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Published on: June 29, 2013
Growth hormone in intra-uterine growth retarded newborns
Sajita Setia1, M G Sridhar, Vishnu Bhat
1Department of Biochemistry, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. saj_setiya@yahoo.co.in
Insights
Intrauterine growth-restricted (IUGR) newborns exhibit elevated growth hormone levels at birth. These hormone levels correlate more strongly with ponderal index than with birth weight in IUGR infants.
Area of Science:
- Neonatal Medicine
- Endocrinology
- Pediatric Growth Disorders
Background:
- Intrauterine growth restriction (IUGR) is a significant concern in neonatal health.
- Understanding hormonal profiles in IUGR is crucial for assessing fetal development.
- Growth hormone (GH) plays a key role in fetal and postnatal growth.
Purpose of the Study:
- To investigate growth hormone (GH) levels in newborns with IUGR compared to healthy controls.
- To examine the association between GH levels and anthropometric measurements like birth weight and ponderal index in IUGR infants.
Main Methods:
- A comparative study involving 50 term newborns diagnosed with IUGR and 50 healthy term newborns.
- Cord blood samples were collected at delivery for GH level analysis.
- Statistical analysis was performed to compare GH levels and assess correlations.
Main Results:
- IUGR newborns demonstrated significantly higher GH levels than healthy controls (23.5 ± 15.6 ng/mL vs. 16.2 ± 7.61 ng/mL, P = 0.019).
- A significant negative correlation was observed between GH levels and birth weight (r² = -0.22, P = 0.03).
- GH levels showed a stronger negative correlation with ponderal index (r² = -0.36, P = 0.008) compared to birth weight.
Conclusions:
- Newborns with IUGR present with elevated GH levels at birth.
- Growth hormone levels in IUGR infants correlate more robustly with ponderal index than with birth weight.
- These findings suggest a potential role for GH dysregulation in the pathophysiology of IUGR and its anthropometric consequences.
Objective:
To study growth hormone levels in IUGR and healthy controls and its association with birth weight and ponderal index.
Methods:
We studied 50 Intra uterine growth retarded (IUGR) and 50 healthy newborns born at term by vaginal delivery in JIPMER, Pondicherry, India. Cord blood was collected at the time of delivery for measurement of growth hormone.
Results:
When compared with healthy newborns, IUGR newborns had higher growth hormone levels (mean +/- SD, 23.5 +/- 15.6 vs 16.2 +/- 7.61 ngm/ml, P = 0.019). A negative correlation was identified between growth hormone levels and birth weight (r2 = - 0.22, P = 0.03) and ponderal index (r2 = - 0.36, P = 0.008). Correlation of growth hormone levels was much more confident with ponderal index than with birth weight.
Conclusion:
At birth IUGR infants display increased growth hormone levels which correlate with ponderal index much more confidently than with birth weight.
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