ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (3): 249-252.doi: 10.3969/j.issn.1674-3865.2016.03.001

• 性早熟专栏 •    下一篇

营养与青春期性发育

郭盛,李嫔   

  1. 200062 上海,上海交通大学附属儿童医院内分泌科
  • 出版日期:2016-06-25 发布日期:2018-11-19
  • 通讯作者: 李嫔,E-mail:lipin21@126.com
  • 作者简介:郭盛(1971-),男,医学博士,主治医师。研究方向:小儿内分泌疾病的诊治

Nutrition and puberty onset

GUO Sheng,LI Pin   

  1. Department of Endocrinology, Shanghai Children's Hospital, Shanghai Jiaotong University, Shanghai 200062, China.
  • Online:2016-06-25 Published:2018-11-19

摘要:
青春发育期是人生躯体和性发育的重要阶段,营养是影响青春发育启动和维持的重要因素之一。无论胎儿期、婴儿期、还是幼儿期和儿童期,任一阶段的营养状态都有可能影响到日后的青春发育和维持。生命早期营养缺乏儿童,日后罹患性早熟及其他非感染性疾病的风险明显增高。低出生体重儿如果在婴幼儿期已经实现了生长追赶,青春期后阴毛早现、多囊卵巢以及代谢综合征的患病风险显著增高。另外,膳食营养结构及饮食质量也是影响儿童青少年性发育的重要因素。青春期的一些特殊饮食困难问题,如神经性厌食、神经性贪食等可能对性发育的正常进程产生不利影响。本文结合最新文献报道就营养与青春期性发育问题做简要评述。

关键词: 性发育, 营养, 青春期, 肥胖, 宫内发育迟缓, 儿童

Abstract:
Puberty is an essential stage of physical and sexual development in life. Nutrition is one of the most important factors affecting pubertal development onset and maintenance. Nutritional status during fetal, infancy, childhood and prepubertal period has a significant effect on puberty development and maintenance. Children with early nutritional deficiency not only are likely to suffer from sexual precocity but also show an increase in their risk of developing non-infectious diseases in later life. The low-birth-weight infants who have achieved growth catch-up in infancy and childhood period are at a higher risk of developing premature pubarche, polycystic ovary and metabolic syndrome. In addition, nutritional structure and diet quality are also important factors affecting sexual development in children and adolescents. Some dieting problems during adolescence, such as nervous anorexia and bulimia nervosa, may have bad effect on the normal sexual development. On the basis of the latest literature reports, this paper makes a brief review on the problems related to nutrition and pubertal development.

Key words: Sexual development, Nutrition, Puberty, Obesity, Intrauterine growth retardation, Children