Bone Age Advancement in Prepubertal Children With Obesity and Premature Adrenarche: Possible Potentiating Factors

Obesity and premature adrenarche (PA) are both associated with bone age (BA) advancement of unclear etiology, which may lead to earlier puberty, suboptimal final height and obesity in adulthood. Our objective was to understand the hormonal and anthropometric characteristics of BA advancement in a sp...

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Published inObesity (Silver Spring, Md.) Vol. 19; no. 6; pp. 1259 - 1264
Main Authors Sopher, Aviva B., Jean, Amy M., Zwany, Sarah K., Winston, Diana M., Pomeranz, Christy B., Bell, Jennifer J., McMahon, Donald J., Hassoun, Abeer, Fennoy, Ilene, Oberfield, Sharon E.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.06.2011
Subjects
Online AccessGet full text
ISSN1930-7381
1930-739X
1930-739X
DOI10.1038/oby.2010.305

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Abstract Obesity and premature adrenarche (PA) are both associated with bone age (BA) advancement of unclear etiology, which may lead to earlier puberty, suboptimal final height and obesity in adulthood. Our objective was to understand the hormonal and anthropometric characteristics of BA advancement in a spectrum of prepubertal children with and without obesity and PA. In this cross‐sectional study of 66 prepubertal children (35 PA, 31 control, 5–9 years), BMI z‐score, hormonal values and response to an oral glucose tolerance test were the main outcome measures. Subjects were divided into tertiles by BA divided by chronological age (BA/CA), an index of BA advancement. Subjects in the top tertile for BA/CA had the highest dehydroepiandrosterone sulfate (DHEAS), free testosterone (%), hemoglobin A1C, BMI z‐score, and weight (P < 0.05). BMI z‐score (r = 0.47), weight (r = 0.40), free testosterone (%) (r = 0.34), and DHEAS (r = 0.30) correlated with BA/CA (P < 0.02). Regression analysis showed greater BA/CA in PA compared to controls after controlling for weight (0.21 ± 0.56, P < 0.004). An exploratory stepwise regression model showed that weight, estradiol, and DHEAS were the strongest predictors of BA/CA accounting for 24% of its variance. Obesity was highly associated with BA advancement in this study of prepubertal children. In addition, children with PA had greater BA/CA at any given weight when compared to controls. These findings suggest a possible hormonal factor, which potentiates the effect of obesity on BA advancement in children with obesity and/or PA.
AbstractList Obesity and premature adrenarche (PA) are both associated with bone age (BA) advancement of unclear etiology, which may lead to earlier puberty, suboptimal final height and obesity in adulthood. Our objective was to understand the hormonal and anthropometric characteristics of BA advancement in a spectrum of prepubertal children with and without obesity and PA. In this cross-sectional study of 66 prepubertal children (35 PA, 31 control, 5-9 years), BMI z-score, hormonal values and response to an oral glucose tolerance test were the main outcome measures. Subjects were divided into tertiles by BA divided by chronological age (BA/CA), an index of BA advancement. Subjects in the top tertile for BA/CA had the highest dehydroepiandrosterone sulfate (DHEAS), free testosterone (%), hemoglobin A(1C), BMI z-score, and weight (P < 0.05). BMI z-score (r = 0.47), weight (r = 0.40), free testosterone (%) (r = 0.34), and DHEAS (r = 0.30) correlated with BA/CA (P < 0.02). Regression analysis showed greater BA/CA in PA compared to controls after controlling for weight (0.21 ± 0.56, P < 0.004). An exploratory stepwise regression model showed that weight, estradiol, and DHEAS were the strongest predictors of BA/CA accounting for 24% of its variance. Obesity was highly associated with BA advancement in this study of prepubertal children. In addition, children with PA had greater BA/CA at any given weight when compared to controls. These findings suggest a possible hormonal factor, which potentiates the effect of obesity on BA advancement in children with obesity and/or PA.
