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Published on: September 25, 2019
[Influence of chronic HBV infection and interferon therapy on somatic development of children]
Irma Kacprzak-Bergman1, Paweł Bergman, Izabela Zaleska
1Katedra i Klinika Chorób Zakaźnych Dzieci, Akademia Medyczna, Bujwida 44, 50-345 Wrocław, Poland.
Insights
Interferon alpha (IFN) treatment for chronic hepatitis B in children does not permanently affect body mass or height. Early treatment of chronic hepatitis B infection is crucial to prevent growth retardation in children.
Area of Science:
- Pediatrics
- Hepatology
- Endocrinology
Background:
- Interferon alpha (IFN) is a primary treatment for pediatric chronic hepatitis B.
- The long-term developmental impact of IFN therapy in children remains a subject of discussion.
Purpose of the Study:
- To assess the body mass and height of children following interferon therapy for chronic hepatitis B.
- To evaluate the influence of chronic HBV infection on these growth parameters.
Main Methods:
- The study included 64 children with chronic hepatitis B (48 treated with IFN, 22 untreated) and a control group of 873 children.
- Statistical analysis involved scatter plots and chi-square tests to compare growth parameters across groups.
Main Results:
- No statistically significant differences in body mass or height distribution were observed between treated and untreated children.
- Approximately 60% of affected boys and 43% of affected girls exhibited lower weight than the population mean.
- Around 40% of affected boys and 37% of affected girls were shorter than the control group's mean height.
Conclusions:
- Interferon alpha therapy for pediatric chronic hepatitis B is not associated with permanent disturbances in body mass or height.
- Prompt treatment of chronic hepatitis B in children is essential to mitigate potential growth retardation.
Unlabelled:
Interferon alpha (IFN) is the most common treatment in chronic hepatitis B in children. Its impact on the development of children is still discussed.
Aim Of This Study:
The assessment of body mass and body height of children after interferon therapy and the influence of chronic HBV infection on these parameters.
Materials And Methods:
The study concerned 64 children who suffered chronic hepatitis B. Among them 36 boys and 12 girls were treated with interferon alpha and 18 boys and 4 girls not treated. They were compared with a control group (416 boys and 457 girls). Scatter plots and chi-square test were used in analysis.
Results:
Treated and not treated children were found in 3 distinguish zones: middle zone M+/- 1/2 SD, above and below it. Body mass: in the middle zone about 30% boys and 25% girls were found. In the high zone 20% boys and 40% girls. In low zone 45% boys and 30% girls. Body height: in the middle zone there were 30% boys as well as 40% girls. In high zone 35% boys and 30% girls. In low zone 30% boys and 25% girls were found. The comparison of frequency of treated and not treated children represented in the three zones was not statistically significant. Among sick children (treated and not treated together) about 60% boys and about 43% girls were characterized by lower weight than arithmetic mean of a population study. According to height about 40% boys and about 37% girls were found to be under mean of control group.
Conclusions:
1. Interferon alpha can be used in chronic hepatitis B in children as a drug which does not cause permanent disturbances of body mass and body height 2. Children with chronic hepatitis B infection must be treated early to stop growth retardation.
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