Pediatric endocrinology

Impact of Growth Hormone on Skeletal Muscle Strength, Power, Endurance, and Agility in Prepubertal Boys With Short Stature

J Clin Endocrinol MetabPublished Open-label comparator study

Authors' conclusion

Boys with significant SS have quantifiable deficits in upper and lower body skeletal muscle strength, and lower physical endurance than normally statured controls. GH treatment for 12 months can improve these metrics in prepubertal boys with SS.

Study context

Population
Prepubertal boys with significant short stature vs age-matched normally growing controls; Short stature (SS) mean (SE) age 8.9 ± 0.3 years, height SDS −2.3 ± 0.1; controls 8.8 ± 0.4 years, height SDS −0.3 ± 0.2
Participants
45 participants
Comparison
Daily growth hormone (GH) vs observation
Outcome
Skeletal muscle strength (isometric dynamometry, flexion/extension, upper and lower extremities)
Follow-up
Baseline, 6 and 12 months
Methodological detailsoutpatient endocrine clinic
  • Outpatient endocrine clinic

Main finding

As reported in the abstract

Muscle strength
  • Baseline differences significantly less after GH, with values approaching those of controls by 12 months
  • After adjusting for height SDS and fat-free mass, upper extremity strength differences decreased; lower extremity strength differences persisted
  • SS vs Controls: P ≤ 0.027
  • SS vs Controls: P ≤ 0.007

Further findings

OutcomeP value
Endurance (modified pushups) · baselineSS vs Controls · lower endurance in SSP = 0.048

Lower body muscle power and agility · baseline

Similar in SS vs controls

Resting energy expenditure (REE)

No differences in REE were detected

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Impact of Growth Hormone on Skeletal Muscle Strength, Power, Endurance, and Agility in Prepubertal Boys With Short Stature. J Clin Endocrinol Metab. Published 2 April 2025. doi:10.1210/clinem/dgaf203

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