Impact of BMI on Gonadorelin-Stimulated LH Peak in Premenarcheal Girls with Idiopathic Central Precocious Puberty
Impact of BMI on Gonadorelin-Stimulated LH Peak in Premenarcheal Girls with Idiopathic Central Precocious Puberty
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DOI:
10.1002/oby.21010
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发表时间:
2015-03-01
期刊:
影响因子:
6.9
通讯作者:
Rose, Susan Rogers
中科院分区:
文献类型:
--
作者:
Fu, Jun-Fen;Liang, Jian-Feng;Rose, Susan Rogers
ObjectiveTo clarify the impact of body mass index (BMI) on luteinizing hormone (LH) secretion in response to gonadorelin (GnRH) stimulation testing in girls diagnosed with idiopathic central precocious puberty (ICPP).MethodsRetrospective single-center cohort study was carried out in 865 confirmed ICPP girls who underwent GnRH stimulation tests. Pubertal development according to Tanner, sex hormone parameters, and LH secretion in response to GnRH-stimulation was compared.ResultsAround 609 girls were of normal weight (70.4%), while 168 children (19.4%) were overweight, and 88 (10.2%) were obese. Peak LH levels after GnRH were much higher in the normal-weight group, with a median of 9.1 mIU ml(-1) (interquartile 5.2-13.1), compared with the median peak LH in the overweight and obese groups (8.5 mIU ml(-1), interquartile 5.3-11.6, and 6.2 mIU ml(-1), interquartile 5.3-11.0, respectively P