Mental and motor development before and during growth hormone treatment in infants and toddlers with Prader-Willi syndrome
Summary Background Prader–Willi syndrome (PWS) is a neurogenetic disorder characterized by muscular hypotonia, psychomotor delay, feeding difficulties and failure to thrive in infancy. GH treatment improves growth velocity and body composition. Research on the effects of GH on psychomotor developme...
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Published in | Clinical endocrinology (Oxford) Vol. 68; no. 6; pp. 919 - 925 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Publishing Ltd
01.06.2008
Blackwell |
Subjects | |
Online Access | Get full text |
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Summary: | Summary
Background Prader–Willi syndrome (PWS) is a neurogenetic disorder characterized by muscular hypotonia, psychomotor delay, feeding difficulties and failure to thrive in infancy. GH treatment improves growth velocity and body composition. Research on the effects of GH on psychomotor development in infants with PWS is limited.
Objective To evaluate psychomotor development in PWS infants and toddlers during GH treatment compared to randomized controls.
Design/patients Forty‐three PWS infants were evaluated at baseline. Twenty‐nine of them were randomized into a GH group (n = 15) receiving 1 mg/m2/day GH or a non‐GH‐treated control group (n = 14). At baseline and after 12 months of follow‐up, analysis with Bayley Scales of Infant Development II (BSID‐II) was performed. Data were converted to percentage of expected development for age (%ed), and changes during follow‐up were calculated.
Results Infants in the GH group had a median age of 2·3 years [interquartile range (IQR) 1·7–3·0] and in the control group of 1·5 years (IQR 1·2–2·7) (P = 0·17). Both mental and motor development improved significantly during the first year of study in the GH group vs. the control group: median (IQR) change was +9·3% (–5·3 to 13·3) vs.–2·9% (–8·1 to 4·9) (P < 0·05) in mental development and +11·2% (–4·9 to 22·5) vs.–18·5% (–27·9 to 1·8) (P < 0·05) in motor development, respectively.
Conclusion One year of GH treatment significantly improved mental and motor development in PWS infants compared to randomized controls. |
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Bibliography: | istex:A7402CA9DC7B4314A0EE20201823FABA3AB992CE ark:/67375/WNG-1GGQN0KN-8 ArticleID:CEN3126 ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23 |
ISSN: | 0300-0664 1365-2265 1365-2265 |
DOI: | 10.1111/j.1365-2265.2007.03126.x |