The hypothalamic-pituitary-adrenal axis in infantile malnutrition.

Abstract:

:We studied the circadian rhythm and the response of the hypothalamic-pituitary-adrenal (HPA) axis to ovine corticotrophin releasing hormone (oCRH) stimulation and dexamethasone suppression in 32 children with grade II-III marasmus. Children were studied prior to and after nutritional rehabilitation. Mean baseline plasma cortisol concentrations were elevated at admission and decreased significantly after nutritional rehabilitation. Mean +/- SEM plasma cortisol response to oCRH increased from a basal of 480 +/- 41 to a peak of 582 +/- 58 nmol/l at the time of admission, and from a basal of 234 +/- 27 to a peak of 532 +/- 41 nmol/l after caloric rehabilitation. Dexamethasone suppression in the malnourished group was associated with a decrease in the mean +/- SEM basal plasma cortisol concentration from 397 +/- 44 to 171 +/- 44 nmol/l. After caloric rehabilitation, basal cortisol levels decreased from 259 +/- 27 to 22 +/- 5 nmol/l following dexamethasone. Our results support the concept that malnutrition is associated with decreased responsiveness to oCRH and incomplete dexamethasone suppression, and that these abnormalities are restored after nutritional rehabilitation.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Malozowski S,Muzzo S,Burrows R,Leiva L,Loriaux L,Chrousos G,Winterer J,Cassorla F

doi

10.1111/j.1365-2265.1990.tb00886.x

subject

Has Abstract

pub_date

1990-04-01 00:00:00

pages

461-5

issue

4

eissn

0300-0664

issn

1365-2265

journal_volume

32

pub_type

杂志文章
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    journal_title:Clinical endocrinology

    pub_type: 杂志文章

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    pub_type: 临床试验,杂志文章,随机对照试验

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