi M. Investigating the Predictors of Nutrition knowledge with the Dietary Behaviors of Medical Staff in one of the Military Hospitals of Mashhad. Journal of Military Medicine. 2017;19(2):126-34.
[18] Saremi A, Parastesh M. Physical activity profile and nutritional status in male adolescents in Arak City, Iran (2014).
[19] Sharifi N, Najar S. The Relationship between Type of Consumed Food, Physical Activity and Anthropometric Indicators with Precocious Puberty among 5 -8 Years -Old Girls in Ahwaz, Iran. Iran Journal of Nursing. 2015;28(95):34.
[20] Nieuwenhuis D, Pujol‐Gualdo N, Arnoldussen IA, Kiliaan AJ. Adipokines: a gear shift in puberty. Obesity reviews. 2020;21(6):e13005.
[21] García-Hermoso A, Ceballos-Ceballos R, Poblete-Aro C, Hackney A, Mota J, Ramírez-Vélez R. Exercise, adipokines and pediatric obesity: a meta-analysis of randomized controlled trials. International journal of obesity. 2017;41(4):475-82.
[22] Park S-M, Kwak Y-S, Ji J-G. The effects of combined exercise on health-related fitness, endotoxin, and immune function of postmenopausal women with abdominal obesity. Journal of immunology research. 2015;2015.
[23] Rodriguez-Ayllon M, Cadenas-Sánchez C, Estévez-López F, Muñoz NE, Mora-Gonzalez J, Migueles JH, et al. Role of physical activity and sedentary behavior in the mental health of preschoolers, children and adolescents: a systematic review and meta-analysis. Sports medicine. 2019;49(9):1383-410.
[24] Chen C, Chen Y, Zhang Y, Sun W, Jiang Y, Song Y, et al. Association between dietary patterns and precocious puberty in children: a population-based study. International journal of endocrinology. 2018;2018.
[25] Tremblay L, Frigon J-Y. Precocious puberty in adolescent girls: a biomarker of later psychosocial adjustment problems. Child psychiatry and human development. 2005;36:73-94.
[26] Lucien JN, Ortega MT, Shaw ND. Sleep and puberty. Current opinion in endocrine and metabolic research. 2021;17:1-7.
[27] Liu X, Chen H, Liu Z-Z, Fan F, Jia C-X. Early menarche and menstrual problems are associated with sleep disturbance in a large sample of Chinese adolescent girls. Sleep. 2017;40(9):zsx107.
[28] Buckley TM, Schatzberg AF. On the interactions of the hypothalamic-pituitary-adrenal (HPA) axis and sleep: normal HPA axis activity and circadian rhythm, exemplary sleep disorders. The Journal of Clinical Endocrinology & Metabolism. 2005;90(5):3106-14.
[29] Stockwell S, Trott M, Tully M, Shin J, Barnett Y, Butler L, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review. BMJ open sport & exercise medicine. 2021;7(1):e000960.
[30] Kim YJ, Kwon A, Jung MK, Kim KE, Suh J, Chae HW, et al. Incidence and prevalence of central precocious puberty in Korea: an epidemiologic study based on a national database. The Journal of pediatrics. 2019;208:221-8.
[31] Le Moal J, Rigou A, Le Tertre A, De Crouy-Channel P, Léger J, Carel J-C. Marked geographic patterns in the
[32] of idiopathic central precocious puberty: a nationwide study in France. European Journal of Endocrinology. 2018;178(1):33-41.
[33] Achari AE, Jain SK. Adiponectin, a therapeutic target for obesity, diabetes, and endothelial dysfunction. International journal of molecular sciences. 2017;18(6):1321.
[34] Sanchez-Garrido MA, Tena-Sempere M. Metabolic control of puberty: roles of leptin and kisspeptins. Hormones and behavior. 2013;64(2):187-94.
[35] Navarro VM. Metabolic regulation of kisspeptin—the link between energy balance and reproduction. Nature reviews endocrinology. 2020;16(8):407-20.
[36] Chiavaroli V, Liberati M, D'Antonio F, Masuccio F, Capanna R, Verrotti A, et al. GNRH analog therapy in girls with early puberty is associated with the achievement of predicted final height but also with increased risk of polycystic ovary syndrome. European journal of endocrinology. 2010;163(1):55-62.
[37] Shiasi-Arani K, Moraveji SA, Zahavi Z. Comparing the predicted final and target height in girls with pubertal onset between 7 and 9.5 years of age. Feyz Medical Sciences Journal. 2016 Jun 10;20(2):188-95.