Pediatric obesity and development of the penis and testis.

IF 2.5 3区 医学 Q2 UROLOGY & NEPHROLOGY
Danbee Lee, Jae Min Chung, Sang Don Lee
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Abstract

Purpose: Pediatric obesity is increasing in many countries as socioeconomic status improves and the consumption of high calorie food increases. Thus, effect of obesity on genital development is an important topic. This study aimed to determine relationships of body mass index (BMI) with penile parameters and testicular volume in pediatric patients without penile or testicular abnormalities.

Materials and methods: Data from 1,499 male pediatric patients from our center were analyzed. Patients with penile or testicular abnormalities were excluded. Their age ranged from 2 to 18 years. These patients were divided into two groups based on their BMI: normal BMI (5th-85th percentile) and high BMI (≥85th percentile). Factors used in analysis included age, anthropometric indicators, baseline penile length (BPL), stretched penile length (SPL), penile circumference (PC), and mean testicular volume. These same parameters were analyzed for different age groups.

Results: Pediatric patients with normal BMI showed longer BPL and SPL than patients with high BMI (p<0.05). However, PC and mean testicular volumes showed no significant difference between the two groups. BPL was significantly longer in the normal BMI group starting at ten years of age. SPL was significantly longer in the normal BMI group starting at eleven years of age.

Conclusions: Our study confirms that having a higher BMI during childhood has a negative effect on penile length. However, there was no significant relationship between BMI and PC or testicular volume.

小儿肥胖与阴茎和睾丸的发育。
目的:随着社会经济地位的提高和高热量食物消费量的增加,小儿肥胖症在许多国家都呈上升趋势。因此,肥胖对生殖器发育的影响是一个重要课题。本研究旨在确定无阴茎或睾丸异常的儿科患者的体重指数(BMI)与阴茎参数和睾丸体积的关系:分析了本中心 1,499 名男性儿科患者的数据。不包括阴茎或睾丸异常的患者。他们的年龄从 2 岁到 18 岁不等。根据体重指数将这些患者分为两组:正常体重指数组(第 5-85 百分位数)和高体重指数组(≥第 85 百分位数)。用于分析的因素包括年龄、人体测量指标、基线阴茎长度(BPL)、拉伸阴茎长度(SPL)、阴茎周长(PC)和平均睾丸体积。这些参数也针对不同年龄组进行了分析:结果:体重指数正常的小儿患者的 BPL 和 SPL 比体重指数高的患者长(p 结论:我们的研究证实,体重指数越高,小儿患者的 BPL 和 SPL 越长:我们的研究证实,儿童时期体重指数较高会对阴茎长度产生负面影响。然而,BMI 与 PC 或睾丸体积之间没有明显关系。
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来源期刊
CiteScore
4.10
自引率
4.30%
发文量
82
审稿时长
4 weeks
期刊介绍: Investigative and Clinical Urology (Investig Clin Urol, ICUrology) is an international, peer-reviewed, platinum open access journal published bimonthly. ICUrology aims to provide outstanding scientific and clinical research articles, that will advance knowledge and understanding of urological diseases and current therapeutic treatments. ICUrology publishes Original Articles, Rapid Communications, Review Articles, Special Articles, Innovations in Urology, Editorials, and Letters to the Editor, with a focus on the following areas of expertise: • Precision Medicine in Urology • Urological Oncology • Robotics/Laparoscopy • Endourology/Urolithiasis • Lower Urinary Tract Dysfunction • Female Urology • Sexual Dysfunction/Infertility • Infection/Inflammation • Reconstruction/Transplantation • Geriatric Urology • Pediatric Urology • Basic/Translational Research One of the notable features of ICUrology is the application of multimedia platforms facilitating easy-to-access online video clips of newly developed surgical techniques from the journal''s website, by a QR (quick response) code located in the article, or via YouTube. ICUrology provides current and highly relevant knowledge to a broad audience at the cutting edge of urological research and clinical practice.
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