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  • Population Study Article
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Association of Traditional dietary pattern with early and precocious puberty: a population-based cross-sectional study

Pediatric Research volume 96, pages 245–252 (2024)Cite this article

Abstract

Background

Precocious puberty is an endocrine disease that is diagnosed by sex, age, and Tanner stage of puberty. This study aimed to investigate the association between various dietary patterns and early or precocious puberty, especially Traditional dietary patterns, which have been rarely investigated.

Methods

A total of 4085 primary school students in grades 1–3 (6–9 years) completed individual characteristic surveys, health examinations, and food frequency questionnaires (FFQs). Physical examinations were also conducted to assess obesity and pubertal onset. Traditional, Westernized, and Protein dietary patterns were determined by factor analysis, and their associations with pubertal onset were analyzed by multiple logistic regression analysis.

Results

Compared to the other two patterns, children who predominant the Traditional dietary pattern were protectively associated with precocious puberty (OR = 0.72, 95% CI = 0.55, 0.94), even after adjusting the confounders (OR = 0.66, 95% CI = 0.48, 0.89). Neither the Westernized nor Protein dietary pattern demonstrated an association with pubertal onset. The Traditional dietary pattern was negatively associated with children’s weight status, classified by body mass index (BMI), and was positively associated with parental education. The maternal education and the Protein dietary pattern were negatively related.

Conclusions

Traditional dietary patterns were protective associated with early and precocious puberty among Chinese children.

Impact

  • The Traditional dietary pattern was protective associated with early puberty or precocious puberty in children, as found in large-scale population-based public health research.

  • Current research primarily focuses on Westernized dietary patterns, and we studied Traditional dietary patterns to further explore the influence of food on children’s puberty development.

  • We discovered that children’s preference for Traditional dietary patterns is protective of pubertal development, which implies that society and parents can benefit from diet guidance to protect children’s natural development during adolescence.

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Data availability

The data underlying this article cannot be shared publicly due to the privacy of individuals who participated as children in the study. The data will be shared upon reasonable request with the corresponding author.

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Funding

This study received financial support from various sources, including the National Science Foundation of China (82173534, and 81872637), the Special Program for Women and Children Health (2020YJZX0212), Cultivation Project of Clinical Research from SCMC (LY-SCMC2020-06), Project of “Unveiling the Top” for Sanya Women and Children Hospital [SYFY-JBGS-202201], Major Science and Technology Projects of Fujian Province (2021YZ034011), Zhongshan City Social Welfare Science and Technology Research Project [2023B1049].

Author information

Author notes

  1. These authors contributed equally: Xinlin Chen, Simao Fu.

Authors and Affiliations

  1. The Second School of Clinical Medical, Southern Medical University, Guangzhou, China

    Xinlin Chen

  2. BoAi Hospital of Zhongshan Affiliated to Southern Medical University, Zhongshan, China

    Simao Fu, Yawen Yuan, Zhibin Dai, Ang Chen, Bihong Zhang & Cuilan Lin

  3. Health Care Centre for Primary and Secondary Schools, Zhongshan, China

    Chaojun Chen

  4. Pediatric Translational Medicine Institute, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China

    Shijian Liu

Authors
  1. Xinlin Chen
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  4. Yawen Yuan
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  9. Cuilan Lin
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Contributions

X.C., C.L., and S.L. conceptualized and designed this study; S.F. and C.L. organized the investigation; S.F., C.L., C.C., Y.Y., A.C., Z.D., and B.Z. implemented the research and acquired the data; X.C. analyzed the data and drafted this primary manuscript; C.L. and S.L. revised this article for important content. All the authors have accepted responsibility for the entire content of this submitted manuscript and approved its submission.

Corresponding authors

Correspondence to Shijian Liu or Cuilan Lin.

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The authors declare no competing interests.

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Chen, X., Fu, S., Chen, C. et al. Association of Traditional dietary pattern with early and precocious puberty: a population-based cross-sectional study. Pediatr Res 96, 245–252 (2024). https://doi.org/10.1038/s41390-024-03110-w

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  • DOI: https://doi.org/10.1038/s41390-024-03110-w

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