Obesity and premature adrenarche (PA) are both associated with bone age (BA) advancement of unclear etiology, which may lead to earlier puberty, suboptimal final height and obesity in adulthood. Our objective was to understand the hormonal and anthropometric characteristics of BA advancement in a spectrum of prepubertal children with and without obesity and PA. In this cross‐sectional study of 66 prepubertal children (35 PA, 31 control, 5–9 years), BMI z ‐score, hormonal values and response to an oral glucose tolerance test were the main outcome measures. Subjects were divided into tertiles by BA divided by chronological age (BA/CA), an index of BA advancement. Subjects in the top tertile for BA/CA had the highest dehydroepiandrosterone sulfate (DHEAS), free testosterone (%), hemoglobin A 1C , BMI z ‐score, and weight ( P < 0.05). BMI z ‐score ( r = 0.47), weight ( r = 0.40), free testosterone (%) ( r = 0.34), and DHEAS ( r = 0.30) correlated with BA/CA ( P < 0.02). Regression analysis showed greater BA/CA in PA compared to controls after controlling for weight (0.21 ± 0.56, P < 0.004). An exploratory stepwise regression model showed that weight, estradiol, and DHEAS were the strongest predictors of BA/CA accounting for 24% of its variance. Obesity was highly associated with BA advancement in this study of prepubertal children. In addition, children with PA had greater BA/CA at any given weight when compared to controls. These findings suggest a possible hormonal factor, which potentiates the effect of obesity on BA advancement in children with obesity and/or PA.
Obesity and premature adrenarche (PA) are both associated with bone age (BA) advancement of unclear etiology, which may lead to earlier puberty, suboptimal final height and obesity in adulthood. Our objective was to understand the hormonal and anthropometric characteristics of BA advancement in a spectrum of prepubertal children with and without obesity and PA. In this cross-sectional study of 66 prepubertal children (35 PA, 31 control, 5-9 years), BMI z-score, hormonal values and response to an oral glucose tolerance test were the main outcome measures. Subjects were divided into tertiles by BA divided by chronological age (BA/CA), an index of BA advancement. Subjects in the top tertile for BA/CA had the highest dehydroepiandrosterone sulfate (DHEAS), free testosterone (%), hemoglobin A(1C), BMI z-score, and weight (P < 0.05). BMI z-score (r = 0.47), weight (r = 0.40), free testosterone (%) (r = 0.34), and DHEAS (r = 0.30) correlated with BA/CA (P < 0.02). Regression analysis showed greater BA/CA in PA compared to controls after controlling for weight (0.21 ± 0.56, P < 0.004). An exploratory stepwise regression model showed that weight, estradiol, and DHEAS were the strongest predictors of BA/CA accounting for 24% of its variance. Obesity was highly associated with BA advancement in this study of prepubertal children. In addition, children with PA had greater BA/CA at any given weight when compared to controls. These findings suggest a possible hormonal factor, which potentiates the effect of obesity on BA advancement in children with obesity and/or PA.Obesity and premature adrenarche (PA) are both associated with bone age (BA) advancement of unclear etiology, which may lead to earlier puberty, suboptimal final height and obesity in adulthood. Our objective was to understand the hormonal and anthropometric characteristics of BA advancement in a spectrum of prepubertal children with and without obesity and PA. In this cross-sectional study of 66 prepubertal children (35 PA, 31 control, 5-9 years), BMI z-score, hormonal values and response to an oral glucose tolerance test were the main outcome measures. Subjects were divided into tertiles by BA divided by chronological age (BA/CA), an index of BA advancement. Subjects in the top tertile for BA/CA had the highest dehydroepiandrosterone sulfate (DHEAS), free testosterone (%), hemoglobin A(1C), BMI z-score, and weight (P < 0.05). BMI z-score (r = 0.47), weight (r = 0.40), free testosterone (%) (r = 0.34), and DHEAS (r = 0.30) correlated with BA/CA (P < 0.02). Regression analysis showed greater BA/CA in PA compared to controls after controlling for weight (0.21 ± 0.56, P < 0.004). An exploratory stepwise regression model showed that weight, estradiol, and DHEAS were the strongest predictors of BA/CA accounting for 24% of its variance. Obesity was highly associated with BA advancement in this study of prepubertal children. In addition, children with PA had greater BA/CA at any given weight when compared to controls. These findings suggest a possible hormonal factor, which potentiates the effect of obesity on BA advancement in children with obesity and/or PA.
