Evidence Based Adolescent Health
Measles in older children and adults BMJ 2017; 356 doi: https://doi.org/10.1136/bmj.j426
Using data from the UK Millenium Cohort Study Prof Yvonne Kelly and colleagues from University College London examine the associations between early puberty in adolescent girls and ethnicity, adiposity and psychosocial stress. Their study reveals that in the UK girls from socioeconomically disadvantaged groups and some ethnic minority groups are most likely to have early onset puberty. Their modelling for associations revealed excess adiposity and psychosocial stress among girls from low income backgrounds was associated with early onset puberty, and that poverty and adiposity were associated, to varying degrees, with early puberty in girls from Pakistani, Bangladeshi and black African backgrounds. This study adds significantly to our understanding of current trends in the timing of the onset of puberty, but still many questions remain unanswered and in an accompanying editorial Dr Ken Ong, Cambridge University reflects on how the work of Prof Kelly and colleagues informs our understanding of the biological and environmental forces which influence the timing of puberty.
Ong KK What triggers puberty? Archives of Disease in Childhood 2017;102:209-210
Kelly Y, Zilanawala A, Sacker A, et al Early puberty in 11-year-old girls: Millennium Cohort Study findings Archives of Disease in Childhood 2017;102:232-237.
study found. Such heavy use of other screens was tied to a 43 percent greater risk of obesity, researchers report in the Journal of Pediatrics. READ MORE
News item courtesy of SAHM Adolescent News Round Up and Reuters
In a paper from Assa et at Tel-Aviv University, published in the February 2017 edition of Archives of Disease in Childhood, researchers studying 17 year olds undergoing medical examination prior to enlistment for national service found that adolescent girls diagnosed with coeliac disease (CD) have lower height compared with the general population while boys have significantly lower weight and BMI. However they concluded that final weight and height near the end of adolescence are not severely impaired in subjects with diagnosed CD. The also noted that the prevalence of diagnosed CD among Jewish adolescents is gradually increasing reaching 1.1% in 2015.
It is well known that children from poorer families have a higher risk of developing chronic health conditions and that ill health has a significant negative effect on labour force participation in adults. In Arch Dis Child this month Emily Callender and colleagues explore the impact of household income, and physical and mental health in adolescence on education attainment, household income and health status in adulthood. The data shows that physical health in adolescence has a stronger influence on education attainment in adulthood than household income.
Arch Dis Child 2016;101:825-831 doi:10.1136/archdischild-2015-309721
Karen Street and colleagues describe their model of care for young people with restrictive eating disorders on a paediatric ward.
Arch Dis Child 2016;101:836-838 doi:10.1136/archdischild-2016-310506
In this weeks BMJ there is a clinical update for generalists on the long term effects of anticancer chemotherapy in teenagers and young adults.
BMJ 2016; 354 doi: http://dx.doi.org/10.1136/bmj.i4567
In this month's Arch Dis Childhood Dougal Hargreaves and colleagues provide worked examples of how adolescent public health can be incorporated into clinical practice. Paediatricians have a key role to play in ensuring a holistic, integrated approach is taken to meeting adolescent health needs. There is increasing evidence that failure to do so can lead to poor healthcare experience, avoidable ill health and increased need for healthcare services, both in the short term and in adult life. This article aims to guide paediatricians in answering the questions ‘How well are the public health and clinical needs of the adolescent population in my area being met? And how can we improve?’
not to recommend pre-participation ECG screening.