Pediatric endocrinology

Higher peak height velocity in early maturing girls depends on insulin rather than fat mass or IGF-I

Eur J EndocrinolPublished Population-based longitudinal cohort study

Authors' conclusion

Growth velocity was higher and more prolonged in early compared with late maturing girls and associated with higher insulin levels. Thus, the higher insulin levels may compensate for the shorter total growth period by intensifying the pubertal growth period.

Study context

Population
Girls evaluated biannually for a median of 10 (2–15) visits, 815 evaluations in total; COPENHAGEN puberty study815 evaluations
Participants
81 participants
Exposure
Early vs late maturing girls
Outcome
PHV
Methodological detailspart of the COPENHAGEN puberty study
  • Part of the COPENHAGEN puberty study

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Final height · similar final height

P = 0.36

Puberty duration (age at onset of breast development to age at PHV) · longer with early maturation

P < 0.001

Fasting insulin levels · 1.5, 2.0, and 3.0 years after pubertal onset · significantly higher with early maturation
all P = .039

BMI, skin fold thickness and IGF-I levels

After correcting for age at pubertal onset, neither BMI, skin fold thickness (SFT) nor IGF-I levels differed between early vs late maturing girls

Original publication

Higher peak height velocity in early maturing girls depends on insulin rather than fat mass or IGF-I. Eur J Endocrinol. Published 18 September 2024. doi:10.1093/ejendo/lvae115

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