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Early puberty in 11-year-old girls: Millennium Cohort Study findings

OBJECTIVE: Early puberty in girls is linked to some adverse outcomes in adolescence and mid-life. We address two research questions: (1) Are socioeconomic circumstances and ethnicity associated with early onset puberty? (2) Are adiposity and/or psychosocial stress associated with observed associatio...

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Autores principales: Kelly, Yvonne, Zilanawala, Afshin, Sacker, Amanda, Hiatt, Robert, Viner, Russell
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339561/
https://www.ncbi.nlm.nih.gov/pubmed/27672135
http://dx.doi.org/10.1136/archdischild-2016-310475
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author Kelly, Yvonne
Zilanawala, Afshin
Sacker, Amanda
Hiatt, Robert
Viner, Russell
author_facet Kelly, Yvonne
Zilanawala, Afshin
Sacker, Amanda
Hiatt, Robert
Viner, Russell
author_sort Kelly, Yvonne
collection PubMed
description OBJECTIVE: Early puberty in girls is linked to some adverse outcomes in adolescence and mid-life. We address two research questions: (1) Are socioeconomic circumstances and ethnicity associated with early onset puberty? (2) Are adiposity and/or psychosocial stress associated with observed associations? DESIGN: Longitudinal data on 5839 girls from the UK Millennium Cohort Study were used to estimate associations between ethnicity, family income, adiposity and psychosocial stress with a marker of puberty. MAIN OUTCOME MEASURE: Reported menstruation at age 11 years. RESULTS: All quoted ORs are statistically significant. Girls in the poorest income quintile were twice as likely (OR=2.1), and the second poorest quintile nearly twice as likely (OR=1.9) to have begun menstruation compared with girls in the richest income quintile. Estimates were roughly halved on adjustment for Body Mass Index and markers of psychosocial stress (poorest, OR=1.5; second poorest, OR=1.5). Indian girls were over 3 times as likely compared with whites to have started menstruation (OR=3.5) and statistical adjustments did not attenuate estimates. The raised odds of menstruation for Pakistani (OR=1.9), Bangladeshi (OR=3.3) and black African (OR=3.0) girls were attenuated to varying extents, from about a third to a half, on adjustment for income and adiposity. CONCLUSIONS: In contemporary UK, excess adiposity and psychosocial stress were associated with social inequalities in early puberty, while material disadvantage and adiposity were linked to ethnic inequalities in early puberty among girls.
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spelling pubmed-53395612017-03-20 Early puberty in 11-year-old girls: Millennium Cohort Study findings Kelly, Yvonne Zilanawala, Afshin Sacker, Amanda Hiatt, Robert Viner, Russell Arch Dis Child Original Article OBJECTIVE: Early puberty in girls is linked to some adverse outcomes in adolescence and mid-life. We address two research questions: (1) Are socioeconomic circumstances and ethnicity associated with early onset puberty? (2) Are adiposity and/or psychosocial stress associated with observed associations? DESIGN: Longitudinal data on 5839 girls from the UK Millennium Cohort Study were used to estimate associations between ethnicity, family income, adiposity and psychosocial stress with a marker of puberty. MAIN OUTCOME MEASURE: Reported menstruation at age 11 years. RESULTS: All quoted ORs are statistically significant. Girls in the poorest income quintile were twice as likely (OR=2.1), and the second poorest quintile nearly twice as likely (OR=1.9) to have begun menstruation compared with girls in the richest income quintile. Estimates were roughly halved on adjustment for Body Mass Index and markers of psychosocial stress (poorest, OR=1.5; second poorest, OR=1.5). Indian girls were over 3 times as likely compared with whites to have started menstruation (OR=3.5) and statistical adjustments did not attenuate estimates. The raised odds of menstruation for Pakistani (OR=1.9), Bangladeshi (OR=3.3) and black African (OR=3.0) girls were attenuated to varying extents, from about a third to a half, on adjustment for income and adiposity. CONCLUSIONS: In contemporary UK, excess adiposity and psychosocial stress were associated with social inequalities in early puberty, while material disadvantage and adiposity were linked to ethnic inequalities in early puberty among girls. BMJ Publishing Group 2017-03 2016-09-26 /pmc/articles/PMC5339561/ /pubmed/27672135 http://dx.doi.org/10.1136/archdischild-2016-310475 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Original Article
Kelly, Yvonne
Zilanawala, Afshin
Sacker, Amanda
Hiatt, Robert
Viner, Russell
Early puberty in 11-year-old girls: Millennium Cohort Study findings
title Early puberty in 11-year-old girls: Millennium Cohort Study findings
title_full Early puberty in 11-year-old girls: Millennium Cohort Study findings
title_fullStr Early puberty in 11-year-old girls: Millennium Cohort Study findings
title_full_unstemmed Early puberty in 11-year-old girls: Millennium Cohort Study findings
title_short Early puberty in 11-year-old girls: Millennium Cohort Study findings
title_sort early puberty in 11-year-old girls: millennium cohort study findings
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339561/
https://www.ncbi.nlm.nih.gov/pubmed/27672135
http://dx.doi.org/10.1136/archdischild-2016-310475
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