Obesity and premature adrenarche (PA) are both associated with bone age (BA) advancement of unclear etiology, which may lead to earlier puberty, suboptimal final height and obesity in adulthood. Our objective was to understand the hormonal and anthropometric characteristics of BA advancement in a spectrum of prepubertal children with and without obesity and PA. In this cross-sectional study of 66 prepubertal children (35 PA, 31 control, 59 years), BMI z-score, hormonal values and response to an oral glucose tolerance test were the main outcome measures. Subjects were divided into tertiles by BA divided by chronological age (BA/CA), an index of BA advancement. Subjects in the top tertile for BA/CA had the highest dehydroepiandrosterone sulfate (DHEAS), free testosterone (%), hemoglobin A1C, BMI z-score, and weight (P < 0.05). BMI z-score (r = 0.47), weight (r = 0.40), free testosterone (%) (r = 0.34), and DHEAS (r = 0.30) correlated with BA/CA (P < 0.02). Regression analysis showed greater BA/CA in PA compared to controls after controlling for weight (0.21 0.56, P < 0.004). An exploratory stepwise regression model showed that weight, estradiol, and DHEAS were the strongest predictors of BA/CA accounting for 24% of its variance. Obesity was highly associated with BA advancement in this study of prepubertal children. In addition, children with PA had greater BA/CA at any given weight when compared to controls. These findings suggest a possible hormonal factor, which potentiates the effect of obesity on BA advancement in children with obesity and/or PA.
Obesity and premature adrenarche (PA) are both associated with bone age (BA) advancement of unclear etiology, which may lead to earlier puberty, suboptimal final height and obesity in adulthood. Our objective was to understand the hormonal and anthropometric characteristics of BA advancement in a spectrum of prepubertal children with and without obesity and PA. In this cross-sectional study of 66 prepubertal children (35 PA, 31 control, 5–9 years), body mass index (BMI) z-score, hormonal values and response to an oral glucose tolerance test were the main outcome measures. Subjects were divided into tertiles by BA divided by chronological age (BA/CA), an index of BA advancement. Subjects in the top tertile for BA/CA had the highest dehydroepiandrosterone sulfate (DHEAS), free testosterone (%), hemoglobin A 1 C, BMI z-score and weight ( P < 0.05). BMI z-score (r = 0.47), weight (r = 0.40), free testosterone (%) (r = 0.34) and DHEAS (r = 0.30) correlated with BA/CA (P<0.02). Regression analysis showed greater BA/CA in PA compared to controls after controlling for weight (0.21 ± 0.56, p<0.004). An exploratory stepwise regression model showed that weight, estradiol and DHEAS were the strongest predictors of BA/CA accounting for 24% of its variance. Obesity was highly associated with BA advancement in this study of prepubertal children. In addition, children with PA had greater BA/CA at any given weight when compared to controls. These findings suggest a possible hormonal factor, which potentiates the effect of obesity on BA advancement in children with obesity and/or PA.
Obesity and premature adrenarche (PA) are both associated with bone age (BA) advancement of unclear etiology, which may lead to earlier puberty, suboptimal final height and obesity in adulthood. Our objective was to understand the hormonal and anthropometric characteristics of BA advancement in a spectrum of prepubertal children with and without obesity and PA. In this cross‐sectional study of 66 prepubertal children (35 PA, 31 control, 5–9 years), BMI z‐score, hormonal values and response to an oral glucose tolerance test were the main outcome measures. Subjects were divided into tertiles by BA divided by chronological age (BA/CA), an index of BA advancement. Subjects in the top tertile for BA/CA had the highest dehydroepiandrosterone sulfate (DHEAS), free testosterone (%), hemoglobin A1C, BMI z‐score, and weight (P < 0.05). BMI z‐score (r = 0.47), weight (r = 0.40), free testosterone (%) (r = 0.34), and DHEAS (r = 0.30) correlated with BA/CA (P < 0.02). Regression analysis showed greater BA/CA in PA compared to controls after controlling for weight (0.21 ± 0.56, P < 0.004). An exploratory stepwise regression model showed that weight, estradiol, and DHEAS were the strongest predictors of BA/CA accounting for 24% of its variance. Obesity was highly associated with BA advancement in this study of prepubertal children. In addition, children with PA had greater BA/CA at any given weight when compared to controls. These findings suggest a possible hormonal factor, which potentiates the effect of obesity on BA advancement in children with obesity and/or PA.
