DOI QR코드

DOI QR Code

A Study on Dietary Habits and Lifestyle of Girls with Precocious Puberty

  • Heo, Jae-Seong (Department of Pediatrics, Presbyterian Medical Center) ;
  • Moon, Hyeok-Soo (Department of Pediatrics, Presbyterian Medical Center) ;
  • Kim, Mi-Kyeong (Department of Pediatrics, Presbyterian Medical Center)
  • Received : 2015.11.01
  • Accepted : 2016.03.07
  • Published : 2016.06.30

Abstract

Purpose: This study was conducted to analyze the change in the obesity index in girls receiving a gonadotropin-releasing hormone agonist (GnRHa), based on treatment duration, and to aid in nutritional counseling by investigating dietary habits and lifestyle. Methods: Anthropometric examinations were conducted on 62 girls treated with GnRHa from January 2010 through July 2014. Parents were asked to fill out questionnaires on patient dietary habits and lifestyle. Results: The group taking GnRHa for over 1 year had a higher rate of obesity increase than the group taking GnRHa for less than 1 year, but they had common habits related to obesity, which should be corrected. In addition, 69.2% of the normal weight group taking GnRHa for over 1 year gained weight, and needed more intensive programs, which include physical exercise and nutritional education. Although girls with precocious puberty showed a decrease in the intake of high-calorie foods with nutritional intervention regardless of treatment duration, they still had problems that needed improvement, such as shorter meals and lack of exercise. Conclusion: Girls with precocious puberty and their parents should emphasize maintenance of proper body weight, especially when treatment for over 1 year is anticipated. Consistent education in nutrition, ways to increase intensity and duration of physical activity, and the need to slow down mealtimes are important in managing obesity; doctors need to perform regular checkups and provide nutritional counseling.

