Treatment of overweight and obese girls experiencing central precocious puberty: a comparison of the effectiveness of leuprolide acetate and triptorelin pamoate.

IF 3.3 Q3 ENDOCRINOLOGY & METABOLISM
Thanaporn Thaneetrakool, Suphab Aroonparkmongkol, Krittamate Chatdamrongsakool, Nattakarn Numsriskulrat, Vichit Supornsilchai, Suttipong Wacharasindhu, Khomsak Srilanchakon
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引用次数: 0

Abstract

Purpose: Gonadotropin-releasing hormone agonists are the standard treatment for central precocious puberty (CPP). These agonists include leuprolide acetate and triptorelin pamoate, but research data for the relative effectiveness of these 2 treatments in overweight and obese girls experiencing CPP are lacking. In this study, we compared the effectiveness of these 2 therapeutics, leuprolide acetate and triptorelin pamoate, in the treatment of overweight and obese girls affected by CPP.

Methods: We enrolled 69 overweight and obese girls with CPP in this retrospective cohort study and classified these participants according to their baseline body mass index (BMI) status, BMI≥1 standard deviation scoer. Leuprolide acetate was administered to 48 of the participants, and the other 21 were treated with triptorelin pamoate. The anthropometric measurements were compared at the beginning and conclusion of the therapy, and luteinizing hormone (LH) suppression levels were assessed 6 months following the completion of treatment.

Results: Leuprolide acetate and triptorelin pamoate substantially suppressed LH when administered to overweight and obese girls with CPP. The predicted adult height (PAH) at the conclusion of treatment was comparable between the 2 groups.

Conclusion: There was no significant difference in the level of LH suppression and PAH between the 2 groups, overweight and obese girls with CPP treated with leuprolide acetate and those treated with triptorelin pamoate.

Abstract Image

治疗出现中枢性性早熟的超重和肥胖女孩:醋酸leuprolide和左肾上腺素的疗效比较
目的:促性腺激素释放激素激动剂是中枢性性性早熟(CPP)的标准治疗方法。这些激动剂包括醋酸leuprolide和triptorelin pamoate,但缺乏关于这两种治疗方法在患有CPP的超重和肥胖女孩中的相对有效性的研究数据。在这项研究中,我们比较了这两种治疗方法,醋酸leuprolide和左旋肾上腺素,在治疗超重和肥胖的女孩受CPP影响的有效性。方法:我们招募了69名患有CPP的超重和肥胖女孩进行回顾性队列研究,并根据她们的基线体重指数(BMI)状态、BMI≥1标准差评分对这些参与者进行分类。48名参与者服用醋酸Leuprolide,另外21名接受左旋肾上腺素治疗。在治疗开始和结束时比较人体测量值,并在治疗结束6个月后评估黄体生成素(LH)抑制水平。结果:给超重和肥胖的CPP女孩服用醋酸Leuprolide和triptorelin pamoate可显著抑制LH。两组治疗结束时预测成人身高(PAH)具有可比性。结论:两组超重、肥胖的CPP女孩服用醋酸莱uprolide组与雷普雷林组的LH抑制水平及PAH水平无显著差异。
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来源期刊
CiteScore
4.00
自引率
18.20%
发文量
59
审稿时长
24 weeks
期刊介绍: The Annals of Pediatric Endocrinology & Metabolism Journal is the official publication of the Korean Society of Pediatric Endocrinology. Its formal abbreviated title is “Ann Pediatr Endocrinol Metab”. It is a peer-reviewed open access journal of medicine published in English. The journal was launched in 1996 under the title of ‘Journal of Korean Society of Pediatric Endocrinology’ until 2011 (pISSN 1226-2242). Since 2012, the title is now changed to ‘Annals of Pediatric Endocrinology & Metabolism’. The Journal is published four times per year on the last day of March, June, September, and December. It is widely distributed for free to members of the Korean Society of Pediatric Endocrinology, medical schools, libraries, and academic institutions. The journal is indexed/tracked/covered by web sites of PubMed Central, PubMed, Emerging Sources Citation Index (ESCI), Scopus, EBSCO, EMBASE, KoreaMed, KoMCI, KCI, Science Central, DOI/CrossRef, Directory of Open Access Journals(DOAJ), and Google Scholar. The aims of Annals of Pediatric Endocrinology & Metabolism are to contribute to the advancements in the fields of pediatric endocrinology & metabolism through the scientific reviews and interchange of all of pediatric endocrinology and metabolism. It aims to reflect the latest clinical, translational, and basic research trends from worldwide valuable achievements. In addition, genome research, epidemiology, public education and clinical practice guidelines in each country are welcomed for publication. The Journal particularly focuses on research conducted with Asian-Pacific children whose genetic and environmental backgrounds are different from those of the Western. Area of specific interest include the following : Growth, puberty, glucose metabolism including diabetes mellitus, obesity, nutrition, disorders of sexual development, pituitary, thyroid, parathyroid, adrenal cortex, bone or other endocrine and metabolic disorders from infancy through adolescence.
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