Comparison between the growth response to growth hormone (GH) therapy in children with partial GH insensitivity or mild GH deficiency

Objectives: GH therapy is still controversial, except in severe GH deficiency (SGHD). The objective of this study was to compare the response to growth hormone (GH) therapy in children with partial GH insensitivity (PGHIS) and mild GH deficiency (MGHD) with those with SGHD.Subjects and methods: Fifteen PGHIS, 11 MGHD, and 19 SGHD subjects, followed up for more than one year in the Brazilian public care service, were evaluated regarding anthropometric and laboratory data at the beginning of treatment, after one year (1 st year) on treatment, and at the last assessment (up to ten years in SGHD, up to four years in MGHD, and up to eight years in PGHIS).Results: Initial height standard deviation score (SDS) in SGHD was lower than in MGHD and PGHIS. Although the increase in 1 st year height SDS in comparison to initial height SDS was not different among the groups, height-SDS after the first year of treatment remained lower in SGHD than in MGHD. There was no difference in height-SDS at the last assessment of the children among the three groups. GH therapy, in the entire period of observation, caused a trend towards lower increase in height SDS in PGHIS than SGHD but similar increases were observed in MGHD and SGHD.Conclusion: GH therapy increases height in PGHIS and produces similar height effects in MGHD and SGHD.

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Main Authors: Cardoso,Daniela F., Martinelli Jr.,Carlos Eduardo, Campos,Viviane C., Gomes,Elenilde S., Rocha,Ívina E. S., Oliveira,Carla R. P., Vicente,Taisa A. R., Pereira,Rossana M. C., Pereira,Francisco A., Cartaxo,Carla K. A., Milani,Soraya L. S., Oliveira,Mario C. P., Melo,Enaldo V., Oliveira,Andre L. P., Aguiar-Oliveira,Manuel H.
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Endocrinologia e Metabologia 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302014000100023
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spelling oai:scielo:S0004-273020140001000232014-03-28Comparison between the growth response to growth hormone (GH) therapy in children with partial GH insensitivity or mild GH deficiencyCardoso,Daniela F.Martinelli Jr.,Carlos EduardoCampos,Viviane C.Gomes,Elenilde S.Rocha,Ívina E. S.Oliveira,Carla R. P.Vicente,Taisa A. R.Pereira,Rossana M. C.Pereira,Francisco A.Cartaxo,Carla K. A.Milani,Soraya L. S.Oliveira,Mario C. P.Melo,Enaldo V.Oliveira,Andre L. P.Aguiar-Oliveira,Manuel H. Idiopathic short stature growth hormone therapy growth hormone deficiency partial GH insensitivity Objectives: GH therapy is still controversial, except in severe GH deficiency (SGHD). The objective of this study was to compare the response to growth hormone (GH) therapy in children with partial GH insensitivity (PGHIS) and mild GH deficiency (MGHD) with those with SGHD.Subjects and methods: Fifteen PGHIS, 11 MGHD, and 19 SGHD subjects, followed up for more than one year in the Brazilian public care service, were evaluated regarding anthropometric and laboratory data at the beginning of treatment, after one year (1 st year) on treatment, and at the last assessment (up to ten years in SGHD, up to four years in MGHD, and up to eight years in PGHIS).Results: Initial height standard deviation score (SDS) in SGHD was lower than in MGHD and PGHIS. Although the increase in 1 st year height SDS in comparison to initial height SDS was not different among the groups, height-SDS after the first year of treatment remained lower in SGHD than in MGHD. There was no difference in height-SDS at the last assessment of the children among the three groups. GH therapy, in the entire period of observation, caused a trend towards lower increase in height SDS in PGHIS than SGHD but similar increases were observed in MGHD and SGHD.Conclusion: GH therapy increases height in PGHIS and produces similar height effects in MGHD and SGHD.info:eu-repo/semantics/openAccessSociedade Brasileira de Endocrinologia e MetabologiaArquivos Brasileiros de Endocrinologia & Metabologia v.58 n.1 20142014-02-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302014000100023en10.1590/0004-2730000002793
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language English
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author Cardoso,Daniela F.
