Puberdade precoce: condições associadas

Celso Junior Wanderley Cavalcante; Luciano Lima Correia; Durval Damiani

doi:10.5020/2325

Autores

Celso Junior Wanderley Cavalcante Universidade Federal do Ceará
Luciano Lima Correia
Durval Damiani

DOI:

https://doi.org/10.5020/2325

Palavras-chave:

Puberdade Precoce, Obesidade Pediátrica, Saúde Pública.

Resumo

Objetivo: Analisar as características das crianças com puberdade precoce central (PPC), identificando-se tanto suas características clínico-epidemiológicas como os fatores determinantes para o recebimento de uma atenção à saúde oportuna. Métodos: Estudo retrospectivo e analítico de 342 prontuários, entre 1994 e 2010, de crianças de 1 a 11 anos com PPC, provenientes do ambulatório de endocrinologia de um hospital de referência. Analisaram-se as variáveis biológicas, econômicas, familiares e nutricionais de forma uni e bivariada, utilizando-se o teste Qui-Quadrado na avaliação estatística das associações. Resultados: Identificaram-se como principais características: 25 (7,3%) eram adotadas, 92(27,1%) estavam com sobrepeso, 85 (25,1%) estavam com obesidade, e 205 (60,3%) tiveram início da puberdade antes dos 6 anos. Crianças com PPC atendidas tardiamente foram as que apresentaram sinais da puberdade mais cedo (p<0,001) e pertenciam a famílias de menor renda (p<0,002). Conclusão: Elevadas proporções de crianças com PPC eram adotadas e portadoras de sobrepeso/obesidade. Crianças com aparecimento excessivamente precoce dos sinais de puberdade e de baixa renda familiar sofreram significativo retardo na obtenção da atenção especializada. doi:10.5020/18061230.2014.p153

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Biografia do Autor

Celso Junior Wanderley Cavalcante, Universidade Federal do Ceará

Médico com especialização em Endocrinologia Pediátrica no Universitats-Krankenhaus Ependorf em Hamburgo-Alemanha, mestre em Saúde Pública pela Universidade Fedeal do Ceará, coordenador do ambulatório de Endocrinologia Pediátrica da Universidade Federal do Ceará.

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