Pediatric endocrinology

Effects of 2-Year Physical Activity and Dietary Intervention on Adrenarchal and Pubertal Development: The PANIC Study

J Clin Endocrinol MetabPublished Controlled intervention study

Authors' conclusion

A combined physical activity and dietary intervention attenuates the increase of serum androgen concentrations and sexual maturation in a general population of prepubertal and mostly normal-weight children, independently of changes in body size and composition.

Study context

Population
Prepubertal, mostly normal-weight children aged 6–9 years from a general populationintervention 119 girls, 132 boys
Participants
421 participants
Comparison
Lifestyle intervention vs control
Outcome
Serum DHEA, DHEAS, androstenedione (A4) and testosterone concentrations, and clinical adrenarchal and pubertal signs
Follow-up
2 years
Methodological details2-year, physical activity and dietary intervention
  • 2-year
  • Physical activity and dietary intervention

Main finding

As reported in the abstract

Boys: intervention attenuated increase of dehydroepiandrosterone (DHEA)
P = .032
Boys: intervention attenuated increase of dehydroepiandrosterone sulfate (DHEAS)
P = .001
Boys: intervention attenuated increase of A4
P = .003
Boys: intervention attenuated increase of testosterone
P = .007
Boys: intervention delayed pubarche
P = .038
Girls: intervention attenuated increase of DHEA
P = .013
Girls: intervention attenuated increase of DHEAS
P = .003

Further findings

Baseline characteristics

No differences between groups in body size and composition, clinical signs of androgen action and serum androgens at baseline

Original publication

Effects of 2-Year Physical Activity and Dietary Intervention on Adrenarchal and Pubertal Development: The PANIC Study. J Clin Endocrinol Metab. Published 17 June 2023. doi:10.1210/clinem/dgad367

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