[Prader-Willi syndrome: metabolic aspects related to growth hormone treatment]

Arq Bras Endocrinol Metabol. 2007 Feb;51(1):92-8. doi: 10.1590/s0004-27302007000100015.
[Article in Portuguese]

Abstract

Aim: The focus of this study was to evaluate the metabolic profile of Prader-Willi Syndrome (PWS) patients treated with growth hormone.

Patients and methods: Seven patients (four boys and three girls) with ages between six years and six months and 14 years and 11 months were treated with GH 0.1 U/kg/day subcutaneous by six times a week, for two years. Anthropometric data, lipids, glucose, IGF-I and body composition were evaluated at baseline and after 12 and 24 months.

Results: IGF-I levels increased in all cases. Skin folds decreased. The mean reduction in body fat was 5.0% and the mean increased in lean mass was 7.6 kg in the prepubertal patients. The pubescent girl increased 4.8 kg and showed a 5.6% decrease in fat mass. A mean gain in the bone mass was 0.07 g/cm(2) (7.3%) in prepubescent cases, and 0.02 g/cm(2) (2.0%) in the pubescent girl.

Conclusion: In our study GH treatment improved lean body and bone masses and had beneficial effect on lipid values.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adipocytes / metabolism
  • Adipose Tissue / metabolism
  • Adolescent
  • Body Composition / drug effects*
  • Body Composition / physiology
  • Body Mass Index
  • Child
  • Female
  • Human Growth Hormone / adverse effects
  • Human Growth Hormone / therapeutic use*
  • Humans
  • Insulin-Like Growth Factor I / metabolism
  • Lipid Metabolism / drug effects*
  • Male
  • Prader-Willi Syndrome / drug therapy
  • Prader-Willi Syndrome / metabolism*
  • Skinfold Thickness
  • Weight Gain / drug effects

Substances

  • Human Growth Hormone
  • Insulin-Like Growth Factor I