Final height after gonadotrophin releasing hormone agonist treatment for central precocious puberty:: The Dutch experience

被引:46
|
作者
Mul, D
Oostdijk, W
Otten, BJ
Rouwé, C
Jansen, M
Delemarre-van de Waal, HA
Waelkens, JJJ
Drop, SLS
机构
[1] Erasmus Univ, Med Ctr, Sophia Childrens Hosp, NL-3000 CB Rotterdam, Netherlands
[2] Leiden Univ, Med Ctr, Leiden, Netherlands
[3] Univ Nijmegen St Radboud Hosp, NL-6500 HB Nijmegen, Netherlands
[4] Univ Groningen Hosp, Groningen, Netherlands
[5] Univ Utrecht Hosp, Wilhelmina Childrens Hosp, Utrecht, Netherlands
[6] Free Univ Amsterdam, Acad Hosp, Amsterdam, Netherlands
[7] Catharina Hosp, Eindhoven, Netherlands
关键词
final height; GnRHa treatment; discontinuation; central precocious puberty; predicted adult height;
D O I
10.1515/JPEM.2000.13.S1.765
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Final height (FH) data of 96 children (87 girls) treated with GnRH agonist for central precocious puberty were studied. In girls mean FH exceeded initial height prediction by 7.4 (5.7) cm (p < 0.001); FH was significantly lower than target height, but still in the genetic target range. When treatment started < 6 years of age, height gain was significantly higher than when started > 8 years of age. Bone age (BA) and chronological age (CA) at start of treatment, as well as BA advance at cessation of treatment, were the most important variables influencing height gain in multiple regression analysis. BA advance at start of treatment was most important in simple correlation. In girls, GnRHa treatment seems to restore FH into the target range. A younger age and advanced bone age at start of treatment are associated with more height gain from GnRHa treatment.
引用
收藏
页码:765 / 772
页数:8
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