Osteoporosis, bone & mineral

Adult height improved over decades in patients with X-linked hypophosphatemia: a cohort study

Eur J EndocrinolPublished Retrospective cohort study

Authors' conclusion

The FH of XLH patients in France increased significantly over the last decades. Even though men's FHs improved more than women's, men with XLH remain shorter reflecting a more severe disease phenotype. While the results are promising, most patients with XLH remain short leaving room for improvement.

Study context

Population
French patients with X-linked hypophosphatemia (XLH) with available final height measurements
Participants
398 patients
Exposure
Final height across 3 birth-year groups
  • Group 1n = 127
  • Group 2n = 193
  • Group 3n = 78
Outcome
Final height (height after cessation of growth) and its evolution over the last decades
Methodological detailsobservational
  • Observational

Main finding

As reported in the abstract

Final height SDS

Group 1

−2.31

mean · SD 1.11 · standard deviation score (SDS)

Group 2

−1.63

mean · SD 1.13 · SDS

Group 3

−1.34

mean · SD 0.87 · SDS

P < 0.001

Observational data: associations, not effects.

Further findings

Final height in men

Final height in women

OutcomeP value
Final height SDS by sexMale vs Female · lower in maleP = 0.002
  • Final height SDS by sex: Male −2.08 (SD 1.18) SDS
  • Final height SDS by sex: Female −1.70 (SD 1.12) SDS

Original publication

Adult height improved over decades in patients with X-linked hypophosphatemia: a cohort study. Eur J Endocrinol. Published 13 October 2023. doi:10.1093/ejendo/lvad144

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