High Prevalence of Nonalcoholic Fatty Liver Disease Among Adolescents and Young Adults With Hypopituitarism due to Growth Hormone Deficiency
Autor: | Hyun Wook Chae, Ah Reum Kwon, Ho-Seong Kim, Hyun Joo Shin, Seung Kim, Hong Koh, Seok Jin Kang, Mo Kyung Jung |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Adolescent Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Hypopituitarism Gastroenterology Growth hormone deficiency Young Adult 03 medical and health sciences 0302 clinical medicine Endocrinology Non-alcoholic Fatty Liver Disease Internal medicine Nonalcoholic fatty liver disease Prevalence medicine Humans 030212 general & internal medicine Insulin-Like Growth Factor I Young adult Child business.industry nutritional and metabolic diseases General Medicine Odds ratio medicine.disease Cross-Sectional Studies Growth Hormone Steatosis business Transient elastography Body mass index |
Zdroj: | Endocrine Practice. 27:1149-1155 |
ISSN: | 1530-891X |
Popis: | Objective To investigate the prevalence of nonalcoholic fatty liver disease (NAFLD) in adolescents and young adults with hypopituitarism and to examine the associations of growth hormone (GH) deficiency with the occurrence of NAFLD. Methods A cross-sectional study for the determination of NAFLD prevalence included 76 patients with childhood-onset hypopituitarism and 74 controls matched by age and body mass index (BMI). We investigated the prevalence of NAFLD in adolescent and young adult patients with hypopituitarism as well as the age- and BMI-matched controls. Among patients with hypopituitarism, anthropometric, clinical, and biochemical assessments using transient elastography and magnetic resonance imaging were performed. Logistic regression was used to identify the factors associated with NAFLD. Results The adolescents and young adults with hypopituitarism exhibited higher prevalence of NAFLD than the age- and BMI-matched controls. Among patients with hypopituitarism, obesity and obesity-related metabolic derangements were significantly associated with liver steatosis and fibrosis, whereas lower insulin-like growth factor (IGF)-I standard deviation score (SDS) and IGF-I/IGF-binding protein 3 molar ratios were associated with steatosis. In regression analyses adjusted for BMI SDS, steatosis was found to be associated with a lower IGF-I SDS and IGF-I/IGF-binding protein 3 molar ratios, whereas liver fibrosis was found to be associated with a lower IGF-I SDS. Conclusion Our results suggest that GH deficiency contributes to the occurrence of NAFLD, along with obesity and obesity-related metabolic changes. Because NAFLD occurs early in patients with hypopituitarism, the surveillance, weight control, and timely replacement of deficit hormones, including GH, are essential. |
Databáze: | OpenAIRE |
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