adolescence

A journalistic investigation by BMJ reporter Jennifer Block finds that more and more children and adolescents identify as transgender and are offered medical treatment, in particular in the United States. The reporter analyses scientific evidence showing this increase in the number of treatments, as well as the guidelines of US medical bodies. She also interviews experts from different countries, laying out the controversy among professionals about the scientific evidence used to make decisions about the initiation of treatment.   

22% of children worldwide have signs of disordered eating behaviours, a figure that rises to 30% for girls alone, according to an analysis published in JAMA Pediatrics led by researchers from the University of Castilla-La Mancha. The research brings together 32 previous studies that used the same diagnostic tool (the SCOFF questionnaire). It includes in total more than 60,000 children aged 6 to 18 in 16 countries. The article also states that the risk of disordered eating behaviour increases with age and Body Mass Index (BMI).  Disordered eating behaviours include behaviours such as ‘weight loss dieting, binge eating, self-induced vomiting, excessive exercise, and the use of laxatives or diuretics (although not to the level to warrant a clinical diagnosis of an eating disorder)’.

A Swedish study has found an association between lack of sleep or poor quality sleep during adolescence and an increased risk of developing multiple sclerosis later in life. They put the relative increased risk at 40 %. The results are published in the Journal of Neurology, Neurosurgery and Psychiatry.

A study published in NEJM that followed a cohort of more than 300 transgender and non-binary youth, aged 12-20, for two years concluded that hormone therapy led to improvements in their symptoms of depression and anxiety.

Physical activity is associated with significant reductions in depressive symptoms in children and adolescents, according to a systematic review and meta-analysis published in JAMA Pediatrics that included 21 studies with 2,400 participants. The largest decreases in these symptoms were found in those aged 13 years and older.

Constant checking of social media activity in early adolescence is associated with changes in the brain's sensitivity to rewards and punishments. This is the conclusion of a study involving 169 12- and 13-year-old students in the United States with Facebook, Instagram and Snapchat profiles, according to JAMA Pediatrics.

A study in Spanish children, with follow-up from pregnancy to adolescence, has found an association between children's exposure to pesticides and fungicides and earlier breast development in girls and genital development in boys. The work has been carried out by the University of Granada (UGR), the Institute for Biosanitary Research (ibs.GRANADA) and CIBERESP (ISCIII).

A study of hospitalised young people in the United States concludes that those with a diagnosis of gender dysphoria are four to five times more likely to be hospitalised for a suicide attempt or to have attempted self-harm. The research is published in The Lancet Child & Adolescent Health.

A study published in The Lancet Child & Adolescent Health shows that 98% of a cohort of trans adolescents in the Netherlands who started hormone treatment before adolescence continued to do so years later.

Using data from the 2017 National Health Interview Survey, researchers show that children and adolescents (aged 4-14 years) who skip breakfast or eat it away from home are more likely to have psychosocial behavioural problems. The research is published in the journal Frontiers in Nutrition.