Author Fennoy, Ilene
Hassoun, Abeer
Sopher, Aviva B.
Zwany, Sarah K.
Oberfield, Sharon E.
Bell, Jennifer J.
Winston, Diana M.
Jean, Amy M.
Pomeranz, Christy B.
McMahon, Donald J.
AuthorAffiliation 2 Department of Medicine, Columbia University Medical Center, New York, NY 10032
1 Department of Pediatrics, Columbia University Medical Center, New York, NY 10032
AuthorAffiliation_xml – name: 1 Department of Pediatrics, Columbia University Medical Center, New York, NY 10032
– name: 2 Department of Medicine, Columbia University Medical Center, New York, NY 10032
Author_xml – sequence: 1
  givenname: Aviva B.
  surname: Sopher
  fullname: Sopher, Aviva B.
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  surname: Jean
  fullname: Jean, Amy M.
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  givenname: Sarah K.
  surname: Zwany
  fullname: Zwany, Sarah K.
– sequence: 4
  givenname: Diana M.
  surname: Winston
  fullname: Winston, Diana M.
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  givenname: Christy B.
  surname: Pomeranz
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  surname: Bell
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  fullname: Fennoy, Ilene
– sequence: 10
  givenname: Sharon E.
  surname: Oberfield
  fullname: Oberfield, Sharon E.
BackLink https://www.ncbi.nlm.nih.gov/pubmed/21311512$$D View this record in MEDLINE/PubMed
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Cites_doi 10.1542/peds.2005-0664
10.1007/s00431-003-1358-9
10.1016/j.jpeds.2009.06.002
10.1530/eje.0.1460537
10.1016/j.jpeds.2008.12.038
10.1210/jc.2009-0314
10.1210/jcem.83.10.5204
10.1136/adc.44.235.291
10.1530/acta.0.0820342
10.1210/jc.74.2.254
10.1172/JCI117616
10.1056/NEJM199410203311604
10.1007/s00223-007-9071-8
10.1007/s11154-008-9102-4
10.2337/db06-0192
10.1159/000137661
10.1515/jpem-2000-s619
10.1136/adc.81.2.172
10.1067/mpd.2001.119446
10.1210/jc.2007-2614
10.1210/jc.86.6.2863
10.1515/JPEM.2006.19.9.1133
10.1016/j.mce.2006.04.008
10.1007/s00223-004-0161-6
10.1210/jc.86.11.5269
10.1210/jc.2007-0814
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PublicationTitleAlternate Obesity (Silver Spring)
PublicationYear 2011
Publisher Blackwell Publishing Ltd
Publisher_xml – name: Blackwell Publishing Ltd
References 1994; 331
2006; 55
2004; 163
1976; 82
1966; 7
2009; 154
2009; 155
2006; 19
2007; 92
1998; 83
1999; 81
2008; 70
2006; 117
2008; 93
2001; 86
1992; 74
2006; 254‐255
2009; 10
2000
2009; 94
2000; 13
2002; 146
1969; 44
2005; 76
2007; 81
1994; 94
2001; 139
1966
e_1_2_7_5_2
e_1_2_7_4_2
Prader A (e_1_2_7_14_2) 1966; 7
e_1_2_7_3_2
e_1_2_7_2_2
e_1_2_7_7_2
e_1_2_7_6_2
e_1_2_7_19_2
e_1_2_7_18_2
e_1_2_7_17_2
e_1_2_7_13_2
e_1_2_7_12_2
e_1_2_7_11_2
e_1_2_7_10_2
Grumbach MM (e_1_2_7_8_2) 2000; 13
e_1_2_7_26_2
e_1_2_7_27_2
e_1_2_7_28_2
e_1_2_7_29_2
Kuczmarski RJ (e_1_2_7_15_2) 2000
Greulich WW (e_1_2_7_16_2) 1966
e_1_2_7_25_2
e_1_2_7_24_2
e_1_2_7_30_2
e_1_2_7_23_2
e_1_2_7_22_2
e_1_2_7_21_2
e_1_2_7_20_2
Klein KO (e_1_2_7_9_2) 1998; 83
18812486 - J Clin Endocrinol Metab. 2008 Dec;93(12):4767-73
17882344 - Calcif Tissue Int. 2007 Oct;81(4):279-84
15868281 - Calcif Tissue Int. 2005 May;76(5):326-35
