Pediatric endocrinology

The Effect of Gonadotropin-releasing Hormone Analog (GnRHa) Treatment on Body Mass Index in Central Precocious Puberty: A Systematic Review and Meta-Analysis

Horm Res PaediatrPublished Systematic review and meta-analysis

Pooled result · BMI-SDSResult — go to the resultWMD 0.14 95% CI 0.04–0.23

Authors' conclusion

For patients with CPP, while treatment with GnRHa may increase the BMI in the short term after treatment, the BMI is likely to return to normal when the patients reach adult height.

Study context

Population
Patients with central precocious puberty (CPP); studies in PubMed, EMBASE and Web of Science published before August 202128 studies
Comparison
BMI-standard deviation score (BMI-SDS) at end of GnRHa treatment vs baseline
Outcome
BMI-SDS
Follow-up
End of GnRHa treatment

Pooled result

As reported in the abstract

Weighted mean difference (WMD)

0.14

95% CI 0.04–0.23

P = 0.004

End of GnRHa treatmentvs Baseline
WMD 0.14 (95% CI 0.04–0.23); P = 0.004

Further pooled results

OutcomeWMD (95% CI)P value
BMI-SDS, girls with CPP · end of GnRHa treatment0.15 (0.05–0.25)P = 0.005
BMI-SDS, normal-weight patients · end of GnRHa treatment0.34 (0.19–0.48)P < 0.001
BMI-SDS after reaching adult height (returned to baseline)Adult heightvs Baseline−0.03 (−0.39 to 0.32)P = 0.815

Original publication

The Effect of GnRHa Treatment on Body Mass Index in Central Precocious Puberty: A Systematic Review and Meta-Analysis. Horm Res Paediatr. Published 5 January 2024. doi:10.1159/000535132

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