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Published on: October 13, 2018
Pubertal growth and serum testosterone and estradiol levels in boys
Anna-Karin Albin1, Ensio Norjavaara
1Göteborg Pediatric Growth Research Center, Institute of Clinical Sciences, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Insights
Serum testosterone and estradiol levels in healthy boys are linked to growth spurts during puberty. Specific hormone levels correlate with increased growth velocity leading up to peak height velocity (PHV).
Area of Science:
- Pediatric Endocrinology
- Growth and Development
- Reproductive Hormones
Background:
- Puberty involves significant growth changes in healthy boys.
- Hormonal influences, particularly testosterone and estradiol, are critical during this phase.
- Understanding these hormonal dynamics is key to studying pubertal development.
Purpose of the Study:
- To investigate the relationship between serum testosterone and estradiol levels and growth velocity in healthy boys.
- To determine the specific hormone concentrations associated with peak height velocity (PHV).
Main Methods:
- Analyzed 24-hour serum profiles of testosterone and 17β-estradiol in 26 healthy boys.
- Utilized a dose-response model to correlate hormone levels with growth velocity.
- Measured hormone concentrations using radioimmunoassay (RIA) techniques.
Main Results:
- A 50% increase in growth velocity was observed at a morning testosterone level of 3.1 nmol/l (EC50).
- The corresponding 17β-estradiol level associated with this growth increase was 6.5 pmol/l (EC50).
- Boys nearing PHV exhibited higher levels: testosterone >10 nmol/l and estradiol >9 pmol/l.
Conclusions:
- Early to mid-pubertal testosterone levels between 2.4-4.2 nmol/l are associated with a significant increase in growth velocity.
- These findings highlight the role of specific testosterone and estradiol concentrations in driving pubertal growth spurts.
- The study provides reference hormone levels for understanding growth velocity changes up to PHV in boys.
Background/Aims:
To study serum testosterone and estradiol in healthy boys in relation to growth during puberty up to peak height velocity (PHV).
Methods:
Growth velocity was analyzed through testosterone (n = 41) and 17β-estradiol (n = 37) 24-hour profiles in a dose-response model. Participants were 26 healthy boys admitted for short or tall stature or participating as healthy volunteers at the Queen Silvia Children's Hospital. Other inclusion criteria included the following: gestational age 37-42 weeks, birth weight and length >-2 standard deviation score (SDS) and prepubertal height and weight within ± 3 SDS. Testosterone was measured using a modified radioimmunoassay (RIA) with a detection limit of 0.03 nmol/l. Estradiol was determined using an ultrasensitive extraction RIA with a detection limit 4 pmol/l. A sixth-grade polynomial was fitted to each child's growth data, giving growth velocity and age at PHV.
Results:
Growth velocity increased by 50% from prepubertal growth to PHV at a morning testosterone level of 3.1 nmol/l (95% confidence interval 2.4-4.2), EC50. The corresponding EC50 of 17β-estradiol was 6.5 pmol/l (3.2-13). Boys approaching PHV (<4% remaining) had morning testosterone levels >10 nmol/l and 17β-estradiol >9 pmol/l.
Conclusion:
Observed early puberty/initial mid puberty morning testosterone levels of 2.4-4.2 nmol/l are associated with a 50% increase in growth velocity from prepubertal growth to PHV in healthy boys.
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