7989605 - J Clin Invest. 1994 Dec;94(6):2475-80
9768648 - J Clin Endocrinol Metab. 1998 Oct;83(10):3469-75
18821018 - Rev Endocr Metab Disord. 2009 Mar;10(1):3-17
11701690 - J Clin Endocrinol Metab. 2001 Nov;86(11):5269-72
19454583 - J Clin Endocrinol Metab. 2009 Aug;94(8):2835-40
14689304 - Eur J Pediatr. 2004 Feb;163(2):89-93
5785179 - Arch Dis Child. 1969 Jun;44(235):291-303
11397901 - J Clin Endocrinol Metab. 2001 Jun;86(6):2863-8
16396868 - Pediatrics. 2006 Jan;117(1):117-21
1730803 - J Clin Endocrinol Metab. 1992 Feb;74(2):254-7
8090165 - N Engl J Med. 1994 Oct 20;331(16):1056-61
19230905 - J Pediatr. 2009 Jun;154(6):882-7
11916623 - Eur J Endocrinol. 2002 Apr;146(4):537-43
10490531 - Arch Dis Child. 1999 Aug;81(2):172-3
17065341 - Diabetes. 2006 Nov;55(11):3047-52
5920758 - Triangle. 1966;7(6):240-3
11183293 - Adv Data. 2000 Jun 8;(314):1-27
16837127 - Mol Cell Endocrinol. 2006 Jul 25;254-255:202-6
17878253 - J Clin Endocrinol Metab. 2007 Dec;92(12):4873-7
179257 - Acta Endocrinol (Copenh). 1976 Jun;82(2):342-52
17128561 - J Pediatr Endocrinol Metab. 2006 Sep;19(9):1133-40
11202221 - J Pediatr Endocrinol Metab. 2000;13 Suppl 6:1439-55
19643436 - J Pediatr. 2009 Dec;155(6):893-9
11743511 - J Pediatr. 2001 Dec;139(6):844-8
18663315 - Horm Res. 2008;70(3):150-4
References_xml – volume: 331
  start-page: 1056
  year: 1994
  end-page: 1061
  article-title: Estrogen resistance caused by a mutation in the estrogen‐receptor gene in a man
  publication-title: N Engl J Med
– volume: 70
  start-page: 150
  year: 2008
  end-page: 154
  article-title: Characteristics of children with premature pubarche in the new york metropolitan area
  publication-title: Horm Res
– volume: 55
  start-page: 3047
  year: 2006
  end-page: 3052
  article-title: Pubertal timing is an independent predictor of central adiposity in young adult males: the Gothenburg osteoporosis and obesity determinants study
  publication-title: Diabetes
– volume: 82
  start-page: 342
  year: 1976
  end-page: 352
  article-title: Evidence for the adrenal source of androgens in precocious adrenarche
  publication-title: Acta Endocrinol
– year: 1966
– volume: 154
  start-page: 882
  year: 2009
  end-page: 887
  article-title: Girls with premature adrenarche have accelerated early childhood growth
  publication-title: J Pediatr
– volume: 74
  start-page: 254
  year: 1992
  end-page: 257
  article-title: Natural history of premature pubarche: an auxological study
  publication-title: J Clin Endocrinol Metab
– volume: 163
  start-page: 89
  year: 2004
  end-page: 93
  article-title: Premature pubarche as an indicator of how body weight influences the onset of adrenarche
  publication-title: Eur J Pediatr
– volume: 13
  start-page: 1439
  issue: Suppl 6
  year: 2000
  end-page: 1455
  article-title: Estrogen, bone, growth and sex: a sea change in conventional wisdom
  publication-title: J Pediatr Endocrinol Metab
– volume: 81
  start-page: 279
  year: 2007
  end-page: 284
  article-title: Anthropometric, bone age, and bone mineral density changes after a family based treatment for obese children
