1998
DOI: 10.1159/000053082
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Multiple Hormone Resistance in Short Children Born with Intrauterine Growth Retardation?

Abstract: Intrauterine growth retardation (IUGR) is encountered in 2.5% (–2 SD) of newborns. Lack of postnatal catch-up growth is found in 8–20%. If GH secretion is increased early postnatally in IUGR, then some persistently short IUGR children may present with GH insufficiency. However, the mechanism of postnatal catch-up growth is heterogenous. The response to GH treatment with regard to plasma IGF-1, GH dose and growth velocity was analyzed in persistently short idiopathic IUGR children and compared to GH-deficient (… Show more

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Cited by 34 publications
(25 citation statements)
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“…However, while some studies report GHD and decreased plasma IGF-I concentrations (Woodall et al 1996, Albertsson-Wikland et al 1998, others report resistance to GH, IGF-I and/or insulin in the presence of normal GH, IGF-I and insulin profiles (Gluckman & Harding 1997, Chatelain et al 1998. Furthermore, it has been shown that GH secretion, either spontaneous or evoked, is blunted in obesity (Scacchi et al 1999).…”
Section: Discussionmentioning
confidence: 99%
“…However, while some studies report GHD and decreased plasma IGF-I concentrations (Woodall et al 1996, Albertsson-Wikland et al 1998, others report resistance to GH, IGF-I and/or insulin in the presence of normal GH, IGF-I and insulin profiles (Gluckman & Harding 1997, Chatelain et al 1998. Furthermore, it has been shown that GH secretion, either spontaneous or evoked, is blunted in obesity (Scacchi et al 1999).…”
Section: Discussionmentioning
confidence: 99%
“…The primary hormonal regulators of postnatal growth are growth hormone (GH) and insulin-like growth factor-I (IGF-I), whereby the growth capacity of peripheral tissues appears to depend on the response to GH, hepatic IGF-I and locally synthesized IGF-I (D' Ercole et al 1984, Cohick & Clemmons 1993. Subnormal GH secretion and reduced IGF-I levels are described in a subset of short IUGR children (ThieriotPrevost et al 1988, De Waal et al 1994, AlbertssonWikland et al 1998; however, GH resistance may also play a role in the inability to grow properly after IUGR (Gluckman & Harding 1997, Chatelain et al 1998.…”
Section: Introductionmentioning
confidence: 99%
“…However, despite being shorter and thinner, the IGF-I levels in our short SGA children were not lower compared with short normal-birthweight controls. It has been suggested that short SGA children may have a degree of IGF-I resistance as higher basal and GH-induced IGF-I levels are required to achieve a growth velocity similar to that of other children (40). Relative IGF-I resistance at the pituitary could contribute to the elevated GH secretion seen in our short SGA children, and would also be compatible with the observation that supra-physiologic GH doses are required to significantly improve final height prognosis in short SGA children (41)(42)(43).…”
mentioning
confidence: 99%