American Journal of Human Biology最新文献_第5页

Physical, Psychological, and Behavioral Symptoms of Premenstrual Syndrome in Relation to Body Size and Shape 经前综合症的生理、心理和行为症状与身体大小和形状的关系

IF 1.7 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology

Pub Date : 2025-11-17 DOI: 10.1002/ajhb.70169

Janina Tutkuviene, Simona Gervickaite, Martyna Sveikataite, Gabija Stulgyte, Julija Rugelyte, Renata Simkunaite-Rizgeliene, Diana Ramasauskaite

Introduction

This study aimed to evaluate potential relationships between the frequency of physical, and psychological or behavioral symptoms of premenstrual syndrome (PMS) in relation to body mass index (BMI) and body shapes in young women.

Methods

In total, 22 of the most common PMS symptoms were assessed using a questionnaire, as well as self-reported height, weight, and body shape (using five silhouette types). A total of 6697 women aged 18–30 was included in the final statistical analysis. Symptom frequencies were measured using a 5-point Likert scale, and the mean frequency of occurrence (MFO) was calculated for all symptoms. Statistical analyses included analysis of variance (ANOVA), univariate logistic regression, and stepwise regression.

Results

PMS symptom prevalence ranged from 61.0% to 97.2%. Overall, MFO of all physical PMS symptoms (M ± SD = 3.12 ± 0.75) was lower than the MFO of all psychological and behavioral symptoms (M ± SD = 3.29 ± 0.96; p < 0.001). Women with overweight or obesity, also those with an apple-shaped body, reported the highest symptom frequencies (MFO = 3.20–3.35), while underweight and rectangular-shaped women had the lowest MFO (2.98–3.25; p < 0.001). Stepwise analysis showed BMI and body shape were more strongly associated with physical symptoms than psychological or behavioral ones.

Conclusions

These results highlight the importance of body size and shape in understanding individual differences in PMS symptoms, suggesting that higher BMI and an apple-shaped body are more associated with PMS symptoms. Therefore, special attention should be paid to women with this body type, and they should be examined more thoroughly in order to take preventive measures in a timely manner.

本研究旨在评估年轻女性经前综合征（PMS）的生理、心理或行为症状频率与身体质量指数（BMI）和体型之间的潜在关系。方法：采用问卷调查的方法评估了22种最常见的经前综合症症状，以及自我报告的身高、体重和体型（使用五种轮廓类型）。最终统计分析的对象为年龄在18-30岁之间的6697名女性。使用5点李克特量表测量症状频率，并计算所有症状的平均发生频率（MFO）。统计分析包括方差分析（ANOVA）、单变量logistic回归和逐步回归。结果：经前症候群症状患病率为61.0% ~ 97.2%。总体而言，经前症候群生理症状的MFO （M±SD = 3.12±0.75）低于心理和行为症状的MFO （M±SD = 3.29±0.96;p）。结论：这些结果突出了体型和体型对理解经前症候群个体差异的重要性，提示高BMI和苹果型体型与经前症候群的相关性更强。因此，对这种体型的女性应给予特别的重视，对其进行更彻底的检查，以便及时采取预防措施。

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引用次数: 0

More Than Childbirth: Unveiling the Risks of Marriage on Women's Mortality in Tang Dynasty China 不只是生育：揭示婚姻对中国唐代妇女死亡率的影响。

IF 1.7 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology

Pub Date : 2025-11-12 DOI: 10.1002/ajhb.70168

Yan Liu

Objectives

This study investigates how marital and maternal statuses influenced female mortality in the Tang Dynasty (618–907 ce), China. It challenges the focus on reproductive risks by exploring both biological and social factors affecting female mortality in reproductive and post-reproductive years.

Materials and Methods

Epitaph data were analyzed from four female groups: bureaucrats' wives (married, reproductive), eunuchs' wives (married, nonreproductive due to husband's castration), never-married religious women (never married, nonreproductive), and widowed religious women (reproductive, later left marriage). Ages at death were illustrated using summary statistics and kernel density plots, analyzed using bootstrapped polynomial regression, pairwise comparisons with 9999 replicates, and Kaplan–Meier survival curves. Male bureaucrats and eunuchs were also included for contextual comparison.