  publication-title: Calcif Tissue Int
– volume: 92
  start-page: 4873
  year: 2007
  end-page: 4877
  article-title: GPR30 estrogen receptor expression in the growth plate declines as puberty progresses
  publication-title: J Clin Endocrinol Metab
– volume: 155
  start-page: 893
  year: 2009
  end-page: 899
  article-title: Utility of early insulin response and proinsulin to assess insulin resistance
  publication-title: J Pediatr
– volume: 94
  start-page: 2835
  year: 2009
  end-page: 2840
  article-title: Precocious pubarche: distinguishing late‐onset congenital adrenal hyperplasia from premature adrenarche
  publication-title: J Clin Endocrinol Metab
– volume: 76
  start-page: 326
  year: 2005
  end-page: 335
  article-title: Localization of matrix metalloproteinases, (MMPs) their tissue inhibitors, and vascular endothelial growth factor (VEGF) in growth plates of children and adolescents indicates a role for MMPs in human postnatal growth and skeletal maturation
  publication-title: Calcif Tissue Int
– start-page: 1
  year: 2000
  end-page: 27
  article-title: CDC growth charts: United States
  publication-title: Adv Data
– volume: 254‐255
  start-page: 202
  year: 2006
  end-page: 206
  article-title: Bone age and onset of puberty in normal boys
  publication-title: Mol Cell Endocrinol
– volume: 94
  start-page: 2475
  year: 1994
  end-page: 2480
  article-title: Estrogen levels in childhood determined by an ultrasensitive recombinant cell bioassay
  publication-title: J Clin Invest
– volume: 19
  start-page: 1133
  year: 2006
  end-page: 1140
  article-title: Relationships of IGF‐I and androgens to skeletal maturation in obese children and adolescents
  publication-title: J Pediatr Endocrinol Metab
– volume: 86
  start-page: 2863
  year: 2001
  end-page: 2868
  article-title: Comparison of simple measures of insulin sensitivity in young girls with premature adrenarche: the fasting glucose to insulin ratio may be a simple and useful measure
  publication-title: J Clin Endocrinol Metab
– volume: 81
  start-page: 172
  year: 1999
  end-page: 173
  article-title: Bone age assessment: a large scale comparison of the Greulich and Pyle, and Tanner and Whitehouse (TW2) methods
  publication-title: Arch Dis Child
– volume: 139
  start-page: 844
  year: 2001
  end-page: 848
  article-title: The relation between skeletal maturation and adiposity in African American and Caucasian children
  publication-title: J Pediatr
– volume: 10
  start-page: 3
  year: 2009
  end-page: 17
  article-title: Androgen synthesis in adrenarche
  publication-title: Rev Endocr Metab Disord
– volume: 93
  start-page: 4767
  year: 2008
  end-page: 4773
  article-title: Increases in bone mineral density in response to oral dehydroepiandrosterone replacement in older adults appear to be mediated by serum estrogens
  publication-title: J Clin Endocrinol Metab
– volume: 7
  start-page: 240
  year: 1966
  end-page: 243
  article-title: Testicular size: assessment and clinical importance
  publication-title: Triangle
– volume: 44
  start-page: 291
  year: 1969
  end-page: 303
  article-title: Variations in pattern of pubertal changes in girls
