Pituitary & hypothalamus

Obesity, Overweight, and Pituitary Stalk Interruption Syndrome in Children and Young Adults

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

Patients with PSIS who are obese/overweight display interesting phenotypic differences that suggest hypothalamic defects. Studies are needed that include additional information on hormonal levels, particularly regarding oxytocin and ghrelin.

Study context

Population
Children and young adults with pituitary stalk interruption syndrome (PSIS), Toulouse cohort 1984–2019
Participants
69 children
Exposure
PSIS with obesity/overweight vs PSIS without obesity/overweight
  • OB-OWn = 25
  • NOn = 44reference
Outcome
History of neonatal hypoglycemia
Methodological detailssingle-centre cohort
  • Single-centre cohort

Main finding

As reported in the abstract

P = 0.0008

Observational data: associations, not effects.

Further findings

Extrapituitary malformations · more common with OB-OW

P < 0001

Caesarean section · higher with OB-OW, not significant

P = 0.07

Growth retardation as main reason for consultation

Cohort characteristics

Sex ratio
1.6
All cases sporadic

Original publication

Obesity, Overweight, and Pituitary Stalk Interruption Syndrome in Children and Young Adults. J Clin Endocrinol Metab. Published 6 October 2022. doi:10.1210/clinem/dgac583

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