Keywords

References

  1. Shim KS, Kim JT. Therapy for idiopathic precocious puberty in children. J Korean Med Assoc 2011;54:953-6. https://doi.org/10.5124/jkma.2011.54.9.953
  2. Burt Solorzano CM, McCartney CR. Obesity and the pubertal transition in girls and boys. Reproduction 2010;140:399-410. https://doi.org/10.1530/REP-10-0119
  3. Styne D, Grumbach M. Puberty. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Williams textbook of endocrinology. 11th ed. Philadelphia: Saunders Co, 2008:969-1166.
  4. Rosenfield RL, Lipton RB, Drum ML. Thelarche, pubarche, and menarche attainment in children with normal and elevated body mass index. Pediatrics 2009; 123:84-8. https://doi.org/10.1542/peds.2008-0146
  5. Rosenfield RL, Cooke DW, Radovick S. Puberty and its disorder in the female. In: Sperling MA, ed. Pediatric endocrinology. 4th ed. Philadelphia: WB Saunders Co, 2014:569-663.
  6. Moon JS, Lee SY, Nam CM, Choi JM, Choe BK, Seo JW, et al. 2007 Korean National Growth Charts: review of developmental process and an outlook. Korean J Pediatr 2008;51:1-25. https://doi.org/10.3345/kjp.2008.51.1.1
  7. Knittle JL, Merritt RJ, Dixon-Shanies D, Ginsberg-Fellner F, Timmers KI, Katz DP. Childhood obesity. In: Robert MS, ed. Textbook of pediatric nutrition. 2nd ed. New York: Raven Press, 1981:415-34.
  8. Seo JW, Jung JA, Park HS, Ko JS, Kim YJ, Kim JY, et al. Assessment of modifiable lifestyle factors for obese children and adolescents through questionnaires. Korean J Pediatr 2008;51:576-83. https://doi.org/10.3345/kjp.2008.51.6.576
  9. Shalitin S, Phillip M. Role of obesity and leptin in the pubertal process and pubertal growth--a review. Int J Obes Relat Metab Disord 2003;27:869-74. https://doi.org/10.1038/sj.ijo.0802328
  10. Lebrethon MC, Bourguignon JP. Management of central isosexual precocity: diagnosis, treatment, outcome. Curr Opin Pediatr 2000;12:394-9. https://doi.org/10.1097/00008480-200008000-00020
  11. Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Prev Med 1993;22:167-77. https://doi.org/10.1006/pmed.1993.1014
  12. Yoon JY, Kang MJ, Kim SY, Seo JY, Yang SW, Lee YA, et al. The relationship between initial body mass index and body mass index after one year of gonadotropin- releasing hormone agonist therapy in idiopathic true precocious puberty girls. J Korean Soc Pediatr Endocrinol 2011;16:165-71. https://doi.org/10.6065/jkspe.2011.16.3.165
  13. Aguiar AL, Couto-Silva AC, Vicente EJ, Freitas IC, Cruz T, Adan L. Weight evolution in girls treated for idiopathic central precocious puberty with GnRH analogues. J Pediatr Endocrinol Metab 2006;19:1327-34.
  14. Arrigo T, De Luca F, Antoniazzi F, Galluzzi F, Segni M, Rosano M, et al. Reduction of baseline body mass index under gonadotropin-suppressive therapy in girls with idiopathic precocious puberty. Eur J Endocrinol 2004; 150:533-7. https://doi.org/10.1530/eje.0.1500533
  15. Kim MS, Choi MS, Kim KN. Effect of nutrition education and exercise intervention on physical and dietary patterns of some obese. Korean J Community Nutr 2011;16:426-38. https://doi.org/10.5720/kjcn.2011.16.4.426
  16. Kim JH, Choi YJ, Lim HS, Chyun JH. Improvement of food habits and eating behavior of children with obesity and precocious puberty by nutrition education monitoring. J Korean Soc Food Cult 2015;30:129-36. https://doi.org/10.7318/KJFC/2015.30.1.129
  17. Cho KY, Park H, Seo JW. The relationship between lifestyle and metabolic syndrome in obese children and adolescents. Korean J Pediatr Gastroenterol Nutr 2008;11:150-9.
  18. Hassink SG, Pediatric Expert Panel. Weighing risk: the expert committee's recommendations in practice. Semin Pediatr Surg 2009;18:159-67. https://doi.org/10.1053/j.sempedsurg.2009.04.006
  19. Ashwell M. An examination of the relationship between breakfast, weight and shape. Br J Nurs 2010;19:1155-9. https://doi.org/10.12968/bjon.2010.19.18.79047
  20. Akselrod S, Gordon D, Madwed JB, SnidmanNc, Shannon DC, Cohen RJ. Hemodynamic regulation: investigation by spectral analysis. Am J Physiol 1975; 228:775-80.
  21. Guyton AC, Hall JE. The autonomic nervous system and the adrenal medulla. In: Rebecca G, ed. Guyton and Hall textbook of medical physiology. 12th ed. Philadelphia: WB Saunders Co, 2011;729-39.
  22. Seo JW. Obesity in children and adolescents. Korean J Pediatr 2009;52:1311-20. https://doi.org/10.3345/kjp.2009.52.12.1311
  23. Gordon-Larsen P, Adair LS, Popkin BM. Ethnic differences in physical activity and inactivity patterns and overweight status. Obesity Research 2002;10:141-9. https://doi.org/10.1038/oby.2002.23
  24. Carel JC, Eugster EA, Rogol A, Ghizzoni L, Palmert MR, Antoniazzi F, et al. Consensus statement on the use of gonadotropin-releasing hormone analogs in children. Pediatrics 2009;123:e752-62. https://doi.org/10.1542/peds.2008-1783
  25. Baek JW, Nam HK, Jin D, Oh YJ, Rhie YJ, Lee KH. Age of menarche and near adult height after long-term gonadotropin-releasing hormone agonist treatment in girls with central precocious puberty. Ann Pediatr Endocrinol Metab 2014;19:27-31. https://doi.org/10.6065/apem.2014.19.1.27
  26. Gruber KJ, Haldeman LA. Using the family to combat childhood and adult obesity. Prev Chronic Dis 2009;6: 106-7.
  27. Wrotniak BH, Epstein LH, Paluch RA, Roemmich JN. Parent weight change as a predictor of child weight change in family-based behavioral obesity treatment. Arch Pediatr Adolesc Med 2004;158:342-7. https://doi.org/10.1001/archpedi.158.4.342
  28. Epstein LH, McCurley J, Wing RR, Valoski A. Five-year follow-up of family-based behavioral treatments for childhood obesity. J Consult Clin Psychol 1990;58:661-4. https://doi.org/10.1037/0022-006X.58.5.661
  29. Barlow SE; Expert Committee. Expert Committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics 2007;120 Suppl 4:S164-92. https://doi.org/10.1542/peds.2007-2329C
  30. Seo JW. Management of nutrition and eating behavior in obese children adolescents. Korean J Pediatr Gastroenterol Nutr 2008;11 Suppl 1:93-101.

Cited by

  1. 빠른 2차 성징이 우려되는 여아에 대한 사상의학적 치험 5례 vol.29, pp.2, 2017, https://doi.org/10.7730/jscm.2017.29.2.174