  publication-title: Arch Dis Child
– volume: 83
  start-page: 3469
  year: 1998
  end-page: 3475
  article-title: Effect of obesity on estradiol level, and its relationship to leptin, bone maturation, and bone mineral density in children
  publication-title: J Clin Endocrinol Metab
– volume: 86
  start-page: 5269
  year: 2001
  end-page: 5272
  article-title: Prepubertal girls with premature adrenarche have greater bone mineral content and density than controls
  publication-title: J Clin Endocrinol Metab
– volume: 117
  start-page: 117
  year: 2006
  end-page: 121
  article-title: Early puberty‐menarche after precocious pubarche: relation to prenatal growth
  publication-title: Pediatrics
– volume: 146
  start-page: 537
  year: 2002
  end-page: 543
  article-title: Associations between body mass, leptin, IGF‐I and circulating adrenal androgens in children with obesity and premature adrenarche
  publication-title: Eur J Endocrinol
– ident: e_1_2_7_3_2
  doi: 10.1542/peds.2005-0664
– volume-title: Radiographic Atlas of Skeletal Development of the Hand and Wrist
  year: 1966
  ident: e_1_2_7_16_2
– ident: e_1_2_7_21_2
  doi: 10.1007/s00431-003-1358-9
– ident: e_1_2_7_30_2
  doi: 10.1016/j.jpeds.2009.06.002
– ident: e_1_2_7_20_2
  doi: 10.1530/eje.0.1460537
– ident: e_1_2_7_6_2
  doi: 10.1016/j.jpeds.2008.12.038
– ident: e_1_2_7_12_2
  doi: 10.1210/jc.2009-0314
– volume: 83
  start-page: 3469
  year: 1998
  ident: e_1_2_7_9_2
  article-title: Effect of obesity on estradiol level, and its relationship to leptin, bone maturation, and bone mineral density in children
  publication-title: J Clin Endocrinol Metab
  doi: 10.1210/jcem.83.10.5204
– ident: e_1_2_7_13_2
  doi: 10.1136/adc.44.235.291
– ident: e_1_2_7_2_2
  doi: 10.1530/acta.0.0820342
– volume: 7
  start-page: 240
  year: 1966
  ident: e_1_2_7_14_2
  article-title: Testicular size: assessment and clinical importance
  publication-title: Triangle
– ident: e_1_2_7_5_2
  doi: 10.1210/jc.74.2.254
– ident: e_1_2_7_25_2
  doi: 10.1172/JCI117616
– ident: e_1_2_7_24_2
  doi: 10.1056/NEJM199410203311604
– ident: e_1_2_7_22_2
  doi: 10.1007/s00223-007-9071-8
– ident: e_1_2_7_19_2
  doi: 10.1007/s11154-008-9102-4
– ident: e_1_2_7_29_2
  doi: 10.2337/db06-0192
– ident: e_1_2_7_4_2
  doi: 10.1159/000137661
– volume: 13
  start-page: 1439
  issue: 6
  year: 2000
  ident: e_1_2_7_8_2
  article-title: Estrogen, bone, growth and sex: a sea change in conventional wisdom
  publication-title: J Pediatr Endocrinol Metab
  doi: 10.1515/jpem-2000-s619
– ident: e_1_2_7_27_2
  doi: 10.1136/adc.81.2.172
– ident: e_1_2_7_10_2
  doi: 10.1067/mpd.2001.119446
– ident: e_1_2_7_26_2
  doi: 10.1210/jc.2007-2614
– start-page: 1
  year: 2000
  ident: e_1_2_7_15_2
  article-title: CDC growth charts: United States
  publication-title: Adv Data
– ident: e_1_2_7_17_2
  doi: 10.1210/jc.86.6.2863
– ident: e_1_2_7_18_2
  doi: 10.1515/JPEM.2006.19.9.1133
– ident: e_1_2_7_28_2
  doi: 10.1016/j.mce.2006.04.008
– ident: e_1_2_7_7_2
  doi: 10.1007/s00223-004-0161-6
– ident: e_1_2_7_11_2
  doi: 10.1210/jc.86.11.5269
– ident: e_1_2_7_23_2
