Pediatr Gastroenterol Hepatol Nutr.  2016 Jun;19(2):130-138. 10.5223/pghn.2016.19.2.130.

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

• Heo JS
• Moon HS
• Kim MK

• KMID: 2328174
• DOI: http://doi.org/10.5223/pghn.2016.19.2.130

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.

Keyword

Precocious puberty; Obesity index; Dietary habit; Life style

MeSH Terms

Body Weight
Counseling
Education
Exercise
Female*
Food Habits*
Gonadotropin-Releasing Hormone
Humans
Life Style*
Meals
Motor Activity
Obesity
Parents
Puberty, Precocious*
Gonadotropin-Releasing Hormone

Reference

1. Shim KS, Kim JT. Therapy for idiopathic precocious puberty in children. J Korean Med Assoc. 2011; 54:953–956.

2. Burt Solorzano CM, McCartney CR. Obesity and the pubertal transition in girls and boys. Reproduction. 2010; 140:399–410.

3. Styne D, Grumbach M. Puberty. In : Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, editors. Williams textbook of endocrinology. 11th ed. Philadelphia: Saunders Co;2008. p. 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; 123:84–88.

5. Rosenfield RL, Cooke DW, Radovick S. Puberty and its disorder in the female. In : Sperling MA, editor. Pediatric endocrinology. 4th ed. Philadelphia: WB Saunders Co;2014. p. 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.

7. Knittle JL, Merritt RJ, Dixon-Shanies D, Ginsberg-Fellner F, Timmers KI, Katz DP. Childhood obesity. In : Robert MS, editor. Textbook of pediatric nutrition. 2nd ed. New York: Raven Press;1981. p. 415–434.

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; 51:576–583.

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; 27:869–874.

10. Lebrethon MC, Bourguignon JP. Management of central isosexual precocity: diagnosis, treatment, outcome. Curr Opin Pediatr. 2000; 12:394–399.

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; 22:167–177.

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; 16:165–171.

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; 19:1327–1334.

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; 150:533–537.

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; 16:426–438.

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; 30:129–136.

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; 11:150–159.

18. Hassink SG. Pediatric Expert Panel. Weighing risk: the expert committee's recommendations in practice. Semin Pediatr Surg. 2009; 18:159–167.

19. Ashwell M. An examination of the relationship between breakfast, weight and shape. Br J Nurs. 2010; 19:1155–1159.

20. Akselrod S, Gordon D, Madwed JB, SnidmanNc , Shannon DC, Cohen RJ. Hemodynamic regulation: investigation by spectral analysis. Am J Physiol. 1975; 228:775–780.

21. Guyton AC, Hall JE. The autonomic nervous system and the adrenal medulla. In : Rebecca G, editor. Guyton and Hall textbook of medical physiology. 12th ed. Philadelphia: WB Saunders Co;2011. p. 729–739.

22. Seo JW. Obesity in children and adolescents. Korean J Pediatr. 2009; 52:1311–1320.

23. Gordon-Larsen P, Adair LS, Popkin BM. Ethnic differences in physical activity and inactivity patterns and overweight status. Obesity Research. 2002; 10:141–149.

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–e762.

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.

26. Gruber KJ, Haldeman LA. Using the family to combat childhood and adult obesity. Prev Chronic Dis. 2009; 6:106–107.

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; 158:342–347.

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; 58:661–664.

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–S192.

30. Seo JW. Management of nutrition and eating behavior in obese children adolescents. Korean J Pediatr Gastroenterol Nutr. 2008; 11:Suppl 1. 93–101.