Úbeda Trujillo RM, Escribano Sanz P, García Castellanos MT, de Arriba Muñoz A, Vara Callau M, Labarta Aizpún JI. Response to growth hormone treatment in patients with sufficient secretion.
ENDOCRINOL DIAB NUTR 2023;
70:326-334. [PMID:
36443195 DOI:
10.1016/j.endien.2022.02.021]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 02/06/2022] [Indexed: 06/03/2023]
Abstract
BACKGROUND
There are situations of short stature, with a normal stimulus test for GH, but decreased nocturnal secretion in which there could be a benefit with GH treatment.
OBJETIVES
To assess adult height and height gain in patients with neurosecretory dysfunction diagnosis treated with growth hormone.
MATERIAL Y METHODS
Longitudinal, retrospective and observational study including 61 patients treated with growth hormone after diagnosis of neurosecretory dysfunction who have already reached adult height. Variables such as adult height gain, growth rate, growth prognosis variation and IGF-I and IGFBP-3 were evaluated. Variables related to a good response in the first year have also been calculated, using the Index of responsiveness (IoR).
RESULTS
GH treatment produces an improvement in growth rate and height, observing an increase in adult height with respect to initial height of 1.15±0.60 SD, height with respect to genetic height of -0.015±0.62 SD and adult height with respect to the initial growth prognosis 0,74±1,13 DE. The IoR in the first year is associated with a greater increase in height in the first year (p=0.000), with a greater adult height (p=0.000) and with a greater gain in adult height compared to its initial height (p=0.039).
CONCLUSIONS
Patients with growth delay due to neurosecretory dysfunction of GH show a good response to treatment with rhGH, observing a significant height gain in their genetic size and improving their initial growth prognosis.
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