  doi: 10.1210/jc.2007-0814
– reference: 7989605 - J Clin Invest. 1994 Dec;94(6):2475-80
– reference: 18821018 - Rev Endocr Metab Disord. 2009 Mar;10(1):3-17
– reference: 11183293 - Adv Data. 2000 Jun 8;(314):1-27
– reference: 11397901 - J Clin Endocrinol Metab. 2001 Jun;86(6):2863-8
– reference: 5920758 - Triangle. 1966;7(6):240-3
– reference: 18812486 - J Clin Endocrinol Metab. 2008 Dec;93(12):4767-73
– reference: 5785179 - Arch Dis Child. 1969 Jun;44(235):291-303
– reference: 17128561 - J Pediatr Endocrinol Metab. 2006 Sep;19(9):1133-40
– reference: 1730803 - J Clin Endocrinol Metab. 1992 Feb;74(2):254-7
– reference: 10490531 - Arch Dis Child. 1999 Aug;81(2):172-3
– reference: 19643436 - J Pediatr. 2009 Dec;155(6):893-9
– reference: 179257 - Acta Endocrinol (Copenh). 1976 Jun;82(2):342-52
– reference: 8090165 - N Engl J Med. 1994 Oct 20;331(16):1056-61
– reference: 17882344 - Calcif Tissue Int. 2007 Oct;81(4):279-84
– reference: 11701690 - J Clin Endocrinol Metab. 2001 Nov;86(11):5269-72
– reference: 17878253 - J Clin Endocrinol Metab. 2007 Dec;92(12):4873-7
– reference: 11202221 - J Pediatr Endocrinol Metab. 2000;13 Suppl 6:1439-55
– reference: 14689304 - Eur J Pediatr. 2004 Feb;163(2):89-93
– reference: 16837127 - Mol Cell Endocrinol. 2006 Jul 25;254-255:202-6
– reference: 9768648 - J Clin Endocrinol Metab. 1998 Oct;83(10):3469-75
– reference: 18663315 - Horm Res. 2008;70(3):150-4
– reference: 19230905 - J Pediatr. 2009 Jun;154(6):882-7
– reference: 11743511 - J Pediatr. 2001 Dec;139(6):844-8
– reference: 15868281 - Calcif Tissue Int. 2005 May;76(5):326-35
– reference: 11916623 - Eur J Endocrinol. 2002 Apr;146(4):537-43
– reference: 17065341 - Diabetes. 2006 Nov;55(11):3047-52
– reference: 19454583 - J Clin Endocrinol Metab. 2009 Aug;94(8):2835-40
– reference: 16396868 - Pediatrics. 2006 Jan;117(1):117-21
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Snippet Obesity and premature adrenarche (PA) are both associated with bone age (BA) advancement of unclear etiology, which may lead to earlier puberty, suboptimal...
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pubmed
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StartPage 1259
SubjectTerms Adrenal Glands - growth & development
Age Determination by Skeleton
Age Factors
Body Mass Index
Body Weight
Bone density
Bone Diseases, Developmental - epidemiology
Child
Child, Preschool
Children & youth
Cross-Sectional Studies
Dehydroepiandrosterone Sulfate - blood
Estradiol - blood
Female
Glycated Hemoglobin A - analysis
Humans
Insulin Resistance
Male
Obesity
Obesity - blood
Obesity - physiopathology
Puberty
Puberty, Precocious - etiology
Severity of Illness Index
Testosterone - blood
United States - epidemiology
Title Bone Age Advancement in Prepubertal Children With Obesity and Premature Adrenarche: Possible Potentiating Factors
URI https://onlinelibrary.wiley.com/doi/abs/10.1038%2Foby.2010.305
https://www.ncbi.nlm.nih.gov/pubmed/21311512
https://www.proquest.com/docview/868401847
https://www.proquest.com/docview/868768580
https://pubmed.ncbi.nlm.nih.gov/PMC3637026
Volume 19
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