Results

Bureaucrats' wives had a significantly lower adjusted mean age at death than nonreproductive groups, eunuchs' wives (−7.43 years; p = 0.006), and never-married religious women (−7.07 years; p = 0.006). Survival curves support that reproductive risks shaped mortality. Among post-reproductive women, those who remained in marital roles had a significantly lower mean age at death than those who joined a religious order (−3.9 years; p = 0.003). The negative effects of remaining in marriage in later life were supported.

Discussion

Female mortality resulted from a complex interplay of biological and social factors. Reproductive risks primarily affected females during younger ages. During post-reproductive years, remaining in marriage and widowhood negatively affected survival, while entering religious orders was protective.

目的：研究中国唐代（618-907年）婚姻和母性状况对女性死亡率的影响。它通过探索影响育龄期和育龄后女性死亡率的生物和社会因素，挑战对生殖风险的关注。材料与方法：对四个女性群体的墓志铭数据进行分析：官僚夫人（已婚，生育）、太监夫人（已婚，因丈夫阉割而不能生育）、未婚宗教妇女（未婚，不生育）和丧偶宗教妇女（生育，后来离开婚姻）。使用汇总统计和核密度图说明死亡年龄，使用自举多项式回归、9999个重复的两两比较和Kaplan-Meier生存曲线进行分析。男性官僚和太监也包括在内，以进行背景比较。结果：官僚妻子的调整后平均死亡年龄明显低于非生育组、太监妻子（-7.43岁，p = 0.006）和未婚宗教妇女（-7.07岁，p = 0.006）。生存曲线支持生殖风险影响死亡率。在生育后妇女中，保持婚姻角色的妇女的平均死亡年龄明显低于加入宗教团体的妇女（-3.9岁；p = 0.003）。在以后的生活中保持婚姻的负面影响得到了支持。讨论：女性死亡率是生物和社会因素复杂相互作用的结果。生殖风险主要影响年轻女性。在生育后的岁月里，保持婚姻和守寡对生存有不利影响，而加入宗教团体则有保护作用。

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引用次数: 0

Field Methods for Investigating Onset and Progression of Middle Childhood Physical, Hormonal, Cognitive and Social Development 调查中期儿童身体、激素、认知和社会发展的发生和发展的实地方法。

IF 1.7 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology

Pub Date : 2025-11-07 DOI: 10.1002/ajhb.70167

Courtney Helfrecht, Ivan Kroupin, Tanya MacGillivray, Lee T. Gettler

Child development is biocultural, meaning both genetics and experience with the ecocultural context shape ontogeny. Developmental systems—physical, hormonal, cognitive, social, among others—are dynamic and have points of interrelation with each other and local environments, as well as tradeoffs in their patterning. These articulations challenge our ability to discern the factors influencing our phenotypic outcomes; further, similar outcomes may not reference similar pathways. As a result, our ability to understand the evolution of childhood and its role in human life history remains limited. Middle childhood represents an especially unique phase of human life history, with significant shifts across developmental domains. Physically, children's skeletal growth slows after an initial growth spurt. Hormonally, there is a rise in the production of dehydroepiandrosterone and its sulfate (DHEAS) due to the process of adrenarche, which may have important impacts across developmental systems. Cognitively, children become progressively more rational. Socially, children are increasingly aware of the complexity of human perspectives and morality. Methodological approaches to assess the onset and progression of middle childhood must take into consideration the expansive cross-cultural variation in childhoods. This toolkit offers a set of recommendations for evaluating development across middle childhood, with attention to the eco-cultural context of maturation.

儿童的发展是生物文化的，这意味着遗传和与生态文化背景的经历共同塑造了个体发育。发育系统——身体的、荷尔蒙的、认知的、社会的等等——是动态的，彼此之间和当地环境之间有相互关系，在它们的模式中也有权衡。这些表达挑战了我们辨别影响表型结果的因素的能力；此外，相似的结果可能不涉及相似的途径。因此，我们理解童年的进化及其在人类生命历史中的作用的能力仍然有限。童年中期代表了人类生命历史上一个特别独特的阶段，在发展领域发生了重大变化。从生理上讲，儿童的骨骼生长在最初的快速生长后会减慢。在激素方面，由于肾上腺素分泌的过程，脱氢表雄酮及其硫酸盐（DHEAS）的产生增加，这可能对整个发育系统产生重要影响。在认知上，孩子们逐渐变得更加理性。在社会方面，儿童越来越意识到人类观点和道德的复杂性。评估童年中期的开始和发展的方法学方法必须考虑到童年时期广泛的跨文化差异。该工具包提供了一套评估童年中期发展的建议，并关注成熟的生态文化背景。

