Research Article

Metabolic Effects of Recombinant Human Growth Hormone Replacement Therapy on Juvenile Patients after Craniopharyngioma Resection

Table 2

Changes in metabolic parameters for patients with craniopharyngioma after rhGH replacement therapy.

Metabolic parameterGHRT group (n = 30)Control group (n = 12)Change after one year follow-up
Before1-year GHRTBaseline1-year follow-upChange for GHRT groupChange for the control group

BMI (kg/m2)22.61 ± 5.5122.14 ± 5.230.21723.78 ± 5.5024.03 ± 5.820.673−0.47 ± 2.050.25 ± 1.990.350
BMI z-score1.60 ± 1.761.13 ± 1.730.0052.23 ± 1.371.91 ± 1.480.095−0.47 ± 0.84−0.32 ± 0.600.588
Height z-score−1.98 ± 1.70−1.21 ± 1.45≤ 0.001−0.66 ± 1.61−0.35 ± 1.360.3180.56 (0.21∼1.37)0.31 ± 1.030.089
IGF-1 (SD)−2.59 (−2.81∼−2.37)−1.26 (−1.70∼0.18)≤ 0.001−2.57 (−2.61∼−1.57)−1.99 ± 0.560.1821.36 (1.04∼2.30)0.25 ± 0.53≤ 0.001
ALT (U/L)26.50 (17.00∼98.00)18.00 (13.0∼26.48)≤ 0.00126.58 ± 8.7542.58 ± 24.590.039−7.00 (−32.5∼−2.0)16.00 ± 23.620.001
AST (U/L)36.00 (28.00∼65.00)29.40 (23.00∼35.00)≤ 0.00130.00 (27.25∼41.50)36.42 ± 9.990.610−7.50 (−43.50∼−9.00)1.17 ± 9.710.007
GGT (U/L)22.00 (14.50∼45.00)18.50 (12.75∼24.54)0.00119.00 (13.25∼29.25)25.0 (14.75∼34.75)0.026−5.00(−20.34∼0.25)7.00 (1∼19.5)≤ 0.001
TG (mmol/L)1.45 (0.71∼2.02)1.34 (0.81∼1.83)0.5511.52 (0.91∼3.44)1.53 ± 0.600.388−0.26 ± 1.40−0.33 (−1.03∼0.55)0.540
TC (mmol/L)4.67 (4.10∼6.14)4.32 ± 0.850.0025.14 ± 1.664.80 ± 0.740.417−0.65 ± 1.01−0.34 ± 1.410.436
HDL (mmol/L)1.06 (0.76∼1.42)1.12 ± 0.330.5740.95 ± 0.271.06 ± 0.280.0730.02 ± 0.400.10 ± 0.180.513
LDL (mmol/L)3.05 ± 0.952.56 ± 0.650.0012.27 ± 0.763.43 ± 1.280.040−0.49 ± 0.720.74 ± 1.10≤0.001
FBG (mmol/L)4.72 ± 0.734.77 ± 0.380.6354.87 ± 0.494.92 ± 0.490.6310.06 ± 0.660.05 ± 0.350.971
BUN (mmol/L)4.53 ± 1.093.92 ± 0.820.0163.90 ± 0.863.94 ± 0.820.900−0.61 ± 1.300.04 ± 1.100.137
SCr (µmol/L)55.59 ± 12.5451.15 ± 10.510.00551.25 ± 19.0853.92 ± 13.660.584−4.43 ± 8.065.00 (4.00∼15.0)0.004
Che (KU/L)10.39 ± 2.1610.6 (9.7∼11.8)0.1369.97 ± 1.0510.04 ± 1.140.6270.39 ± 1.940.16 ± 1.130.707
LDH (U/L)281.14 ± 43.03250.23 ± 32.85≤ 0.001278.00 ± 53.16269.73 ± 50.260.524−31.21 ± 40.71−8.27 ± 43.590.114
hsCRP (mg/L)3.23 (1.79∼4.34)0.92 (0.42∼1.21)≤ 0.0011.83 (0.79 ± 2.52)2.26 (0.63∼3.91)0.117−1.93 (−2.47∼−0.97)0.64 (−0.28∼1.99)≤ 0.001