Health
Covid19 Pandemic Pune cases with increased early onset of puberty during the study
A study conducted in Pune found that precocious cases, the early onset of puberty in children, tripled during the blockade of Covid-19. This study was published in the Journal of Pediatric Endocrinology and Metabolism.
Physicians at the Growth and Pediatric Endocrinology Unit at the Hirabai Cowasji Jehangir Medical Research Institute in Pune observed an increase in precocious referrals during the blockade and conducted a study to establish this.
In the retrospective study, patients were divided into two groups. With people who visited the Endocrine Science Unit before the lockdown (September 1, 2018 to February 29, 2020) and during the lockdown period (March 1, 2020 to September 30, 2021) A person who visited the Endocrine Science Unit. ).
Of these patients, the researchers looked at data on the number of patients referred to precocious puberty and, among them, the number of patients referred to idiopathic precocious puberty. ..
“Precocious puberty was defined as the onset of physical changes in puberty before the age of 8 in girls and 9 in boys. Idiopathic precocious puberty is a defect in the central nervous system. It was defined that in girls a clear breast bud appeared before the age of 8 and in boys the testicular volume exceeded 3 mL before the age of 9.
Survey results
The study found that during the blockade, 155 of the 3,053 patients (5.1%, including 146 girls) had precocious referrals. Of the 4,208 patients before the blockade, 59 were precocious referrals (1.4%, including 54 girls).
The rate of referrals for idiopathic central precocious puberty (iCPP) was also in both genders at the time of blockade (4.4%; 136 children) compared to 1% (44 children) before blockade. It was significantly higher.
The authors referred to other studies with similar findings, including Italy and Turkey.
Possible reasons
The authors suggested that multiple changes during the pandemic may lead to early onset of puberty. “Binge eating habits that result in limited outdoor activity, increased screen time, consumption of high-calorie foods, and increased obesity can lead to early onset of puberty and accelerated tempo,” they write. I am.
“Many other reasons may contribute to precociousness. Increased use of mobile phones and other electronic devices and decreased sleep lead to lower nighttime melatonin levels, leading to early onset of puberty. It is supposed to stimulate, “they added.
The authors also mentioned the possible role of chemicals found in disinfectants. A group of chemicals called endocrine disrupting chemicals (EDCs) are known to alter the timing and acceleration of puberty, and one EDC called triclosan is banned by the US FDA, but with various hands. Commonly found in disinfectants and soaps. According to research.
The authors said more research is needed to assess the association between blockade and precocious puberty.
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