Abstract:
CONTEXT:Craniopharyngioma patients without GH therapy are at an increased cardiovascular disease (CVD) risk and particularly concerning women. No previous study on long-term GH therapy in adults with childhood onset (CO) craniopharyngioma was identified. OBJECTIVE:To investigate CVD risk in adults with CO craniopharyngioma on complete hormone replacement, including long-term GH therapy, and to investigate the impact of disease-related factors on CVD risk. DESIGN AND PARTICIPANTS:In a cross-sectional study of operated CO craniopharyngiomas (1958-2000) from a defined area of Sweden (2.5 million), we enrolled 42 patients (20 women) with a median age of 28 years (range 17-57) and assessed CVD risk of 20 (4-40) years after first operation. Comparisons were made with matched controls and between patients with tumor growth into the third ventricle (TGTV) versus non-TGTV. GH therapy was 10-12 years in women and men. Results In comparison with controls, both male and female patients had increased body mass index, fat mass, insulin, and leptin levels. Overall, while not significantly increased in male patients, 55-60% of female patients had a medium-high CVD risk, compared with 10-20% in controls. An increased CVD risk (all P<0.05) and higher levels of fat mass and insulin were recorded in the TGTV group versus the non-TGTV group. Late puberty induction and lack of androgens were shown in female patients. CONCLUSIONS:Adult patients with CO craniopharyngioma, especially those with TGTV, have persistently increased CVD risk. Conventional hormone substitution, including GH, is insufficient to normalize CVD risk, suggesting an important role for irreversible hypothalamic dysfunction.
journal_name
Eur J Endocrinoljournal_title
European journal of endocrinologyauthors
Holmer H,Ekman B,Björk J,Nordstöm CH,Popovic V,Siversson A,Erfurth EMdoi
10.1530/EJE-09-0449subject
Has Abstractpub_date
2009-11-01 00:00:00pages
671-9issue
5eissn
0804-4643issn
1479-683Xpii
EJE-09-0449journal_volume
161pub_type
杂志文章abstract:OBJECTIVE:This study aimed to analyze the autonomic control of heart rate variability (HRV) in subjects receiving chronic l-thyroxine (l-T4) treatment after total thyroidectomy and (131)I therapy for differentiated thyroid carcinoma. METHODS:Blood pressure (BP) and sympatho-vagal activity (evaluated by power spectral ...
journal_title:European journal of endocrinology
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journal_title:European journal of endocrinology
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更新日期:2006-05-01 00:00:00
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journal_title:European journal of endocrinology
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更新日期:2007-11-01 00:00:00
abstract::Major hormonal changes emerge during pregnancy. The pituitary gland is one of the most affected organs with altered anatomy and physiology. The pituitary gland is enlarged as a result of lactotroph hyperplasia. Due to physiological changes in the pituitary and target hormone levels, binding globulins, and placental ho...
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journal_title:European journal of endocrinology
pub_type: 临床试验,杂志文章,多中心研究
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pub_type: 共识发展会议,杂志文章,评审
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更新日期:2004-08-01 00:00:00
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更新日期:2018-02-01 00:00:00
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更新日期:2014-06-01 00:00:00
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journal_title:European journal of endocrinology
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更新日期:2014-08-01 00:00:00
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journal_title:European journal of endocrinology
pub_type: 杂志文章
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更新日期:2002-04-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2001-11-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2000-09-01 00:00:00