Auxo-endocrinological features in a cohort of internationally adopted children in Italy
| Autor: | Pasqua Putignano, Camilla Totaro, Maurizio de Martino, Luisa Galli, Barbara Bortone, Sara Sollai, Elena Chiappini |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Fetal alcohol syndrome Puberty Precocious Special needs 03 medical and health sciences 0302 clinical medicine Risk Factors 030225 pediatrics Pediatric surgery medicine Precocious puberty Humans 030212 general & internal medicine Prospective Studies Tertiary level Child Wasting Growth Disorders business.industry medicine.disease Italy Pediatrics Perinatology and Child Health Cohort Female Underweight medicine.symptom business Child Adopted |
| Zdroj: | World journal of pediatrics : WJP. 15(3) |
| ISSN: | 1867-0687 |
| Popis: | Internationally adopted children (IAC) can present growth impairment at arrival, which usually recovers over time. Moreover, a major prevalence of precocious puberty has been reported in this group. All IAC referred to a tertiary level hospital in Italy from January 2016 to June 2017, underwent a standardized screening protocol and were prospectively enrolled in the study. The analyses of possible risk factors for growth impairment and precocious puberty were performed. Overall, 422 children were included (males 59.5%), with median age of 6.5 years (IQR 9.4–3.9), 29.9% adopted from Europe, 26.8% from Asia, 23.9% from Africa and 19.4% from Latin America. Children were in Italy from a median of 75 days (IQR 137.0–38.7). Stunting was observed in 12.9% of children, wasting in 4.3%, underweight in 12.9%. Precocious puberty was diagnosed in 2.2% of children. 17.1% IAC had diagnosis of special needs. Fetal alcohol spectrum disorders represented the 41.7% of children with special needs and 48.1% of Russian children. Independent predictive factors for stunting were age |
| Databáze: | OpenAIRE |
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