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儿童期和青春期血清胰岛素样生长因子(IGF)结合蛋白-3及IGF-I水平:一项横断面研究

Serum insulin-like growth factor (IGF) binding protein-3 and IGF-I levels during childhood and adolescence. A cross-sectional study.

作者信息

Andrade Olivié M A, García-Mayor R V, González Lestón D, Rodríguez Sousa T, Segura Dominguez A, Alvarez-Novoa R, Antelo Cortizas J

机构信息

Clinical Chemistry Laboratory, Hospital Xeral, Vigo, Spain.

出版信息

Pediatr Res. 1995 Aug;38(2):149-55. doi: 10.1203/00006450-199508000-00003.

Abstract

To investigate the effect of pubertal development on serum levels of IGF binding protein-3 (IGFBP-3) and IGF-I, and the relationship between IGFBP-3 levels and height, weight, weight for height and age (WFHA), and IGF-I levels, a cross-sectional study was performed in a Spanish basic education school in Vigo (NW Spain). The study was made up of 181 girls with a mean chronologic age of 11.03 +/- 0.22 y and 173 boys with a mean chronologic age of 10.9 +/- 0.23 y. The pubertal development was graded into three groups according to estradiol and testosterone concentrations for girls and boys, respectively. All subjects were in good health and among the 5th and 95th percentile for height. Serum IGFBP-3 and plasma IGF-I concentration was determined by RIA. Pubertal development was significantly associated with IGFBP-3 and IGF-I concentrations in girls and boys, respectively (p < 0.0001, analysis of variance). Multivariate regression analyses between IGF-I or IGFBP-3 with age, sex, and estradiol or testosterone show significative correlation in prepubertal children for IGF-I (r = 0.545, p = 0.0001 and r = 0.574, p = 0.0001 for girls and boys, respectively) and only in prepubertal boys for IGFBP-3 (r = 0.336, p = 0.0012). The linear correlation between IGF-I and IGFBP-3 was significant in both prepubertal (r = 0.25, p < 0.0001) and pubertal (r = 0.40, p < 0.0001) girls, but only in prepubertal boys (r = 0.30, p < 0.0001).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为研究青春期发育对血清胰岛素样生长因子结合蛋白3(IGFBP - 3)和胰岛素样生长因子I(IGF - I)水平的影响,以及IGFBP - 3水平与身高、体重、身高体重比和年龄(WFHA)之间的关系,在西班牙维戈(西班牙西北部)的一所基础教育学校进行了一项横断面研究。该研究包括181名平均实际年龄为11.03±0.22岁的女孩和173名平均实际年龄为10.9±0.23岁的男孩。根据女孩的雌二醇和男孩的睾酮浓度,将青春期发育分为三组。所有受试者身体健康,身高处于第5至95百分位数之间。采用放射免疫分析法测定血清IGFBP - 3和血浆IGF - I浓度。青春期发育分别与女孩和男孩的IGFBP - 3和IGF - I浓度显著相关(方差分析,p < 0.0001)。IGF - I或IGFBP - 3与年龄、性别和雌二醇或睾酮之间的多变量回归分析显示,青春期前儿童中IGF - I存在显著相关性(女孩和男孩的r分别为0.545,p = 0.0001和r = 0.574,p = 0.0001),而IGFBP - 3仅在青春期前男孩中存在显著相关性(r = 0.336,p = 0.0012)。IGF - I与IGFBP - 3之间的线性相关性在青春期前女孩(r = 0.25,p < 0.0001)和青春期女孩(r = 0.40,p < 0.0001)中均显著,但仅在青春期前男孩中显著(r = 0.30,p < 0.0001)。(摘要截选至250字)

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