Resumen

QUEIPO, Nesma J; RODRIGUEZ, Nathalie; PEREZ, María Mercedes  y  CARABALLO, Alfredo J. Telarquia prematura en lactantes y preescolares: efecto de la dieta. Rev Obstet Ginecol Venez [online]. 2009, vol.69, n.4, pp.245-248. ISSN 0048-7732.

Objective: To evaluate the effect of dietary restriction in the regression of premature thelarche in infants (3 months to 2 years old) and preschooler children (2 to 5 years and 11 months old). Methods: 80 patients with diagnostic of premature thelarche divided into: group A with 31 patients (with diet exempt of avian products, tubercles and soybean) and group B with 41 patients (without diet). Setting: Servicio de Ginecologia Infantil y Juvenil. Hospital de Niños "Dr. JM de los Rios". Caracas Results: There was no significative statistical difference in age of patients: groups A and B respectively (31.56 ± 22.40 months vs. 43.44 ± 26.47 months; P = 0.09). There was no significative variation between groups in uterus length (25.32 ± 5.09 mm vs. 28.20 ± 6.69 mm; P = 0.09) and right ovarian volume (0.52 ± 0.33 cm³ vs. 0.79 ± 0.69 cm³, P = 0,09). There was a significative statistical difference in left ovarian volume (0.45 ± 0.29 cm³ vs. 0.91 ± 1.40 cm³; P = 0.11). An increase of FSH levels for age of patients was found (3.27 ± 2.29 mUI/mL vs. 2.88 ± 1.74 mUI/mL; P = 0.50). LH levels were within normal limits (0.50 ± 0.81 mUI/mL vs. 0.51 ± 0.57 mUI/mL; P = 0.96). Estradiol values resulted lightly increased (16.60 ± 12.12 pg/mL vs. 16.44 ± 8.79 pg/mL P = 0.95). The regression time was shorter in the group B: 16 ± 6.19 months vs. 10.75 ± 1.75 months; (P = 0.01). Conclusion: The diet with restriction of avian products, tubercles and soybean was no useful in the regression of premature thelarche in the patients included in this study.

Palabras clave : Premature telarche; Diet; Hormonal levels; Childhood.