Growth Abnormalities in Children with Type 1 Diabetes, Juvenile Chronic Arthritis, and Asthma
Table 1
Main factors associated with the development and progression of bone alterations in children and adolescents with type 1 diabetes, juvenile idiopathic arthritis, and asthma.
Type 1 Diabetes
Juvenile Idiopathic Arthritis
Asthma
(i) Gender (ii) Age at diagnosis (iii) Puberty (iv) Metabolic control (v) Insulin schedules adopted (vi) GH, IGFs, and IGFBPs circulating levels
(i) Degree, extent, and duration of the disease (ii) Age at onset (iii) Corticosteroid treatment (iv) Undernutrition (v) Reduced physical activity (vi) Proinflammatory cytokine levels (interleukin-1, tumor necrosis factor-, and interleukin-6) (vii) Vitamin D metabolites (viii) Sex steroids (ix) Parathyroid hormone-related peptide (x) Fibroblast growth factor (xi) Bone morphogenic proteins (xii) Transforming growth factor superfamily proteins
(i) Age at diagnosis (ii) Duration and severity of the disease (iii) Chest deformity (iv) Hypoxemia (v) Impaired pulmonary function (vi) Enhanced metabolic demands of increased work of breathing (vii) Allergic processes