Effect of growth hormone on height, weight, and body composition in Prader-Willi syndrome

AIMS To evaluate the effect of the administration of growth hormone on stature, body weight, and body composition in children aged between 4 and 10 years with Prader-Willi syndrome. METHODS Height, weight, and skinfold thickness were recorded in 25 children using standard anthropometric techniques a...

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Veröffentlicht in:Archives of disease in childhood 1998-05, Vol.78 (5), p.474-476
Hauptverfasser: Davies, P S W, Evans, S, Broomhead, S, Clough, H, Day, J M E, Laidlaw, A, Barnes, N D
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container_end_page 476
container_issue 5
container_start_page 474
container_title Archives of disease in childhood
container_volume 78
creator Davies, P S W
Evans, S
Broomhead, S
Clough, H
Day, J M E
Laidlaw, A
Barnes, N D
description AIMS To evaluate the effect of the administration of growth hormone on stature, body weight, and body composition in children aged between 4 and 10 years with Prader-Willi syndrome. METHODS Height, weight, and skinfold thickness were recorded in 25 children using standard anthropometric techniques at recruitment, and six months later, shortly before the start of daily subcutaneous injections of growth hormone. Body composition was assessed via a measurement of total body water using stable isotopes. Measurements were repeated at the end of the six months of growth hormone administration. Measurements of height, weight, and skinfold thickness were expressed as standard deviation scores (SDSs). RESULTS There was a significant reduction in the percentage of body fat after growth hormone treatment; height velocity doubled during treatment; body weight did not change significantly when expressed as an SDS. Skinfold thickness at both the triceps and subscapular site decreased in absolute terms and when expressed as an SDS. CONCLUSIONS These results indicate sufficient potential benefit to justify a more prolonged trial of growth hormone treatment and an exploration of different dosage regimens in children with Prader-Willi syndrome.
doi_str_mv 10.1136/adc.78.5.474
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METHODS Height, weight, and skinfold thickness were recorded in 25 children using standard anthropometric techniques at recruitment, and six months later, shortly before the start of daily subcutaneous injections of growth hormone. Body composition was assessed via a measurement of total body water using stable isotopes. Measurements were repeated at the end of the six months of growth hormone administration. Measurements of height, weight, and skinfold thickness were expressed as standard deviation scores (SDSs). RESULTS There was a significant reduction in the percentage of body fat after growth hormone treatment; height velocity doubled during treatment; body weight did not change significantly when expressed as an SDS. Skinfold thickness at both the triceps and subscapular site decreased in absolute terms and when expressed as an SDS. CONCLUSIONS These results indicate sufficient potential benefit to justify a more prolonged trial of growth hormone treatment and an exploration of different dosage regimens in children with Prader-Willi syndrome.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.78.5.474</identifier><identifier>PMID: 9659098</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Age ; Biological and medical sciences ; Body composition ; Body Composition - drug effects ; Body fat ; Body Height - drug effects ; Body weight ; Body Weight - drug effects ; Child ; Child, Preschool ; Children &amp; youth ; Drinking water ; Drug Administration Schedule ; Endocrinopathies ; Expected values ; Female ; Follow-Up Studies ; General aspects. Associated endocrine diseases. Endocrine paraneoplasic syndromes ; Growth - drug effects ; growth hormone ; Growth hormones ; Human Growth Hormone - therapeutic use ; Humans ; Male ; Medical sciences ; Multiple Regression Analysis ; Obesity ; Original ; Pituitary gland ; Prader-Willi syndrome ; Prader-Willi Syndrome - drug therapy ; Prader-Willi Syndrome - physiopathology ; Recruitment ; Skinfold Thickness ; Stable isotopes ; Urine</subject><ispartof>Archives of disease in childhood, 1998-05, Vol.78 (5), p.474-476</ispartof><rights>Royal College of Paediatrics and Child Health</rights><rights>1998 INIST-CNRS</rights><rights>Copyright: 1998 Royal College of Paediatrics and Child