International Adoption, “Early” Puberty, and Underrecorded Age

Hayes, Peter

doi:10.1542/peds.2013-0232

Cited by 10 publications

(7 citation statements)

References 9 publications

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“…Some authors have postulated that early puberty follows the period of catch-up growth only after fetal or fetalpostnatal undernutrition, but not after postnatal undernutrition [41]. This is similar to what is described in many studies about IUGR and SGA children [42,43].…”

Section: Puberty and Pubertal Disorderssupporting

confidence: 70%

Auxological and endocrinological features in internationally adopted children

et al. 2020

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In internationally adopted children disorders of linear growth, puberty development, thyroid function, and bone metabolism are frequently reported. It is important that these children receive careful auxological and endocrinological evaluations and follow-up.Pediatricians and other healthcare providers should be aware that auxological and endocrinological problems are common in newly arrived international adoptees.

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Section: Puberty and Pubertal Disorderssupporting

confidence: 70%

Auxological and endocrinological features in internationally adopted children

et al. 2020

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“…The authors hypothesized that puberty may be triggered by the increased metabolic activity of catch‐up growth following early deprivation, but also cautioned that the ages of adopted children can be uncertain (Adolfsson & Westphal ). Age uncertainty may be a significant issue for children adopted from some states but not others (Hayes ). The link between international adoption and early puberty was corroborated by a cohort study of 107 Indian girls adopted into Sweden, which found an increased risk of precocious pubertal onset <8 years and menarche <10 years (Proos et al .…”

Section: Introductionmentioning

confidence: 99%

Timing of menarche in girls adopted from China: a cohort study

Hayes

Tan

2016

Child

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“…Whilst not clinically significant at first assessment, if such growth trajectories are sustained, there is the potential increased risk for development of overweight, obesity and metabolic syndrome; anecdotally, this is observed in the RHS cohort by 12–18 months. Rapid escalations in BMI and obesity have been noted in paediatric refugees resettled in the USA, with the risk of future metabolic syndrome and early puberty highlighted . There is growing attention to prioritise obesity prevention in children to minimise longitudinal health and economic impacts .…”

Section: Discussionmentioning

confidence: 52%

“…Rapid escalations in BMI and obesity have been noted in paediatric refugees resettled in the USA, 29 with the risk of future metabolic syndrome and early puberty highlighted. 40 There is growing attention to prioritise obesity prevention in children to minimise longitudinal health and economic impacts. 15,[40][41][42] We demonstrated ethnic variation in diets and elevated proportions of overweight/obese, particularly in Middle Eastern refugees, which supports the need for targeted, accessible interventions focused on excess weight gain prevention in refugee children and adolescents.…”

Section: Growth Statistics and Trendsmentioning

confidence: 99%

Nutritional assessment of resettled paediatric refugees in Western Australia

Newman

O'Donovan

Bear

et al. 2018

J Paediatrics Child Health

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Aim Nutritional deprivation, inadequate diet and food insecurity are common refugee experiences. The growth and nutritional status of paediatric refugees following resettlement in developed countries and the related interplay with socio‐economic factors remain less defined; this study aims to describe these features. Methods Standardised dietary, medical and socio‐demographic health assessments of new refugee patients attending a multidisciplinary paediatric Refugee Health Service (RHS) in Western Australia between 2010 and 2015 were analysed. Results Demographic data from 1131 paediatric refugees are described (age 2 months to 17.8 years). The majority experienced socio‐economic disadvantage, had limited parental education and required interpreters. Nutritional deficiencies were common but varied across ethnicities: iron deficiency (ID) (12.3%), anaemia (7.3%) and inadequate dairy intake (41.0%). A third of children (32.6%) did not consume meat. Infant breastfeeding was sustained (77.8%) in infants <12 months. Prolonged breastfeeding (44.9% aged 12–24 months) was associated with an increased risk of ID (odds ratio 4.0, 95% confidence interval 1.4–11.6). Median body mass index increased significantly for those >24 months between referral and RHS assessment (median period 1.8 months). Overall, 27.1% required additional formal dietetic follow‐up, with higher nutritional concerns in refugee children <24 months compared to older patients. Conclusions Identification of frequent post‐settlement nutritional concerns has been captured through structured multidisciplinary paediatric health screening. Specific screening for socio‐economic influencing factors, including education, poverty and food insecurity, during refugee clinical assessments is recommended. Development of targeted, culturally appropriate parental education resources and interventions may improve management following resettlement. Longitudinal research assessing resettlement growth trajectories is required.

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International Adoption, “Early” Puberty, and Underrecorded Age

Cited by 10 publications

References 9 publications

Auxological and endocrinological features in internationally adopted children

Auxological and endocrinological features in internationally adopted children

Timing of menarche in girls adopted from China: a cohort study

Nutritional assessment of resettled paediatric refugees in Western Australia

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