Pediatric endocrinology

Age-Dependent and Body Composition–Dependent Association of Child Gut Microbial Enterotype With Puberty Timing: A Chinese Cohort

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Our findings supported a role for gut microbial communities in pubertal development, in which younger children with higher body mass seems more sensitive.

Study context

Population
Children aged 6–8 years at entry, Chinese Adolescent Cohort Study, followed annually to age 15 years; fecal samples annually since 2019 (16S rRNA sequencing)
Participants
1,826 children
Exposure
Bacteroides-rich vs Prevotella-rich gut microbial enterotype
  • Bacteroides-richn = 1,234
  • Prevotella-richn = 592reference
Outcome
Puberty timing (menarche/voice break)

Main finding

Menarche/voice break

Hazard ratio

0.53

95% CI 0.28–0.98

P = 0.02

Events by group

As reported in the abstract

Observational data: associations, not effects.

Further findings

Interaction with age and body mass index (BMI) standard deviation score (SDS)

Association more pronounced among younger children with higher BMI SDS
P for interaction = 0.006

Original publication

Age-Dependent and Body Composition–Dependent Association of Child Gut Microbial Enterotype With Puberty Timing: A Chinese Cohort. J Clin Endocrinol Metab. Published 24 February 2023. doi:10.1210/clinem/dgad090

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