Evaluation of statural growth and puberty of children and adolescents with overweight and obesity
DOI:
https://doi.org/10.11606/issn.1679-9836.v101i3e195783Keywords:
Obesity, Child obesity, PubertyAbstract
Objectives: In females, being overweight is associated with the anticipation of puberty. However, in males, few studies have been done and they are controversial. Therefore, this study aimed to evaluate growth and puberty in overweight boys and girls. Methods: In this retrospective study, we analyzed medical records of patients aged 5 to 19 years, overweight or obese. The data collected were height (H) and weight, body mass index (BMI), waist circumference (WC), Waist-to-Hip Ratio (WHR) and pubertal staging. Results: There was no impact of obesity severity on the onset of puberty or height. The mean final height of the female patients remained within the family target, and the final height of the male patients remained above the genetic standard. Discussion: Female patients show greater growth in the prepubertal period and less growth during puberty, which is consistent with previous studies. However, these patients do not present weight gain after menarche, contrary to the literature. In male patients, the severity of BMI did not impact the chronological age (CA) at puberty, and BMI decreased during puberty. There was no loss of final height in any of the groups. Therefore, that treatment should be individualized, since body composition is different according to gender.
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