Pediatric endocrinology

Normative Data for Insulin-Like Growth Factor 1 in Healthy Children and Adolescents From India

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

This study provides ethnicity-specific normative data on serum IGF-1 and will improve the diagnostic utility of IGF-1 in the evaluation and management of growth disorders in Indian children and adolescents.

Study context

Population
Apparently healthy Indian children and adolescents, recruited in schools and the community, robust exclusion criteria1,948 analysed
Participants
2,226 children
Exposure
Girls vs Boys
  • Girlsn = 942
  • Boysn = 1,006
Outcome
Serum IGF-1 by electro-chemiluminescence immunoassay (ECLIA); CA-, BA- and Tanner stage-specific centiles (2.5th–97.5th) by generalized additive models
Methodological detailsepidemiological, schools and community
  • Epidemiological
  • Schools and community

Main finding

As reported in the abstract

Median IGF-1 peak
Girls: peak at chronological age (CA) 13 years
321.7 ng/mL
Girls: peak at bone age (BA) 14 years
350.2 ng/mL
Girls: peak at Tanner stage IV
345 ng/mL
Boys: peak at CA 15 years
318.9 ng/mL
Boys: peak at BA 15 years
340.6 ng/mL
Boys: peak at Tanner stage III
304.8 ng/mL

Observational data: associations, not effects.

Further findings

Reference interval (2.5th to 97.5th percentile)

Broader during peripubertal ages, indicating higher physiological variability

Original publication

Normative Data for Insulin-Like Growth Factor 1 in Healthy Children and Adolescents From India. J Clin Endocrinol Metab. Published 15 May 2024. doi:10.1210/clinem/dgae340

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