Journal
REPRODUCTION
Volume 140, Issue 3, Pages 399-410Publisher
BIOSCIENTIFICA LTD
DOI: 10.1530/REP-10-0119
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Funding
- Eunice Kennedy Shriver NICHD/NIH [U54 HD 28934]
- [R01 HD058671]
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT [R01HD058671, U54HD028934] Funding Source: NIH RePORTER
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Childhood obesity has become a major health concern in recent decades, especially with regard to metabolic abnormalities that impart a high risk for future cardiovascular disease. Recent data suggest that excess adiposity during childhood may influence pubertal development as well. In particular, excess adiposity during childhood may advance puberty in girls and delay puberty in boys. Obesity in peripubertal girls may also be associated with hyperandrogenemia and a high risk of adolescent polycystic ovary syndrome. How obesity may perturb various hormonal aspects of pubertal development remains unclear, but potential mechanisms are discussed herein. Insulin resistance and compensatory hyperinsulinemia may represent a common thread contributing to many of the pubertal changes reported to occur with childhood obesity. Our understanding of obesity's impact on pubertal development is in its infancy, and more research into pathophysiological mechanisms and longer-term sequelae is important. Reproduction (2010) 140 399-410
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