Association between Insulin-Like Growth Factor-1 and Relative Skeletal Maturation: A Retrospective Cohort Study of Short Children and Adolescents
Table 1
Clinical and laboratory characteristics of the subjects.
Variable
Total
Delayed bone age
Normal bone age
Number (%)
783 (100%)
457 (58.37%)
326 (41.63%)
—
GH treatment (%)
229 (100%)
135 (58.95%)
94 (41.05%)
—
Sex (male %)
553 (70.63%)
342 (74.84%)
211 (64.72%)
0.002
Chronological age (years)
<0.001
Bone age (years)
<0.001
BA-CA (years)
-1.98 (-2.84–-1.28)
-2.70 (-3.32–-2.22)
-1.09 (-1.43–-0.59)
<0.001
Height (cm)
<0.001
Height SDS
0.007
Body weight (kg)
<0.001
BMI (kg/m2)
<0.001
BMI SDS
0.005
IGF-1 (ng/ml)
164.00 (92.30-253.50)
128.50 (76.62-196.00)
232.00 (139.00-340.00)
<0.001
IGF-1 SDS
-1.03 (-1.86–-0.19)
-1.21 (-1.93–-0.52)
-0.58 (-1.63-0.35)
<0.001
FT3 (pmol/l)
0.306
FT4 (pmol/l)
0.261
TSH (mIU/l)
0.178
ALP (U/l)
<0.001
E2 (pg/ml)
18.15 (11.80-26.31)
16.64 (11.80-23.41)
20.80 (13.48-28.66)
<0.001
T (pg/ml)
0.23 (0.12-0.47)
0.20 (0.10-0.32)
0.29 (0.16-0.97)
<0.001
FSH (mIU/ml)
2.34 (1.01-3.96)
1.75 (0.73-3.43)
3.14 (1.78-4.68)
0.011
LH (mIU/ml)
0.22 (0.10-1.40)
0.10 (0.04-0.94)
0.82 (0.10-1.99)
<0.001
Pubertal stage
<0.001
In prepuberty (%)
579 (73.95%)
385 (84.25%)
194 (59.51%)
In puberty (%)
204 (26.05%)
72 (15.75%)
132 (40.49%)
Abbreviations: GH: growth hormone; BA-CA: bone age-chronological age; height SDS: height standard deviation scores; BMI: body mass index; BMI SDS: body mass index standard deviation scores; IGF-1: insulin-like growth factor-1; IGF-1 SDS: insulin-like growth factor-1 standard deviation scores; FT3: triiodothyronine; FT4: free thyroxine; TSH: thyrotrophic hormone; ALP: alkaline phosphatase; E2: estradiol; T: testosterone; FSH: follicle stimulating hormone; LH: luteinizing hormone. Delayed BA group was defined as , and normal BA group was defined as . Normal distribution of data was presented as ; nonnormal distribution of data was presented as median (interquartile range) and categorical data using number (percentage). is considered to be statistically significant.