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引用次数: 0

In Memoriam Jane B. Lancaster (1935–2025), a Pioneer in Anthropology 纪念人类学先驱简·b·兰开斯特（1935-2025）

IF 1.7 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology

Pub Date : 2025-11-05 DOI: 10.1002/ajhb.70164

Hillard S. Kaplan, Robert Hitchcock

引用次数: 0

Clinical Thresholds for Visceral Adiposity Accumulation: A Comparative Analysis in Sex-, Age-, and BMI-Matched Black and White Adults 内脏脂肪积累的临床阈值：性别、年龄和bmi匹配的黑人和白人成年人的比较分析。

IF 1.7 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology

Pub Date : 2025-11-05 DOI: 10.1002/ajhb.70165

Austin J. Graybeal, Nuno Oliveira, Molly F. Johnson, Maria G. Kaylor, Abby T. Compton, Sydney H. Swafford, Caleb F. Brandner, Jon Stavres

Objectives

This study aimed to prospectively identify visceral adipose tissue (VAT) accumulation thresholds in a cohort of sex-, age-, and BMI-matched non-Hispanic White and Black adults using a range of commonly employed whole-body and abdominal-specific adiposity measures associated with chronic disease risk.

Methods

A total of 344 non-Hispanic White (n = 172) and Black adults (n = 172) matched for sex, age, and BMI completed anthropometric and DXA-based body composition assessments. Anthropometric measures included BMI, waist circumference, waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR). DXA was used to quantify VAT, subcutaneous adipose tissue (SAT), body fat percentage (BF%) across the whole body, trunk, and android region, and the android-to-gynoid BF% ratio. Segmented linear regression was used to identify significant sex- and race-specific VAT thresholds for each variable—defined as the inflection points where the relationship between VAT and each variable significantly changed.

Results

Significant VAT thresholds were observed for BF%, WHtR, SAT, android BF%, and trunk BF% in both racial groups, with all thresholds higher for Black than White adults. When stratified by sex, all variables showed significant thresholds in White males, while none were observed in Black males. Significant VAT thresholds were identified for BF%, WHR, and SAT in Black females; WHtR in White females; and android-to-gynoid BF% in both groups.

Conclusions

After matching for key anthropometric influences, distinct sex- and race-specific VAT thresholds exist for Black and White adults, often falling below current clinical guidelines. These findings support the need for population-specific screening tools to improve early detection and prevention of cardiometabolic risks.

目的：本研究旨在通过一系列常用的与慢性疾病风险相关的全身和腹部特异性脂肪测量，前瞻性地确定性别、年龄和bmi匹配的非西班牙裔白人和黑人成年人的内脏脂肪组织（VAT）积累阈值。方法：共有344名非西班牙裔白人（n = 172）和黑人成年人（n = 172）完成了性别、年龄和BMI匹配的人体测量和基于dxa的身体成分评估。人体测量包括BMI、腰围、腰臀比（WHR）和腰高比（WHtR）。DXA用于量化全身、躯干和机器人区域的VAT、皮下脂肪组织（SAT）、体脂率（BF%）以及机器人与女性的BF%比。使用分段线性回归来确定每个变量的显著性别和种族特定的增值税阈值-定义为增值税与每个变量之间关系显着变化的拐点。结果：两个种族的BF%、WHtR、SAT、android BF%和躯干BF%均有显著的增值阈值，黑人成年人的阈值均高于白人成年人。当按性别分层时，所有变量在白人男性中都显示出显著的阈值，而在黑人男性中没有观察到。在黑人女性中，确定了显著的增值阈值的BF%， WHR和SAT；白人女性的WHtR；以及两组男性对女性的BF%。结论：在匹配关键的人体测量影响后，黑人和白人成年人存在明显的性别和种族特异性增值税阈值，通常低于当前的临床指南。这些发现支持需要针对特定人群的筛查工具来改善心脏代谢风险的早期发现和预防。

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引用次数: 0

Salivary Testosterone, Age, and Adiposity Associations Among Shuar Males in Amazonian Ecuador Challenge Assumptions of “Normal” Testosterone Patterns 亚马孙河流域厄瓜多尔舒阿族男性唾液睾酮、年龄和肥胖的关联挑战了“正常”睾酮模式的假设

