Pediatric endocrinology

Cognitive function during 3 years of growth hormone in previously growth hormone-treated young adults with Prader–Willi syndrome

Eur J EndocrinolPublished Prospective open-label study

Authors' conclusion

Three years of GH-treatment in young adults with PWS with 33% of the pediatric dose, maintains total, verbal, and performance IQ. The emotional and behavioral disturbances remained stable and were similar compared to peers with other intellectual disabilities.

Study context

Population
Young adults with PWS treated with growth hormone (GH) during childhood; median age 19 (IQR 17–21) years; Dutch PWS Reference Center
Participants
46 adults
Exposure
GH treatment for 3 years, before vs after
Outcome
Cognitive functioning (total, verbal and performance IQ by WAIS tests)
Follow-up
3 years
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Total, verbal and performance IQ (estimated mean, 95% CI) · start vs after 3 years

Total IQ, start vs 3 years (P = .30)

66 (63-69) vs 67 (64-71)

Verbal IQ, start vs 3 years (P = .31)

65 (62-68) vs 66 (62-70)

Performance IQ, start vs 3 years (P = .42)

67 (63-70) vs 67 (63-72)

Observational data: associations, not effects.

Further findings

Total developmental behavior checklist-parents/caregivers (DBC-P) score (estimated mean) · start vs after 3 years

Total DBC score, start vs 3 years (P = .94); no significant change
36.3 vs 36.5
  • P50

Original publication

Cognitive function during 3 years of growth hormone in previously growth hormone-treated young adults with Prader–Willi syndrome. Eur J Endocrinol. Published 13 July 2023. doi:10.1093/ejendo/lvad084

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