Excessively longer and shorter periods of sleep may both be risk factors for high blood pressure; these associations are stronger in women than men.
ObjectivesObesity is reported to be closely relevant to early sexual development but the relationship between sexual precocity and obesity or central obesity is still inconsistent, especially in boys. We aimed to investigate the relationship between precocious puberty and obesity as well as central obesity.DesignA large population-based cross-sectional study using multistage, stratified cluster random sampling.SettingData from the Shanghai Children’s Health, Education and Lifestyle Evaluation (SCHEDULE) study in June 2014.Participants17 620 Chinese children aged 6–12 years.Primary and secondary outcome measuresObesity was defined by WHO Child Growth Standards. Central obesity was defined by sex-specific waist-to-height ratio (WHtR) cut-offs (WHtR ≥0.48 for boys, WHtR ≥0.46 for girls). Precocious puberty was identified by Tanner stage of breast, pubic hair and testicle development. A χ2 test was performed to compare rates. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to assess the association between precocious puberty and general obesity and central obesity. Probit analysis was used for estimating the median age at entry into Tanner stage 2 or greater for breast, pubic hair and testicle development. Linear regression was utilised to compare the effects of WHtR and body mass index (BMI) on sex development indicators.Results25.98% and 38.58% of boys with precocious puberty were respectively accompanied by obesity (OR=2.15, 95% CI=1.31 to 3.50) or central obesity (OR=2.10, 95% CI=1.46 to 3.03); meanwhile, 13.86% and 29.42% of girls with precocious puberty were respectively accompanied by obesity (OR=9.00, 95% CI=5.60 to 14.46) or central obesity (OR=5.40, 95% CI=4.10 to 7.12). The median ages of breast, pubic hair and testicle development decreased with BMI increase and median ages of thelarche and testicular development rather than pubarche were earlier in children with central obesity.ConclusionsEarlier pubertal development was positively associated with obesity and central obesity in Chinese children.
Objective The aim of the present study was to investigate the association between dietary patterns and precocious puberty among Shanghai children. Methods A cross-sectional study was conducted among Shanghai children by multistage stratified cluster random sampling in June 2014. Diet was assessed using a simplified food frequency questionnaire (FFQ). Height, weight, and Tanner stages of breast development, pubic hair growth, and testicular volume were carefully measured. Exploratory factor analysis was used to identify dietary patterns, and logistic regression analysis was used to assess the association between dietary patterns and precocious puberty. Results Three distinct dietary patterns, “traditional diet,” “unhealthy diet,” and “protein diet,” were established. Neither the “traditional diet” pattern nor the “protein diet” pattern showed any association with precocious puberty, taking gender, BMI, and adjustment factors into consideration. The “unhealthy diet” pattern was significantly positively associated with precocious puberty in both boys (OR = 1.24, 95% CI = 1.02–1.51) and girls (OR = 1.31, 95% CI = 1.10–1.56). The relationship remained positive only for girls (OR = 1.25, 95% CI = 1.04–1.49) after adjustment for age and BMI but statistically nonsignificant after further adjustment for socioeconomic factors in both boys and girls. Conclusions Dietary patterns were found to be related to precocious puberty among Shanghai children.
Nanoindentation technology has been widely adopted to study creep behavior in small regions. However, nanoindentation creep behavior of metallic glass is still not well understood. In the present work, we investigated nanoindentation size effects on creep deformation in a Zr-based bulk metallic glass at room temperature. The total creep strain and strain rate of steady-state creep were gradually decreased with increasing holding depth under a Berkovich indenter, indicating a length-scale-dependent creep resistance. For a spherical indenter, creep deformations were insignificant in elastic regions and then greatly enhanced by increasing holding strain in plastic regions. Strain rate sensitivities (SRS) decreased with increasing holding depth and holding strain at first, and then stabilized as holding depth was beyond about 500 nm for both indenters. SRS values were 0.4–0.5 in elastic regions, in which atomic diffusion and free volume migration could be the creep mechanism. On the other hand, evolution of the shear transformation zone was suggested as a creep mechanism in plastic regions, and the corresponding SRS values were in the range of 0.05 to 0.3.
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