Cross-sectional and prospective study of the effects of GH therapy on metabolic panel in children with GH deficiency

Autor: V. Ramistella, M. Wasniewska, S. Arasi, M. Catena, M.R. Velletri, D. Corica, S. Santucci, F. De Luca
Jazyk: English<br />Italian
Rok vydání: 2014
Předmět:
Zdroj: La Pediatria Medica e Chirurgica, Vol 36, Iss 5-6 (2014)
Druh dokumentu: article
ISSN: 0391-5387
2420-7748
DOI: 10.4081/pmc.2014.104
Popis: Background: Numerous studies have shown that GH, in addition to promoting linear growth, exerts a key role in many metabolic processes. However, there are only few studies aiming at evaluating the metabolic panel of children with GH deficiency (GHD). The aims of the study were: to verify the presence of metabolic alterations in GHD children in comparison with age-matched controls and to check the possible effects of two year GH therapy on the metabolic parameters in GHD. Study design: cross-sectional and prospective; one center experience Population and Methods: We enrolled 32 pediatric GHD patients (group A) and 33 sex- and age-matched healthy controls (group B). Baseline serum assays (lipid, insulin, glucose) were performed in both groups. GHD children underwent replacement therapy with GH. The same assays were repeated after 12 and 24 months of GH treatment. Results: No differences, in basal assays were found between the two groups. In group A, after initiation of GH, there was a significant increase of basal insulin and HOMA- insulin resistance (IR) index (p
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