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.
Abstract

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