Female precocious puberty, obesity and polycystic‐like ovaries

Battaglia, Cesare; Iaco, Pierandrea De; Mancini, Fulvia; Persico, Nicola; Genazzani, Alessandro D.; Volpe, Annibale; Aloysio, Domenico De

doi:10.1002/uog.2596

Cited by 8 publications

(7 citation statements)

References 56 publications

(74 reference statements)

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“…Improved economic and social conditions and better nutrition lead to increased weight and height during childhood which creates a downward trend of age of menarche from 16 to 13 years in countries throughout the world [15][16][17][18]. In the present study, the downward trend in the age of menarche has also been shown in Iran, except during the decades in which Iran was at war and eventually has been suggested that in Iran like in other advanced countries, the age of menarche in adolescents aged between 10 to 17 years [3][4][5][6][7][8]19]. It is obvious that having accurate information and knowing all the factors affecting this issue can be very useful in planning public health in women and health educational programs which ultimately affect the health of the entire community [20][21][22][23][24][25][26].…”

Section: Discussionsupporting

confidence: 52%

“…Based on studies, one of the main causes of early menarche in people with no certain diseases is obesity [16][17][18]. Children with early puberty, due to the rapid closure of the epiphysial connections in the bones are at risk of decreased height in adulthood [19]. Given the fact that girls achieve their maximum height before the age of menarche and after that the potential for height growth is limited, it is concluded that high age of menarche could have a positive effect on average height.…”

Section: Discussionmentioning

confidence: 99%

“…This medical visit could be a training manual for teenage girls and their mothers regarding the physical development of adolescents based on maturity parameters and normal menarche indicators. Perhaps if this process is executed in the secondary schools during enrollment, parents would be more persistent and would become a widespread practice in the country [16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

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Age of menarche as a risk factor for gynecological cancer in Iranian women and review of the literature

Barooti¹,

Zarchi²,

Sadeghi³

et al. 2014

Clin. Exp. Obstet. Gynecol.

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Background: This study analyzed the age of menarche in different regions of Iran with a review of previous studies and examined the changes of menarche age over the past years. Materials and Methods: A descriptive and cross-sectional study which was conducted in 11 different provinces of Iran with a sample size of 26,831. The year of birth and age of menarche in the population obtained through health records which were available in the health centers collected and also questioning the subjects under investigation. Results: The highest average age of 14.6 years obtained from Kermanshah province and the lowest was from Kerman with 12.98 years. The lowest average was observed with age group under 30 (13.22) and the highest age of menarche (13.53) belonged to the 30 to 40 year age group. The average age of menarche in this study was 13.24 years. Discussion: A declining trend of about two to four months for each ten years has been observed in girls born in 1920s to 1940s and then an upward trend of about nine months for ten years in subjects born in 1950s and 1960s. The stressful condition of war and poor economic and social conditions of Iranian people can justify this upward leap. However in women under 30 years of age, the menarche age showed a rapid declining trend to 13.22 years. Conclusion: Obtaining accurate information and knowing all the factors affecting this issue can be very useful in planning the public health in women and health educational programs.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Age of menarche as a risk factor for gynecological cancer in Iranian women and review of the literature

Barooti¹,

Zarchi²,

Sadeghi³

et al. 2014

Clin. Exp. Obstet. Gynecol.

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“…16, 17 Premature pubarche may be the earlier sign of metabolic syndrome in childhood. Hyperinsulinism in these cases may be the result of diminished fetal growth rate and intrauterine growth retardation.…”

Section: Premature Thelarchementioning

confidence: 99%

Precocious Puberty and Normal Variant Puberty: Definition, etiology, diagnosis and current management - Review

Berberoğlu

2009

Jcrpe

153

127

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This review describes several aspects of the management of precocious puberty (PP) and variants in girls and boys.PP is characterized by early pubertal changes, acceleration of growth velocity and rapid bone maturation that often result in reduced adult height. Onset of pubertal signs before the age of 8 years in girls and 9 years in boys should always be evaluated carefully. The main principles of therapy are to stop the progression of secondary sex characteristics and menses (in girls), to increase final adult height, to promote psychosocial well-being, and to treat the underlying cause if known.Conflict of interest:None declared.

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“…The selected articles were published between 1996 and 2021 and included girls from ve countries (Italy, Brazil, Iran, Belgium, and Denmark). Six studies were cross-sectional in design [19][20][21][22][23][24] and four were prospective [25][26][27][28]. The ages of the participants ranged from 1.2 to 18 years.…”

Section: Resultsmentioning

confidence: 99%

Accuracy of Doppler Assessment of the Uterine Arteries for the Diagnosis of Pubertal Onset in Girls: A Scoping Review

Cheuiche

Moro

Lucena

et al. 2022

Preprint

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The uterine artery pulsatility index (PI) assessed by Doppler ultrasound reflects blood flow impedance in the vessel distal to the sampling point. We aimed to evaluate the accuracy of the uterine artery PI for the diagnosis of puberty in girls. A PRISMA-ScR-compliant scoping review was performed in the MEDLINE and Embase databases with “puberty” and “Doppler ultrasonography” as the search terms. Studies that included girls aged 0–18 years who underwent pelvic Doppler ultrasound with calculation uterine artery PI were considered eligible. Ten studies comprising 1385 girls aged 1.2–18 years were included. The selected studies were published between 1996 and 2021 and included participants from Italy, Brazil, Iran, Belgium, and Denmark. Six studies included girls who were referred for evaluation of pubertal disorders, while four studies selected only healthy girls. Nine studies found a significant difference in Doppler and PI according to pubertal stage, with PI cutoff points ranging from 2.5 to 4.6 for the diagnosis of puberty onset, with a sensitivity of 77–94%, specificity of 85–100%, and accuracy of 79–98%. Doppler assessment of the uterine arteries with PI calculation is a useful noninvasive tool in the diagnosis of secondary sexual characteristic onset in girls.

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Female precocious puberty, obesity and polycystic‐like ovaries

Abstract: ABSTRACT

Cited by 8 publications

References 56 publications

Age of menarche as a risk factor for gynecological cancer in Iranian women and review of the literature

Age of menarche as a risk factor for gynecological cancer in Iranian women and review of the literature

Precocious Puberty and Normal Variant Puberty: Definition, etiology, diagnosis and current management - Review

Accuracy of Doppler Assessment of the Uterine Arteries for the Diagnosis of Pubertal Onset in Girls: A Scoping Review

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