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Spontaneous growth in growth hormone deficiency from birth until 7 years of age: development of disease-specific growth curves.
MedLine Citation:
PMID:  20424417     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Little is known about spontaneous growth of growth hormone (GH)-deficient children during infancy and childhood. METHODS: Retrospectively, we calculated disease-specific pretreatment percentiles for height, weight, BMI and growth velocity of 113 GH-deficient boys and 41 GH-deficient girls from birth until 7 years of age, by mean and standard deviation. RESULTS: Infants with idiopathic GH deficiency (GHD) grow in disease-specific percentile channels. There is a significant difference in length and weight from birth onward compared to regional reference (p<0.001). Boys' birth length was 48.7+/-2.9 cm (p<0.001; -1.31+/-1.11 SDS), birth weight was 3.09+/-0.61 kg (p<0.01; -0.92+/-1.19 SDS), and BMI at birth was 12.9+/-1.7. Girls' birth length was 48.1+/-3.4 cm (p<0.05; -1.17+/-1.51 SDS), birth weight was 2.92+/-0.60 kg (p=0.05; -1.08+/-1.19 SDS), and BMI at birth was 12.6+/-2.2. There was a continuous loss of growth velocity, despite a wide variance in the first years, so height deficit became more evident with increasing age. CONCLUSION: GHD is a congenital disease no matter when height deficit becomes clinically evident, because GH-deficient children grow in disease-specific percentile channels with a highly significantly reduced length and weight, which demonstrates that GH is essential for adequate growth in infancy and early childhood.
Authors:
M Mayer; K Schmitt; K Kapelari; H Frisch; G Köstl; M Voigt
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Publication Detail:
Type:  Journal Article     Date:  2010-04-29
Journal Detail:
Title:  Hormone research in pædiatrics     Volume:  74     ISSN:  1663-2826     ISO Abbreviation:  Horm Res Paediatr     Publication Date:  2010  
Date Detail:
Created Date:  2010-07-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101525157     Medline TA:  Horm Res Paediatr     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  136-44     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 S. Karger AG, Basel.
Affiliation:
Landes-Frauen- und Kinderklinik Linz, Linz, Austria. dr.michael.mayer@gmx.at
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