4.2 Article

Growth Charts for Prader-Willi Syndrome During Growth Hormone Treatment

Journal

CLINICAL PEDIATRICS
Volume 55, Issue 10, Pages 957-974

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0009922815617973

Keywords

infants; children; genetic subtype; Prader-Willi syndrome; standardized growth curves; growth hormone treatment

Categories

Funding

  1. Prader-Willi Syndrome Association (USA)
  2. Angelman, Rett and Prader-Willi Syndromes Consortium [U54 HD06122]
  3. National Institutes of Health (NIH) Rare Disease Clinical Research Network (RDCRN)
  4. NIH Office of Rare Disease Research (ORDR) at the National Center of Advancing Translational Science (NCATS)
  5. National Institute of Child Health and Human Development (NICHD)

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The purpose of the current study was to develop syndrome-specific standardized growth curves for growth hormone-treated Prader-Willi syndrome (PWS) individuals aged 0 to 18 years. Anthropometric growth-related measures were obtained on 171 subjects with PWS who were treated with growth hormone for at least 40% of their lifespan. They had no history of scoliosis. PWS standardized growth curves were developed for 7 percentile ranges using the LMS method for weight, height, head circumference, weight/length, and BMI along with normative 3rd, 50th, and 97th percentiles plotted using control data from the literature and growth databases. Percentiles were plotted on growth charts for comparison purposes. Growth hormone treatment appears to normalize stature and markedly improves weight in PWS compared with standardized curves for non-growth hormone-treated PWS individuals. Growth chart implications and recommended usage are discussed.

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