Precocious puberty: associated conditions

• Main Authors: Celso Junior Wanderley Cavalcante (Author), Luciano Lima Correia (Author), Durval Damiani (Author)
• Format: Book
• Published: Universidade de Fortaleza, 2014-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1806-1222; 1806-1230; 10.5020/2325
• Keywords: Puberdade Precoce; Obesidade Pediátrica; Saúde Pública.; Medicine (General); R5-920; Public aspects of medicine; RA1-1270
• Source: Revista Brasileira em Promoção da Saúde, Vol 27, Iss 2, Pp 153-162 (2014)

Objective: To analyze the characteristics of children with central precocious puberty (CPP), identifying both their clinical and epidemiological characteristics, as well as the determinants for receiving timely specialized health care. Methods: Cross-sectional retrospective study with analytical approach of 342 medical records of children aged 1 to 11 years with CPP, from the Endocrinology Outpatient Clinic of a reference hospital. Biological, socio-economic, family and nutritional data of the 1994 to 2010 period was submitted to univariate and bivariate analysis, using the chi-square test for the statistical evaluation of the associations. Results: The main features of children with CPP were: being adopted, 25 (7.3%); being overweight, 92 (27.1%); being obese, 85 (25.1%); initiating puberty before six years of age, 205 (60.3%). Children with PPC who received late specialized care were the ones who most precociously presented signs of puberty (p<0.001), and belonged to families with lower income (p<0.002). Conclusion: High proportions of children with CPP were adopted and presented overweight/obesity. Children with excessively early onset of puberty signs, and belonging to low income families, suffered significant delay in obtaining specialized care. doi:10.5020/18061230.2014.p153