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Old 06-13-2018, 05:40 AM
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rss IGF - Body height in pediatric IBD: a structural equation model analysis.

Body height in pediatric IBD: a structural equation model analysis.

Eur J Clin Invest. 2018 Jun 12;:e12969

Authors: Chouliaras G, Mantzou A, Margoni D, Tsilifis N, Pervanidou P, Panayotou I, Kanaka-Gantenbein C, Chrousos GP, Roma-Giannikou E

Abstract
BACKGROUND: Linear growth restriction is a unique feature of pediatric inflammatory bowel diseases (IBD) and reduced insulin-like growth factor (IGF-1) is a major determinant of short stature. We aimed to assess factors influencing somatic height in children suffering from IBD.
MATERIALS AND METHODS: This was a retrospective, cross-sectional study conducted after approval by Institutional authorities. Anthropometric data, disease-related factors, biochemical and clinical indices of inflammation and endocrine parameters were recorded and considered as explanatory covariates. A structural equation model analysis was utilised. Somatic height was the outcome of interest and possible associations of explanatory covariates directly or through the mediation effect of IGF-1 were assessed.
RESULTS: Systemic inflammation, as expressed by high sensitivity intereukin-6 (IL-6), and nutritional status described by body mass index (BMI), were the pathways that significantly affected stature through the mediation effect of IGF-1. Cortisol showed a direct, positive and independent of IGF-1 association with height.
CONCLUSIONS: IGF-1 is a key-player in the process that results in impaired linear growth. Malnutrition and systemic inflammation have a restrictive action on growth by reducing circulating IGF-1. The positive relation of serum cortisol to height could correspond to suppressed pituitary-adrenal axis due to long term use of glucocorticoids. This article is protected by copyright. All rights reserved.


PMID: 29893990 [PubMed - as supplied by publisher]



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