Martinelli Jr.,Carlos Eduardo
Campos,Viviane C.
Gomes,Elenilde S.
Rocha,Ívina E. S.
Oliveira,Carla R. P.
Vicente,Taisa A. R.
Pereira,Rossana M. C.
Pereira,Francisco A.
Cartaxo,Carla K. A.
Milani,Soraya L. S.
Oliveira,Mario C. P.
Melo,Enaldo V.
Oliveira,Andre L. P.
Aguiar-Oliveira,Manuel H.
spellingShingle Cardoso,Daniela F.
Martinelli Jr.,Carlos Eduardo
Campos,Viviane C.
Gomes,Elenilde S.
Rocha,Ívina E. S.
Oliveira,Carla R. P.
Vicente,Taisa A. R.
Pereira,Rossana M. C.
Pereira,Francisco A.
Cartaxo,Carla K. A.
Milani,Soraya L. S.
Oliveira,Mario C. P.
Melo,Enaldo V.
Oliveira,Andre L. P.
Aguiar-Oliveira,Manuel H.
Comparison between the growth response to growth hormone (GH) therapy in children with partial GH insensitivity or mild GH deficiency
author_facet Cardoso,Daniela F.
Martinelli Jr.,Carlos Eduardo
Campos,Viviane C.
Gomes,Elenilde S.
Rocha,Ívina E. S.
Oliveira,Carla R. P.
Vicente,Taisa A. R.
Pereira,Rossana M. C.
Pereira,Francisco A.
Cartaxo,Carla K. A.
Milani,Soraya L. S.
Oliveira,Mario C. P.
Melo,Enaldo V.
Oliveira,Andre L. P.
Aguiar-Oliveira,Manuel H.
author_sort Cardoso,Daniela F.
title Comparison between the growth response to growth hormone (GH) therapy in children with partial GH insensitivity or mild GH deficiency
title_short Comparison between the growth response to growth hormone (GH) therapy in children with partial GH insensitivity or mild GH deficiency
title_full Comparison between the growth response to growth hormone (GH) therapy in children with partial GH insensitivity or mild GH deficiency
title_fullStr Comparison between the growth response to growth hormone (GH) therapy in children with partial GH insensitivity or mild GH deficiency
title_full_unstemmed Comparison between the growth response to growth hormone (GH) therapy in children with partial GH insensitivity or mild GH deficiency
title_sort comparison between the growth response to growth hormone (gh) therapy in children with partial gh insensitivity or mild gh deficiency
description Objectives: GH therapy is still controversial, except in severe GH deficiency (SGHD). The objective of this study was to compare the response to growth hormone (GH) therapy in children with partial GH insensitivity (PGHIS) and mild GH deficiency (MGHD) with those with SGHD.Subjects and methods: Fifteen PGHIS, 11 MGHD, and 19 SGHD subjects, followed up for more than one year in the Brazilian public care service, were evaluated regarding anthropometric and laboratory data at the beginning of treatment, after one year (1 st year) on treatment, and at the last assessment (up to ten years in SGHD, up to four years in MGHD, and up to eight years in PGHIS).Results: Initial height standard deviation score (SDS) in SGHD was lower than in MGHD and PGHIS. Although the increase in 1 st year height SDS in comparison to initial height SDS was not different among the groups, height-SDS after the first year of treatment remained lower in SGHD than in MGHD. There was no difference in height-SDS at the last assessment of the children among the three groups. GH therapy, in the entire period of observation, caused a trend towards lower increase in height SDS in PGHIS than SGHD but similar increases were observed in MGHD and SGHD.Conclusion: GH therapy increases height in PGHIS and produces similar height effects in MGHD and SGHD.
publisher Sociedade Brasileira de Endocrinologia e Metabologia
publishDate 2014
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302014000100023
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