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Changes in bone mineral density and body composition in children with central precocious puberty and early puberty before and after one year of treatment with GnRH agonist.

Authors
Ko, JH; Lee, HS; Lim, JS; Kim, SM; Hwang, JS
Citation
Hormone research in paediatrics, 75(3):174-179, 2011
Journal Title
Hormone research in paediatrics
ISSN
1663-28181663-2826
Abstract
BACKGROUND/AIMS: Much concern has been raised and debated on the effects of obesity and bone mineral density (BMD) after treatment with GnRH agonist. The aim of this study was to assess BMD and body composition, especially percent body fat (%FM) based on dual-energy X-ray absorptiometry (DEXA), before and after 1 year of treatment with GnRH agonist in Korean girls.



METHODS: We assessed BMD and body composition in 121 Korean girls with precocious puberty before and after 1 year of treatment with GnRH agonist. BMD and body composition values were measured by using DEXA.



RESULTS: The BMD standard deviation score of each region of interest for chronological age (CA) were higher than zero, but lower than zero for bone age (BA) at baseline and the gap was decreased after 1 year of GnRH agonist treatment. The fat mass (FM) and %FM for both CA and BA were significantly higher than zero at baseline. After GnRH agonist treatment, FM and %FM decreased for CA, but increased for BA.



CONCLUSION: Pituitary-gonadal axis suppression by GnRH agonist does not reverse the progression of bone mass acquisition and does not increase the prevalence of obesity in Korean children with precocious puberty.
MeSH terms
Absorptiometry, PhotonAdiposityAge Determination by SkeletonAgingBody Composition/*drug effectsBody Mass IndexBone Density/*drug effectsBone Resorption/complications/epidemiologyChildChild, PreschoolFemaleGonadotropin-Releasing Hormone/adverse effects/*agonistsHumansMedical RecordsObesity/complications/epidemiologyPrevalencePuberty, Precocious/complications/*drug therapyRepublic of Korea/epidemiologyRetrospective Studies
DOI
10.1159/000320039
PMID
20881364
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Pediatrics & Adolescent Medicine
AJOU Authors
황, 진순
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