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过多的体重是否会影响GHG儿童的rhGH治疗结果?
Tomasz Maroszczuk1, Jan Maciej Kapała1, Aleksandra Sitarz1
1Department of Clinical Paediatrics, Faculty of Medical Sciences, University of Warmia and Mazury, Poland.
Pediatric endocrinology, diabetes, and metabolism
|October 25, 2024
概括
体重过重会对生长激素缺乏症 (GHD) 儿童的复合人体生长激素 (rhGH) 治疗有效性产生负面影响. 与体重正常的同龄人相比,超重儿童的长期身高结果较差.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 增长障碍 发展障碍 发展障碍
背景情况:
- 复合人体生长激素 (rhGH) 已经使用了35年,用于治疗生长激素缺乏症 (GHD) 的儿童.
- 由于患者对rhGH治疗的反应变化,个性化治疗方法至关重要.
- 过重的体重是影响RhGH治疗疗效的一个已知的因素.
研究的目的:
- 研究过度体重对RhGH疗法的有效性对患有GHD的儿童的影响.
主要方法:
- 165名患有孤立GHD的儿童 (平均年龄10.72岁) 接受了至少一年的rhGH治疗.
- 参与者根据BMI标准偏差得分 (SDS) 分为三组.
- 收集的数据包括骨年龄,身高,体重,IGF-1水平和10年的rhGH剂量.
主要成果:
- 第一年的初始身高SDS增加在正常和过度体重组之间是可比的 (0.52 SD对比0.60 SD).
- 超过5年的长期增长速度在体重过重组 (0.32 SD/年) 与正常体重组 (0.44 SD/年) 相比显著较低.
结论:
- 体重过重显著影响GHG儿童的rhGH治疗结果.
- 虽然最初的身高增长可能类似,但超重或肥胖儿童的长期结果要差得多.
- 这凸显了需要考虑身体质量指数在GHD的治疗策略.
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