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Published on: May 23, 2025
Seroprevalence of Helicobacter pylori in children with constitutional height retardation
Ayşin Taşar1, Erkan Kibrisli, Yildiz Dallar
1Department of Pediatric, Ankara State Hospital, Ankara, Turkey. aysintasar@yahoo.com
Insights
Helicobacter pylori infection is linked to constitutional height retardation in children. This study found significantly higher H. pylori antibody levels in growth-retarded children compared to controls, suggesting it
Area of Science:
- Pediatric Endocrinology
- Infectious Diseases
- Human Growth and Development
Background:
- Constitutional height retardation (CHR) is a condition affecting children's growth.
- Environmental factors are hypothesized to influence CHR.
- Helicobacter pylori (H. pylori) is a common bacterial infection.
Purpose of the Study:
- To investigate the association between H. pylori infection and CHR in children.
- To determine if H. pylori seroprevalence differs between children with CHR and those with normal growth.
Main Methods:
- A case-control study involving 41 children with CHR and 40 controls.
- Assessment of gastrointestinal symptoms in children and families.
- Measurement of H. pylori antibody levels (IgG and CagA IgG) in both groups.
Main Results:
- H. pylori IgG positivity was 78% in the CHR group versus 10% in controls.
- H. pylori CagA IgG positivity was 85.4% in the CHR group versus 15% in controls.
- Significantly higher seroprevalence of H. pylori antibodies in the CHR group (p<0.001).
Conclusions:
- H. pylori infection is significantly more prevalent in children with constitutional height retardation.
- These findings support H. pylori as a potential environmental factor contributing to growth retardation.
- Further research is warranted to elucidate the mechanisms linking H. pylori to impaired growth.
Background/Aims:
The objective of this study was to examine the relationship between Helicobacter pylori and constitutional height retardation in childhood.
Methods:
Forty-one children with a diagnosis of constitutional height retardation and 40 children with normal growth patterns attending to the Pediatric Endocrinology Clinic at Ankara Education and Research Hospital were invited to take part in this study. Each child was asked questions to identify whether they had abdominal pain or lack of appetite. In addition, the family members were also investigated for gastrointestinal complaints. Helicobacter pylori antibody levels were evaluated in both groups.
Results:
The patient group's anti-Helicobacter pylori Ig G and anti-Helicobacter pylori CagA Ig G positivities were 78% and 85.4%, respectively. Corresponding frequencies in the control group were 10% and 15%, respectively.
Conclusion:
The seroprevalence of Helicobacter pylori antibodies in the constitutional height-retarded group was significantly higher than in the control group (p<0.001). These results support the hypothesis suggesting that Helicobacter pylori infection is one of the environmental factors affecting growth.
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