PMID- 21501002 OWN - NLM STAT- MEDLINE DCOM- 20111205 LR - 20220311 IS - 1473-0766 (Electronic) IS - 0951-3590 (Linking) VI - 27 IP - 8 DP - 2011 Aug TI - Adult height, body mass index and time of menarche of girls with idiopathic central precocious puberty after gonadotropin-releasing hormone analogue treatment. PG - 524-8 LID - 10.3109/09513590.2010.507289 [doi] AB - BACKGROUND: Long-term outcome data of central precocious puberty (CPP) girls treated with gonadotropin-releasing hormone analogue (GnRHa) are conflicting. AIM: To assess long-term outcome of girls with idiopathic CPP (iCPP) treated with GnRHa. METHODS: We compared adult height (AH), body mass index (BMI) and time of menarche in GnRHa-treated (n = 47) and untreated (n = 11) girls with iCPP. RESULTS: There were no differences in age, bone age, height, weight and BMI z-scores, predicted adult height (PAH) at the time of diagnosis and target height between the two groups. Mean (SD) age of GnRHa-treated girls was 8.5 (1.0) years at the start of treatment. Mean (SD) AH of the treated group was greater [158.6 (5.2) vs. 154.8 (5.6) cm], p < 0.05. AH gain over pre-treatment PAH in the treated group was 4.7 cm. BMI z-score of treated girls was 1.26 (0.95) before the treatment initiated and returned to normal [0.16 (1.0)] at the time of AH reached. Menstruation occurred at 0.9 (0.5) years following GnRHa discontinuation with regular pattern. CONCLUSIONS: Long-term GnRHa therapy has a modest beneficial effect on adult height gain in girls with iCPP. No detrimental effects on increasing BMI and hypothalamic-pituitary-gonadal axis reactivation are demonstrated. FAU - Poomthavorn, Preamrudee AU - Poomthavorn P AD - Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand. FAU - Suphasit, Ratchadaporn AU - Suphasit R FAU - Mahachoklertwattana, Pat AU - Mahachoklertwattana P LA - eng PT - Journal Article DEP - 20110418 PL - England TA - Gynecol Endocrinol JT - Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology JID - 8807913 RN - 33515-09-2 (Gonadotropin-Releasing Hormone) SB - IM MH - Adolescent MH - Adolescent Development/drug effects MH - Body Height/*drug effects MH - Body Mass Index MH - Body Weight/*drug effects MH - Child MH - Child Development/drug effects MH - Female MH - Follow-Up Studies MH - Gonadotropin-Releasing Hormone/administration & dosage/adverse effects/*analogs & derivatives/therapeutic use MH - Growth Disorders/etiology/*prevention & control MH - Humans MH - Menarche/*drug effects MH - Puberty, Precocious/*drug therapy/physiopathology EDAT- 2011/04/20 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/04/20 06:00 PHST- 2011/04/20 06:00 [entrez] PHST- 2011/04/20 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] AID - 10.3109/09513590.2010.507289 [doi] PST - ppublish SO - Gynecol Endocrinol. 2011 Aug;27(8):524-8. doi: 10.3109/09513590.2010.507289. Epub 2011 Apr 18.