Obesity

Higher Prepubertal IGF-1 Concentrations Associate to Earlier Pubertal Tempo in Both Sexes

Horm Res PaediatrPublished Longitudinal cohort study

Authors' conclusion

Higher IGF-1 levels in mid-childhood are associated with earlier puberty onset. The role of IGF-1 in the onset of puberty requires further investigation.

Study context

Population
Boys and girls of the Growth and Obesity Chilean Cohort Study (GOCS); prepubertal IGF-1 measured at age ≈ 6.7 years; divided into 4 groups by onset age of the pubertal event
Participants
1,196 participants
Exposure
Prepubertal IGF-1 concentration vs age at pubertal onset
Outcome
Age at thelarche (B2) and menarche (M) in girls and age at gonadarche (G2) in boys, by prepubertal IGF-1
Methodological detailswithin the Growth and Obesity Chilean Cohort Study (GOCS)
  • Within the Growth and Obesity Chilean Cohort Study (GOCS)

Main finding

As reported in the abstract

Pubertal onset per 1 SD increase in prepubertal IGF-1

HR of B2 at younger ages per 1 SD IGF-1 (girls); maintained after adjustment for confounders

1.25

HR of M at earlier ages per 1 SD IGF-1 (girls); maintained only when adjusting for BMI, not further confounders

1.21

HR of G2 at younger ages per 1 SD IGF-1 (boys); maintained after adjustment for confounders

1.22

Observational data: associations, not effects.

Further findings

Prepubertal IGF-1 levels by age at pubertal onset

Higher prepubertal IGF-1 at earlier ages of B2
P = 0.003
Higher prepubertal IGF-1 at earlier ages of M onset
P = 0.041
Boys: prepubertal IGF-1 tended to be higher with earlier G2 and taller height
both p < 0.001

Prepubertal height by age at pubertal onset (girls)

Taller prepubertal height at younger ages of B2
P = <0.001
Taller prepubertal height at younger ages of M
0.002

Original publication

Higher Prepubertal IGF-1 Concentrations Associate to Earlier Pubertal Tempo in Both Sexes. Horm Res Paediatr. Published 13 December 2022. doi:10.1159/000528662

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