Endocrine abnormalities and impaired growth in human immunodeficiency virus-infected children

Caroline J Chantry1, Margaret M Frederick, William A Meyer

  • 1University of California, Davis, Medical Center, Sacramento, CA 95817, USA. caroline.chantry@ucdmc.ucdavis.edu

Insights

Human immunodeficiency virus (HIV)-infected children show lower insulin-like growth factor binding protein-3 (IGFBP-3) levels. Endocrine differences in HIV-infected children impact growth and body composition.

Area of Science:

  • Pediatric Endocrinology
  • Infectious Diseases
  • Growth and Development

Background:

  • Human immunodeficiency virus (HIV) infection can affect multiple organ systems, including endocrine function.
  • Understanding endocrine differences in HIV-infected children is crucial for managing their growth and body composition.

Purpose of the Study:

  • To identify endocrine differences between HIV-infected and uninfected children.
  • To evaluate the associations of growth and body composition with endocrine measures in these children.

Main Methods:

  • A nested case-control study compared 21 HIV-infected children with 46 age- and sex-matched uninfected children.
  • Plasma levels of IGFBP-3, cortisol, DHEA, growth hormone, and thyroid hormones were measured.
  • Longitudinal models analyzed group differences and endocrine associations with growth and body composition.

Main Results:

  • HIV-infected children had significantly lower IGFBP-3 concentrations compared to uninfected children.
  • In HIV-infected children, IGFBP-3 and dehydroepiandrosterone (DHEA) to cortisol ratios were associated with weight-for-age z scores (WAZ) and body mass index z scores (BMZ).
  • DHEA concentration was associated with height-for-age z score.

Conclusions:

  • HIV infection is associated with altered IGFBP-3 concentrations in children.
  • Endocrine factors show distinct associations with growth and body composition in HIV-infected children compared to their uninfected peers.
  • Hypothesized growth hormone resistance and altered adrenal androgen production may contribute to growth abnormalities in HIV-infected children.
Abstract

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