Anthropometric status, body composition and timing of pubertal milestones in Sub-Saharan Africa: a systematic review.

IF 1.9 Q3 NUTRITION & DIETETICS
Helena Nti, Brietta M Oaks, Elizabeth L Prado, Lois Maame Donkor Aryee, Seth Adu-Afarwuah
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引用次数: 0

Abstract

Background: With the rise of the triple burden of malnutrition, the changing nutrition situation in Sub-Saharan Africa may be associated with changes in pubertal timing of adolescents. The purpose of this review was to summarize the association between nutritional status and pubertal milestones among children in SSA.

Method: A search of publications was conducted in PubMed and Scopus on 1st April 2023. Observational studies with children aged 0 to 22 years, that reported nutritional status and association with pubertal milestones in SSA were selected for review. Risk of bias was assessed using the NOS and results were presented using the PRISMA.

Results: Twenty-three studies published from 1992 to 2021 reporting data from nine countries and a total of 21,853 children were included in this review. Mean menarche age relative to nutritional status varied from 17.2 years in stunted adolescents in Senegal to 13.3 (in the underweight), 13.9 (in normal weight girls), and 14.1 (in overweight girls) years in adolescents in Ethiopia. Adolescents who were not stunted in Kenya and those with higher height-for-age z-scores (HAZ) and body mass index (BMI) in South Africa had more advanced breast development. Pubic hair development was positively associated with HAZ and BMI z-scores (BMIZ) at 5 years in South Africa and overweight and obesity in adolescents in Nigeria. Attainment of voice break in adolescent boys in Nigeria was associated with lower likelihood of stunting and underweight. In a study in Zambia, earlier onset and more rapid progression of genital development assessed by testicular volume in boys was associated with increased height and arm muscle.

Conclusions: Higher BMI, height, weight, and triceps skinfolds are significantly associated with advanced pubertal development in SSA. In SSA, less than one-third of the countries have published any research studies on nutritional status and pubertal milestones. Future studies should focus on detailed assessment of pubertal development and associated nutritional factors in both male and female adolescents in SSA.

Prospero registration: CRD42022350048.

撒哈拉以南非洲地区的人体测量状况、身体成分和青春期里程碑时间:系统综述。
背景:随着营养不良三重负担的增加,撒哈拉以南非洲不断变化的营养状况可能与青少年青春期时间的变化有关。本综述旨在总结撒哈拉以南非洲地区儿童营养状况与青春期发育里程碑之间的关系:方法:检索 2023 年 4 月 1 日在 PubMed 和 Scopus 上发表的出版物。方法:在PubMed和Scopus上搜索了2023年4月1日的出版物,并选择了报道撒哈拉以南非洲地区0至22岁儿童营养状况及其与青春期发育里程碑之间关系的观察性研究进行回顾。采用 NOS 评估偏倚风险,并采用 PRISMA 展示结果:本综述共纳入了 23 项发表于 1992 年至 2021 年的研究,这些研究报告了来自 9 个国家的数据,共涉及 21 853 名儿童。与营养状况相关的平均初潮年龄从塞内加尔发育迟缓青少年的 17.2 岁到埃塞俄比亚青少年的 13.3 岁(体重不足女孩)、13.9 岁(体重正常女孩)和 14.1 岁(体重超重女孩)不等。肯尼亚的非发育迟缓青少年和南非的身高-年龄 Z 值(HAZ)和体重指数(BMI)较高的青少年的乳房发育较快。在南非,阴毛发育与 5 岁时的身高与年龄Z值(HAZ)和体重指数(BMIIZ)呈正相关,而在尼日利亚,则与青少年的超重和肥胖呈正相关。在尼日利亚,青春期男孩的断嗓与发育迟缓和体重不足的可能性较低有关。在赞比亚的一项研究中,根据睾丸体积评估,男孩生殖器发育较早且进展较快,这与身高和手臂肌肉增加有关:结论:在撒哈拉以南非洲地区,较高的体重指数、身高、体重和肱三头肌皮褶与青春期发育提前有很大关系。在撒哈拉以南非洲地区,只有不到三分之一的国家发表过有关营养状况和青春期发育里程碑的研究报告。今后的研究应侧重于详细评估撒南非洲男女青少年的青春期发育和相关营养因素:CRD42022350048。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Nutrition
BMC Nutrition Medicine-Public Health, Environmental and Occupational Health
CiteScore
2.80
自引率
0.00%
发文量
131
审稿时长
15 weeks
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