Adrenal disease

Endocrine, cardiac and neuropsychological aspects of adult congenital adrenal hyperplasia

Clin Endocrinol (Oxf)Published Cross-sectional study

Authors' conclusion

A sex-specific comorbidity profile is evident in CAH, with females presenting with decreased metabolic and overall self-reported health, whereas males with CAH presented with increased cognitive complaints and autistic traits.

Study context

Population
Adults with congenital adrenal hyperplasia (CAH) and age- and sex-matched controls, Aarhus University Hospital
Participants
37 vs 33
Exposure
CAH vs age- and sex-matched controls
  • CAHn = 37
  • Controlsn = 33reference
Outcome
Height
Methodological detailssingle-centre, age- and sex-matched controls
  • Single-centre
  • Age- and sex-matched controls

Main finding

As reported in the abstract

  • CAH vs Controls: P < 0.01

Observational data: associations, not effects.

Further findings

Haemoglobin, females · higher with CAH

P = 0.003

BMI, females · higher with CAH

P = 0.006

E-wave deceleration time, females · prolonged with CAH

P = 0.015

OutcomeCAHControlsP value
HOMA-IR, femalesReduced insulin sensitivity with CAH2.71.9P = 0.018
E/é ratio, females5.44.5P = 0.017
Autistic scores, malesHigher with CAH19.914.9P = 0.068
Cognitive complaints, males · more with CAH
P = 0.034

Self-reported quality of life (QoL), females

Lower self-reported QoL in females with CAH vs female controls

Writing problems

More individuals with CAH than controls reported writing problems

Original publication

Endocrine, cardiac and neuropsychological aspects of adult congenital adrenal hyperplasia. Clin Endocrinol (Oxf). Published 4 April 2024. doi:10.1111/cen.15055

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