Health</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b506t-4cd7bbc4dc00050b8678060a3b7c0ab5ac45aee868275706af7a32a8827d58103</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1717576/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1717576/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2233805$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9659098$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davies, P S W</creatorcontrib><creatorcontrib>Evans, S</creatorcontrib><creatorcontrib>Broomhead, S</creatorcontrib><creatorcontrib>Clough, H</creatorcontrib><creatorcontrib>Day, J M E</creatorcontrib><creatorcontrib>Laidlaw, A</creatorcontrib><creatorcontrib>Barnes, N D</creatorcontrib><title>Effect of growth hormone on height, weight, and body composition in Prader-Willi syndrome</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>AIMS To evaluate the effect of the administration of growth hormone on stature, body weight, and body composition in children aged between 4 and 10 years with Prader-Willi syndrome. METHODS Height, weight, and skinfold thickness were recorded in 25 children using standard anthropometric techniques at recruitment, and six months later, shortly before the start of daily subcutaneous injections of growth hormone. Body composition was assessed via a measurement of total body water using stable isotopes. Measurements were repeated at the end of the six months of growth hormone administration. Measurements of height, weight, and skinfold thickness were expressed as standard deviation scores (SDSs). RESULTS There was a significant reduction in the percentage of body fat after growth hormone treatment; height velocity doubled during treatment; body weight did not change significantly when expressed as an SDS. Skinfold thickness at both the triceps and subscapular site decreased in absolute terms and when expressed as an SDS. CONCLUSIONS These results indicate sufficient potential benefit to justify a more prolonged trial of growth hormone treatment and an exploration of different dosage regimens in children with Prader-Willi syndrome.</description><subject>Age</subject><subject>Biological and medical sciences</subject><subject>Body composition</subject><subject>Body Composition - drug effects</subject><subject>Body fat</subject><subject>Body Height - drug effects</subject><subject>Body weight</subject><subject>Body Weight - drug effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children &amp; youth</subject><subject>Drinking water</subject><subject>Drug Administration Schedule</subject><subject>Endocrinopathies</subject><subject>Expected values</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects. Associated endocrine diseases. 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METHODS Height, weight, and skinfold thickness were recorded in 25 children using standard anthropometric techniques at recruitment, and six months later, shortly before the start of daily subcutaneous injections of growth hormone. Body composition was assessed via a measurement of total body water using stable isotopes. Measurements were repeated at the end of the six months of growth hormone administration. Measurements of height, weight, and skinfold thickness were expressed as standard deviation scores (SDSs). RESULTS There was a significant reduction in the percentage of body fat after growth hormone treatment; height velocity doubled during treatment; body weight did not change significantly when expressed as an SDS. Skinfold thickness at both the triceps and subscapular site decreased in absolute terms and when expressed as an SDS. CONCLUSIONS These results indicate sufficient potential benefit to justify a more prolonged trial of growth hormone treatment and an exploration of different dosage regimens in children with Prader-Willi syndrome.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>9659098</pmid><doi>10.1136/adc.78.5.474</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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subjects Age
Biological and medical sciences
Body composition
Body Composition - drug effects
Body fat
Body Height - drug effects
Body weight
Body Weight - drug effects
Child
Child, Preschool
Children & youth
Drinking water
Drug Administration Schedule
Endocrinopathies
Expected values
Female
Follow-Up Studies
General aspects. Associated endocrine diseases. Endocrine paraneoplasic syndromes
Growth - drug effects
growth hormone
Growth hormones
Human Growth Hormone - therapeutic use
Humans
Male
Medical sciences
Multiple Regression Analysis
Obesity
Original
Pituitary gland
Prader-Willi syndrome
Prader-Willi Syndrome - drug therapy
Prader-Willi Syndrome - physiopathology
Recruitment
Skinfold Thickness
Stable isotopes
Urine
title Effect of growth hormone on height, weight, and body composition in Prader-Willi syndrome
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