Evidence map›Paper›PMID 40779235›Full record

ArticleJournal of endocrinological investigation2025

Sweeteners and puberty: investigating genetic and dietary influences on central precocious puberty.

Yuan-Jen Tsai, Chia-Min Kuo, Jhih-Wei Hsu, Chun-Chang Chen, Chien-Ming Lin, Ying-Chuan Chen, Yang-Ching Chen

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of endocrinological investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yuan-Jen Tsai *Department of Family Medicine, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.
Chia-Min Kuo *Department of Family Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Jhih-Wei HsuDepartment of Family Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Chun-Chang ChenGraduate Institute of Biomedical Informatics, Taipei Medical University, Taipei, Taiwan.
Chien-Ming LinDepartment of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Ying-Chuan ChenDepartment of Physiology and Biophysics, Institute of Physiology, Tri- Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Yang-Ching ChenDepartment of Family Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. melisa26@tmu.edu.tw.ORCID http://orcid.org/0000-0002-0682-3716

Funding

Office of Research and Development, Taipei Medical University Office of Research and Development, Taipei Medical University
6 · The paper itself

Abstract

Central precocious puberty (CPP) is characterized by the early onset of secondary sexual characteristics caused by premature activation of the hypothalamic-pituitary-gonadal axis. CPP can result in short stature, reproductive health complications, and psychosocial challenges. The rising prevalence of CPP underscores the urgency of investigating the genetic and dietary factors that influence its development to reduce long-term health and developmental effects. CPP was diagnosed in 481 participants. Aspartame, sucralose, glycyrrhizin, and added sugars were significantly linked to increased CPP risk, particularly in genetically predisposed individuals. A dose-dependent relationship was also identified, with higher sweetener intake associated with a greater risk of CPP. Gender-specific effects were also discovered, with sucralose being strongly associated with CPP in boys and glycyrrhizin, sucralose, and added sugar all being strongly associated with CPP in girls. The effects of the interaction between genetic predisposition and sweetener intake on this risk were non-significant. Sweetener consumption and high genetic predisposition independently increase the risk of CPP. Therefore, combining genetic and dietary assessments can guide prevention strategies for at-risk children, reducing the long-term health effects of early puberty.

Indexed as

DietGenetic Predisposition to DiseasePuberty, PrecociousSweetening AgentsChildFemaleHumansMaleSweetening AgentsCentral precocious pubertyGenetic predispositionInteractionPRSSweeteners

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.