Research Article

Relationship between IGF-I Concentration and Metabolic Profile in Children with Growth Hormone Deficiency: The Influence of Children’s Nutritional State as well as the Ghrelin, Leptin, Adiponectin, and Resistin Serum Concentrations

Table 3

Auxological data and hormonal tests results in GHD children with lower IGF-I bioavailability and in GHD children with higher IGF-I bioavailability.

GHD children with lower IGF-I bioavailabilityGHD children with higher IGF-I bioavailability

Number of children (girls/boys)14 (6/8)12 (5/7)
Chronological age (years)10.24 ± 2.3711.99 ± 2.42
Height SDS−2.42 ± 0.48−2.66 ± 0.63
BMI (kg/m2)16.54 ± 2.53b20.65 ± 3.51b
BMI SDS for CA−0.21 ± 1.43d0.99 ± 1.31d
BMI SDS for HA0.13 ± 1.44c1.81 ± 1.55c
GHmax after clonidine (ng/ml)7.06 ± 1.887.64 ± 1.80
GHmax after glucagon (ng/ml)4.50 ± 1.56d7.33 ± 2.85d
GHmax during nocturnal profile8.83 ± 5.417.34 ± 3.53
IGF-I (ng/ml)133.33 ± 54.22a243.50 ± 77.79a
IGF-I SDS−1.79 ± 0.63b−0.67 ± 0.79b
IGFBP-3 (μg/ml)4.46 ± 1.174.52 ± 1.42
IGF-I/IGFBP-3 molar ratio0.16 ± 0.07b0.32 ± 0.11b
Triglicerides (mg/dl)68.14 ± 28.34d96.30 ± 34.32d
Total cholesterol (mg/dl)169.89 ± 31.15173.18 ± 37.46
LDL cholesterol (mg/dl)105.43 ± 22.1689.78 ± 36.92
HDL cholesterol (mg/dl)62.17 ± 13.9559.00 ± 14.98
Ghrelin (pg/ml)1648.95 ± 657.60d1005.64 ± 640.44d
Leptin (ng/ml)9.82 ± 8.2016.06 ± 13.93
Adiponectin (ng/ml)23.72 ± 6.3d15.06 ± 6.18d
Resistin (ng/ml)8.70 ± 2.5110.11 ± 3.18
Glucose 0′ (mg/dl)84.86 ± 4.4983.90 ± 10.00
Insulin 0′ (uIU/ml)5.92 ± 4.43d9.07 ± 3.63d
IRI HOMA1.36 ± 1.04d1.93 ± 0.94d

Data are presented as the means ± SD. GHD: growth hormone deficiency; SDS: standard deviation score; BMI: body mass index; CA: chronological age; HA: height age; IGF-I: insulin-like growth factor I; IGFBP-3: insulin-like growth factor binding protein 3; LDL-cholesterol: low density lipoprotein-cholesterol; HDL-cholesterol: high density lipoprotein-cholesterol; IRI HOMA: insulin resistance index according to homeostasis model assessment. In the individual rows of the table, the variables designated with the same letters differ significantly from each other with a, b, c, and d. One-way analysis of variance (ANOVA) was used for group comparison.