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High Prevalence of Nonalcoholic Fatty Liver Disease Among Adolescents and Young Adults With Hypopituitarism due to Growth Hormone Deficiency

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dc.contributor.author고홍-
dc.contributor.author권아름-
dc.contributor.author김승-
dc.contributor.author김호성-
dc.contributor.author신현주-
dc.contributor.author정모경-
dc.contributor.author채현욱-
dc.date.accessioned2021-12-28T17:37:39Z-
dc.date.available2021-12-28T17:37:39Z-
dc.date.issued2021-11-
dc.identifier.issn1530-891X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/187191-
dc.description.abstractObjective: To investigate the prevalence of nonalcoholic fatty liver disease (NAFLD) in adolescents and young adults with hypopituitarism and to examine the associations of growth hormone (GH) deficiency with the occurrence of NAFLD. Methods: A cross-sectional study for the determination of NAFLD prevalence included 76 patients with childhood-onset hypopituitarism and 74 controls matched by age and body mass index (BMI). We investigated the prevalence of NAFLD in adolescent and young adult patients with hypopituitarism as well as the age- and BMI-matched controls. Among patients with hypopituitarism, anthropometric, clinical, and biochemical assessments using transient elastography and magnetic resonance imaging were performed. Logistic regression was used to identify the factors associated with NAFLD. Results: The adolescents and young adults with hypopituitarism exhibited higher prevalence of NAFLD than the age- and BMI-matched controls. Among patients with hypopituitarism, obesity and obesity-related metabolic derangements were significantly associated with liver steatosis and fibrosis, whereas lower insulin-like growth factor (IGF)-I standard deviation score (SDS) and IGF-I/IGF-binding protein 3 molar ratios were associated with steatosis. In regression analyses adjusted for BMI SDS, steatosis was found to be associated with a lower IGF-I SDS and IGF-I/IGF-binding protein 3 molar ratios, whereas liver fibrosis was found to be associated with a lower IGF-I SDS. Conclusion: Our results suggest that GH deficiency contributes to the occurrence of NAFLD, along with obesity and obesity-related metabolic changes. Because NAFLD occurs early in patients with hypopituitarism, the surveillance, weight control, and timely replacement of deficit hormones, including GH, are essential.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherThe College and the Association-
dc.relation.isPartOfENDOCRINE PRACTICE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAdolescent-
dc.subject.MESHChild-
dc.subject.MESHCross-Sectional Studies-
dc.subject.MESHGrowth Hormone-
dc.subject.MESHHumans-
dc.subject.MESHHypopituitarism* / epidemiology-
dc.subject.MESHHypopituitarism* / etiology-
dc.subject.MESHInsulin-Like Growth Factor I-
dc.subject.MESHNon-alcoholic Fatty Liver Disease* / complications-
dc.subject.MESHNon-alcoholic Fatty Liver Disease* / epidemiology-
dc.subject.MESHPrevalence-
dc.subject.MESHYoung Adult-
dc.titleHigh Prevalence of Nonalcoholic Fatty Liver Disease Among Adolescents and Young Adults With Hypopituitarism due to Growth Hormone Deficiency-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Pediatrics (소아과학교실)-
dc.contributor.googleauthorSeok Jin Kang-
dc.contributor.googleauthorAhreum Kwon-
dc.contributor.googleauthorMo Kyung Jung-
dc.contributor.googleauthorHyun Wook Chae-
dc.contributor.googleauthorSeung Kim-
dc.contributor.googleauthorHong Koh-
dc.contributor.googleauthorHyun Joo Shin-
dc.contributor.googleauthorHo-Seong Kim-
dc.identifier.doi10.1016/j.eprac.2021.06.003-
dc.contributor.localIdA00156-
dc.contributor.localIdA00228-
dc.contributor.localIdA00651-
dc.contributor.localIdA01184-
dc.contributor.localIdA02178-
dc.contributor.localIdA03599-
dc.contributor.localIdA04026-
dc.relation.journalcodeJ03409-
dc.identifier.eissn1934-2403-
dc.identifier.pmid34126247-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/abs/pii/S1530891X21010818-
dc.subject.keywordchildhood-onset-
dc.subject.keywordgrowth hormone deficiency-
dc.subject.keywordhypopituitarism-
dc.subject.keywordliver fibrosis-
dc.subject.keywordnonalcoholic fatty liver disease-
dc.contributor.alternativeNameKoh, Hong-
dc.contributor.affiliatedAuthor고홍-
dc.contributor.affiliatedAuthor권아름-
dc.contributor.affiliatedAuthor김승-
dc.contributor.affiliatedAuthor김호성-
dc.contributor.affiliatedAuthor신현주-
dc.contributor.affiliatedAuthor정모경-
dc.contributor.affiliatedAuthor채현욱-
dc.citation.volume27-
dc.citation.number11-
dc.citation.startPage1149-
dc.citation.endPage1155-
dc.identifier.bibliographicCitationENDOCRINE PRACTICE, Vol.27(11) : 1149-1155, 2021-11-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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