IF 1.7 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology

Pub Date : 2025-11-01 DOI: 10.1002/ajhb.70166

Theresa E. Gildner, Melissa A. Liebert, Joshua M. Schrock, Samuel S. Urlacher, Dorsa Amir, Christopher J. Harrington, Felicia C. Madimenos, Tara J. Cepon-Robins, Richard G. Bribiescas, Lawrence S. Sugiyama, J. Josh Snodgrass

Objectives

Adult male testosterone concentrations in high income countries often decrease with age and adiposity, a pattern typically viewed as “normal.” However, testosterone is expected to be adaptively regulated within the range of resource constrained, high pathogen, natural fertility conditions across which it evolved to function. We therefore examine associations among testosterone diurnal variation, age, and adiposity among Indigenous Shuar males of Amazonian Ecuador.

Methods

Morning and evening saliva was sampled over three consecutive days to capture diurnal testosterone variation (n = 104, ages 12–67), with one-time measures of adiposity (body fat, BMI). Multilevel models tested predicted associations. Average morning and evening testosterone ratio was calculated to assess diurnal variation, and regression analyses tested the association between this ratio and age.

Results

Variation in testosterone concentrations at waking was apparent by age, with young males exhibiting the highest concentrations. Diurnal testosterone variation decreased with age (β = −0.006, p = 0.001). Significant age-by-BMI or percent body fat interactions were documented (p < 0.05). At lower adiposity levels, mean testosterone concentrations across the day were lowest at younger ages, highest in middle-aged participants, and slightly lower at older ages. At higher adiposity levels this pattern was reversed (for BMI) or attenuated (for percent body fat).

Conclusions

“Normal” testosterone levels are largely based on studies from high-income populations that do not account for diverse ecological conditions known to influence human physiology. This study complements others highlighting the complex relationships that exist among age, adiposity, and diurnal testosterone patterns in subsistence populations, suggesting socio-ecological regulation of testosterone.

在高收入国家，成年男性睾酮浓度往往随着年龄和肥胖而下降，这种模式通常被视为“正常”。然而，睾酮有望在资源受限，高病原体，自然生育条件下进行适应性调节，从而进化出功能。因此，我们研究了厄瓜多尔亚马逊地区土著舒阿族男性睾酮日变化、年龄和肥胖之间的关系。方法连续3天采集早晚唾液样本，记录睾丸激素的昼夜变化（n = 104，年龄12-67岁），并一次性测量肥胖（体脂、BMI）。多层模型测试预测关联。计算早晚平均睾酮比率以评估昼夜变化，并通过回归分析测试该比率与年龄之间的关系。结果醒着时睾酮浓度随年龄变化明显，年轻男性睾酮浓度最高。睾酮日变化随年龄的增长而降低（β = - 0.006, p = 0.001）。记录了显著的年龄bmi或体脂百分比相互作用（p < 0.05）。在较低的肥胖水平下，每天的平均睾丸激素浓度在年轻人中最低，在中年参与者中最高，在老年参与者中略低。在较高的肥胖水平下，这种模式被逆转（BMI）或减弱（体脂百分比）。结论：“正常”睾酮水平在很大程度上是基于高收入人群的研究，没有考虑到已知的影响人类生理的各种生态条件。这项研究补充了其他研究，强调了生存人群中年龄、肥胖和每日睾酮模式之间存在的复杂关系，表明睾酮的社会生态调节。

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引用次数: 0

Association of Air Pollution With Adiposity Rates in Active Runners and Inactive People 空气污染与积极跑步者和不积极跑步者肥胖率的关系。

IF 1.7 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology

Pub Date : 2025-10-28 DOI: 10.1002/ajhb.70159

Petr Kutac, Martina Dankova, Lukas Cipryan, Marek Buzga, Vitezslav Jirik, Vaclav Bunc, Martin Sigmund, Miroslav Krajcigr, Matthew Zimmermann, Daniel Jandacka

Objectives

The aim of this cross-sectional study is to investigate the association between long-term air pollution (AP) exposure and adiposity, primarily visceral fat and secondary body fat in runners and inactive participants.

