Korean J Pediatr.  2010 Oct;53(10):892-897. 10.3345/kjp.2010.53.10.892.

Prevalence and risk factors of the metabolic syndrome in young adults with childhood-onset hypopituitary growth hormone deficiency

• Lim HH
• Kang MJ
• Yun IS
• Lee YA
• Shin CH
• Yang SW

• KMID: 2011553
• DOI: http://doi.org/10.3345/kjp.2010.53.10.892

Abstract

PURPOSE
This study evaluated the prevalence of the metabolic syndrome (MetS) and risk factors for metabolic derangement in young adults with childhood-onset hypopituitary growth hormone deficiency (ACOHGHD).
METHODS
Thirty patients with ACOHGHD who were treated with hormone-replacement therapy, aged 18 to 29 years, who visited the Seoul National University Children's Hospital between September 2009 and February 2010 were enrolled. Height, weight, waist circumference, hip circumference, and blood pressure were measured, and the clinical and hormonal features were reviewed retrospectively. We evaluated measures of metabolic derangement in the enrolled patients and in the data of healthy adults aged 20 to 29 years taken from the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) as part of the National Cholesterol Education Program-the Adult Treatment Panel III.
RESULTS
Compared with the KNHANES participants, patients with ACOHGHD had significantly large waist circumference (men and women), high systolic blood pressure (BP) (women) and diastolic BP (men), and high serum triglyceride levels (women). The duration of illness correlated significantly with central obesity (r2=0.546, P=0.003). The prevalence of MetS was 10% in patients with ACOHGHD and 2.3% in KNHANES participants. The prevalence of central obesity and MetS was higher in patients with ACOHGHD than in KNHANES participants (P<0.001 and P=0.042, respectively).
CONCLUSION
Abdominal obesity correlated with the duration of illness in patients with ACOHGHD. Waist circumference should be measured in the clinic to prevent MetS, particularly in patients with a long history of ACOHGHD, regardless of age or sex.

Keyword

Hypopituitarism; Growth hormone deficiency; Metabolic syndrome; Child

MeSH Terms

Adult
Aged
Blood Pressure
Child
Cholesterol
Growth Hormone
Hip
Humans
Hypopituitarism
Nutrition Surveys
Obesity, Abdominal
Prevalence
Retrospective Studies
Risk Factors
Waist Circumference
Young Adult
Cholesterol
Growth Hormone