Effect of Pubertal Suppression on Linear Growth and Body Mass Index; a Two-Year Follow-Up in Girls with Genetic Short Stature and Rapidly Progressive Puberty

Zohreh  Karamizadeh; Anis  Amirhakimi; Gholamhossein  Amirhakimi

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

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Effect of Pubertal Suppression on Linear Growth and Body Mass Index; a Two-Year Follow-Up in Girls with Genetic Short Stature and Rapidly Progressive Puberty

Author(s):

Zohreh Karamizadeh¹,

Anis Amirhakimi^2,*,

Gholamhossein Amirhakimi³

IJ Pediatrics:Vol. 24, issue 3; 293-299

Published online:May 16, 2014

Article type:Research Article

Received:Sep 25, 2013

Accepted:Apr 28, 2014

How to Cite:Zohreh KaramizadehAnis AmirhakimiGholamhossein AmirhakimiEffect of Pubertal Suppression on Linear Growth and Body Mass Index; a Two-Year Follow-Up in Girls with Genetic Short Stature and Rapidly Progressive Puberty.Iran J Pediatr.24(3):293-299.

Abstract

Objective: Gonadotropin-Releasing Hormone agonists (GnRHa) are used to improve the final adult height in short stature children. There are limited studies which address the potential side effect of these agents: excessive weight gain. We have followed girls with rapidly progressive puberty receiving GnRHa and results were focused on the effect of treatment on final height, weight and body mass indexMethods: Thirty girls between 8.5 and 12 years with short stature and predicted adult height of less than 155 cm were enrolled in the study. All had rapidly progressive puberty. Weight and height measurements were done at the beginning of treatment, 6 and 12 months after starting and 6 and 12 months after the cessation of treatment. Bone age and stages of puberty were estimated at the beginning of treatment, after 12 months of starting and 12 months after the treatment was stopped.Findings: Predicted adult height (PAH) changes during treatment were not significant. There was no significant difference between final height and weight according to the body mass index (BMI), PAH or bone age.Conclusion: We conclude that girls with genetic short stature and rapidly progressive puberty will not benefit receiving a one-year course of GnRHa and there is no significant difference between the final height and final weigh among children according to BMI.

Keywords

Short Stature

Puberty

Gonadotropin Releasing Hormone Agonists

Body Mass Index

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