CHARACTERISTICS OF NUTRITION OF BOYS WITH HYPOANDROGENIA OF VARIOUS DEGREES
Keywords:hypoandrogenism, boys, sexual development delay, eating behavior
The aim is to determine the characteristics of nutrition of boys with delayed sexual development and laboratory signs of hypoandrogenia of various degrees.
Materials and methods. A comprehensive survey of 50 adolescent boys aged 14–18 years with sexual development delay (SDD) was conducted, which included an assessment of somato-sexual development and hormonal status indicators, as well as a filling of questionnaire as to the nature of nutrition. With total testosterone (TT) level of less than 12.0 nmol/L, hypoandrogenism (HA) of various degrees was determined. The analysis of results of the questionnaire filling was conducted, taking into account the degree of HA and the characteristics of physical development. Statistical processing of the obtained results was carried out.
Results. Significant differences in multiplicity and nature of nutrition of adolescent boys with SDD and HA of various degrees were identified. It was established that boys with a normal level of TT and HA of the I degree preferred for breakfast nutritious and healthy dishes, ate seafood and peas. Adolescents who consumed rice and wheat porridge had a lower degree of HA (respectively, F = 2.99; p = 0.044 and F = 4.75; p = 0.011). Boys with HA of II-III degree did not follow the diet and for breakfast consumed those dishes and food which are usually recommended for additional meals. Their ration was characterized by preference for fruit, rye bread, and lack of seafood, which, according to the results of one-way analysis of variance, increased the risk of progression of HA (F = 11.31; p = 0.001). Also, a connection between nature of nutrition and physical development of boys with SDD and HA was proved. Boys with normal body weight were more likely to eat red meat, tomatoes, and broccoli than patients with an excess or deficit of body weight. Among patients with a deficit of body weight, chicken dishes were predominant. Positive impact of daily consumption of cabbage and sunflower seeds on body length of boys was proved (respectively, F = 3.02; p = 0.032 and F = 7.16; p = 0.015)
Conclusions. Qualitative differences in diet and nutritional status of boys with clinical signs of sexual development delay and hypoandrogenism of various degrees were identified. Expediency of correction of eating behavior and diet in adolescents belonging to sexual development disorder risk group, was substantiated.
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