Methods

This study included 945 individuals (male n = 505 and female n = 440). These included both active (runners: run ≥ 10 km/week) and inactive (did not follow the WHO 2020 PA recommendations) individuals. Dependent variables were body composition parameters fat mass index (FMI) and visceral fat (VFA), measured using dual-emission X-ray absorptiometry (DXA). A Hologic QDR (Horizon) bone densitometer was used for the measurement. Independent variables were AP values (PM₁₀, PM_2.5, NO₂, BaP), for which lifetime exposure (LC_xp) was calculated. Volume physical activity (PA), eating habits, and cardiorespiratory fitness (V̇O_2peak) were analyzed as covariates.

Results

The results showed that long-term exposure to AP was not associated with increased adiposity (p > 0.05). However, age (p = 0.000), sex (p = 0.000), and V̇O_2peak (p = 0.000) were associated with VFA. Values for VFA increased with age, males had higher VFA than females, and VFA values decreased with increasing V̇O_2peak (p < 0.05) values. Furthermore, higher V̇O_2peak values were strongly associated with lower FMI (p = 0.000).

Conclusions

Adiposity was not associated with AP in the studied population. Adiposity was affected mainly by lifestyle and associated cardiorespiratory fitness presented by V̇O_2peak values.

目的：本横断面研究的目的是调查长期空气污染（AP）暴露与肥胖之间的关系，主要是跑步者和不运动参与者的内脏脂肪和次级体脂肪。方法：本研究纳入945例个体，其中男性505例，女性440例。其中包括活跃（跑步者：每周跑步≥10公里）和不活跃（未遵循WHO 2020 PA建议）的个体。因变量为体成分参数脂肪质量指数（FMI）和内脏脂肪（VFA），采用双发射x射线吸收仪（DXA）测量。采用Hologic QDR （Horizon）骨密度仪进行测量。自变量为AP值（PM10、PM2.5、NO2、BaP），计算其终生暴露量（LCxp）。量体力活动（PA）、饮食习惯和心肺适能（vo2峰值）作为协变量进行分析。结果：结果显示，长期暴露于AP与肥胖增加无关（p < 0.05）。年龄（p = 0.000）、性别（p = 0.000）和vo2峰值（p = 0.000）与VFA相关。VFA值随着年龄的增长而增加，男性VFA值高于女性，VFA值随着vo2峰值的增加而降低(vo2峰值与FMI的降低密切相关（p = 0.000）。结论：在研究人群中，肥胖与AP无关。影响肥胖的主要因素是生活方式和相关的以vo_2峰值为指标的心肺适能。

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引用次数: 0

Associations of In Utero Exposure to Racial Violence and Reproductive Development: The Bogalusa Heart Study 子宫内暴露于种族暴力和生殖发育的关系：Bogalusa心脏研究

IF 1.7 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology

Pub Date : 2025-10-25 DOI: 10.1002/ajhb.70163

Maria P. Santos, Maya David, Lydia Bazzano, Katrina Sims, Emily W. Harville

Objective

This study seeks to assess the association between in utero exposure to racial violence during the Civil Rights movement and pubertal development and fertility outcomes within the Bogalusa Heart Study population.

Methods

Utilizing a prospective cohort design, Bogalusa Heart Study participants born between 1960 and 1970 were categorized based on their gestational age during peak racial violence events in Bogalusa. Exposure was defined as being in utero during the first trimester during February–July 1965. Pubertal development was assessed using age at menarche for girls and Tanner staging at age 13 for boys (n = 1945) and girls (n = 1970). Fertility outcomes, including fertility issues and miscarriage, were obtained by self-report from the Bogalusa Babies study (2012–2016).

Results

In utero exposure to racial violence was associated with earlier age at menarche in girls (−0.43 years, p < 0.001) and delayed pubertal development in boys (−0.54 Tanner stage at age 13; p = 0.02). An imprecise estimated increased odds of miscarriage (OR = 2.02, 95% CI: 0.92 to 4.47) and fertility issues (OR = 2.66, 95% CI: 0.62 to 11.32) were observed. Analysis by race did not show a significant interaction.

Conclusion

In utero exposure to racial violence during the first trimester of pregnancy was associated with an earlier age at menarche in girls and slower pubertal development in boys. The findings underscore the importance of considering maternal stressors, specifically racial violence, in understanding variations in reproductive development.

