Growth hormone in pediatric chronic kidney disease: more than just height.
| Autor: | Sullivan, Katie Marie, Kriegel, Alison J. |
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| Předmět: |
CARDIOVASCULAR disease related mortality
HEALTH literacy BONES KIDNEY transplantation SOCIAL factors BODY composition HUMAN growth IMMUNE system CHRONIC kidney failure STATURE PEDIATRICS HORMONE therapy CHILD development NERVOUS system GROWTH disorders HUMAN growth hormone DIETARY supplements IMMUNITY OBESITY CHILDREN |
| Zdroj: | Pediatric Nephrology; Nov2024, Vol. 39 Issue 11, p3167-3175, 9p |
| Abstrakt: | Recombinant human growth hormone therapy, which was introduced in the 1980s, is now routine for children with advanced chronic kidney disease (CKD) who are exhibiting growth impairment. Growth hormone usage remains variable across different centers, with some showing low uptake. Much of the focus on growth hormone supplementation has been on increasing height because of social and psychological effects of short stature. There are, however, numerous other changes that occur in CKD that have not received as much attention but are biologically important for pediatric growth and development. This article reviews the current knowledge about the multisystem effects of growth hormone therapy in pediatric patients with CKD and highlights areas where additional clinical research is needed. We also included clinical data on children and adults who had received growth hormone for other indications apart from CKD. Ultimately, having robust clinical studies which examine these effects will allow children and their families to make more informed decisions about this therapy. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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