The relationship between adiposity and stature in prepubertal children with celiac disease

Insights

Children with celiac disease (CD) who are overweight or obese are taller than normal-weight children with CD and normal-weight controls. This suggests adiposity, not CD itself, influences height in these children.

Area of Science:

  • Pediatric Endocrinology
  • Gastroenterology
  • Human Growth and Development

Background:

  • The underlying reasons for short stature in pediatric celiac disease (CD) remain largely unknown.
  • While obesity is typically associated with increased height, its specific impact on stature within the context of CD is not well understood.

Purpose of the Study:

  • To investigate the relationship between body adiposity and stature in prepubertal children diagnosed with celiac disease.
  • To determine if adiposity plays a role in the growth patterns observed in children with CD.

Main Methods:

  • A comparative study involving biopsy-proven celiac disease (CD) children (n=40) and non-CD controls (n=50), aged 3-12 years, not on a gluten-free diet.
  • Anthropometric measurements including Body Mass Index (BMI) and sex-adjusted midparental target height (MPTH) standard deviation score (SDS) were analyzed.

Main Results:

  • Children with CD exhibited significantly lower BMI SDS compared to controls.
  • Despite differences in BMI, children with CD were not significantly shorter than controls overall.
  • Normal-weight CD children were shorter than overweight/obese controls and overweight/obese CD children, but similar in height to normal-weight controls.

Conclusions:

  • Overweight/obese prepubertal children with CD demonstrated greater height compared to normal-weight CD peers and normal-weight controls.
  • The height of overweight/obese CD children was comparable to that of overweight/obese control subjects.
  • Adiposity appears to be a significant factor influencing height in prepubertal children with celiac disease.
Abstract

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