目的本研究旨在评估在Bogalusa心脏研究人群中，民权运动期间子宫内暴露于种族暴力与青春期发育和生育结果之间的关系。方法采用前瞻性队列设计，根据Bogalusa种族暴力事件高峰期的胎龄对1960 - 1970年出生的Bogalusa心脏研究参与者进行分类。暴露被定义为在1965年2月至7月的前三个月期间在子宫内。青春期发育的评估采用女孩初潮年龄和男孩（n = 1945）和女孩（n = 1970） 13岁时的Tanner分期。生育结果，包括生育问题和流产，通过Bogalusa婴儿研究（2012-2016）的自我报告获得。结果子宫内种族暴力暴露与女孩初潮年龄提前（- 0.43岁，p < 0.001）和男孩青春期发育延迟（- 0.54岁，13岁Tanner期，p = 0.02）有关。观察到不精确的估计流产（OR = 2.02, 95% CI: 0.92至4.47）和生育问题（OR = 2.66, 95% CI: 0.62至11.32）增加的几率。种族分析没有显示出显著的相互作用。结论怀孕前三个月子宫内接触种族暴力与女孩初潮年龄提前和男孩青春期发育缓慢有关。研究结果强调了在理解生殖发育差异时考虑母亲压力因素，特别是种族暴力的重要性。

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引用次数: 0

In Memoriam: Dr. Gretel H. Pelto, Matriarch of Applied Nutritional and Medical Anthropology 纪念：格莱特·h·佩尔托博士，应用营养与医学人类学的女族长

IF 1.7 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology

Pub Date : 2025-10-23 DOI: 10.1002/ajhb.70160

Margaret Bentley, Miriam Chaiken, Darna Dufour, Edward A. Frongillo, Sera Young

引用次数: 0

Effect of Earthquake-Related Trauma on Pubertal Maturation: Evidence From Skeletal Age Assessment Following the 2023 Kahramanmaras Earthquakes 地震相关创伤对青春期成熟的影响：来自2023年Kahramanmaras地震后骨骼年龄评估的证据。

IF 1.7 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology

Pub Date : 2025-10-23 DOI: 10.1002/ajhb.70161

Nursezen Kavasoglu, Sabahattin Bor, Fundagul Bilgic Zortuk, Nihal Hamamci

The devastating earthquakes centered in Kahramanmaras on February 6, 2023, caused significant psychosocial stress among children, which may have influenced the timing of pubertal onset. Since early puberty is associated with adverse physical and psychological outcomes, understanding the potential of environmental factors—such as natural disasters—to accelerate pubertal development is of great importance. In this retrospective study, a total of 1044 wrist radiographs taken from children aged 10–19 at four university dental faculties were evaluated. The radiographs were obtained during two time periods: pre-earthquake (February 6, 2022—February 6, 2023; n = 544) and postearthquake (February 6, 2023—February 6, 2024; n = 500). All images were assessed by a single expert using the skeletal maturation scale proposed by Grave and Brown. The MP3cap stage, which represents the peak of pubertal growth, was used as the main parameter. Due to the distribution of the data, nonparametric statistical tests were applied. In both female and male children, the age at the MP3cap stage after the earthquake was significantly lower compared to pre-earthquake values, indicating earlier pubertal growth spurts (p < 0.05). The findings indicate that the psychosocial stress induced by the Kahramanmaraş earthquakes may have accelerated pubertal development in children. These results underscore the importance of closely monitoring the growth and development of children affected by natural disasters and providing them with comprehensive psychosocial and medical support.

2023年2月6日发生在Kahramanmaras的毁灭性地震给孩子们带来了巨大的心理压力，这可能影响了他们青春期开始的时间。由于青春期提前与不利的生理和心理结果有关，因此了解环境因素（如自然灾害）加速青春期发育的潜力是非常重要的。在这项回顾性研究中，对四所大学牙科学院10-19岁儿童的1044张腕关节x线片进行了评估。x线片是在两个时间段获得的：地震前（2022年2月6日- 2023年2月6日，n = 544）和地震后（2023年2月6日- 2024年2月6日，n = 500）。所有图像都由一位专家使用Grave和Brown提出的骨骼成熟度量表进行评估。以代表青春期生长高峰的MP3cap期为主要参数。由于数据的分布，采用非参数统计检验。在男女儿童中，地震后MP3cap阶段的年龄明显低于地震前的值，表明更早的青春期生长突增(p

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引用次数: 0