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. 2020 Dec;93(6):696-704.
doi: 10.1111/cen.14287. Epub 2020 Aug 27.

Relation of health-related quality of life to near final height and body composition in adolescents with chronic endocrinopathies during transition period

Janna Mittnacht  1 , Daniela Choukair  1 , Thomas Breil  1 , Daniela Klose  1 , Ioana Inta  1 , Markus Bettendorf  1
Affiliations

Relation of health-related quality of life to near final height and body composition in adolescents with chronic endocrinopathies during transition period

Janna Mittnacht et al. Clin Endocrinol (Oxf). 2020 Dec.

Abstract

Introduction: We evaluated sequelae of disease and therapy in adolescents with chronic endocrinopathies using a medical and psychological workup to record health-related quality of life (HRQoL), near final height (NFH) and body compositions during the transition period from paediatric to adult care.

Methods: Near final height, weight, body mass index (BMI), grip strength (GS), hip and waist circumference (HC; WC), skin folds (SF) and HRQoL T-scores by KIDSCREEN and DISABKIDS were assessed in 134 patients (70 females and 64 males) from May 2010 to March 2016 diagnosed with congenital adrenal hyperplasia (CAH; n = 22), multiple pituitary hormone deficiency (MPHD; n = 17), growth hormone deficiency (GHD; n = 37), Turner syndrome (TS; n = 27), SGA-short stature (SGA; n = 20) and Klinefelter syndrome (KS; n = 11).

Results: Median HRQoL T-scores for KIDSCREEN (50.6-56.5) and DISABKIDS (52.7-58.9) ranged within references with considerable variations but without significant deficit in any diagnosis. Median-corrected height SDS (CoH-SDS: NFH-SDS-TH [target height]-SDS) was >-1, except in KS (SDS + 1.3) and in TS (SDS - 1.9; P < .0001) without correlations with HRQoL. Median BMI was below 25 kg/m2 in all patients except MPHD (26.5 kg/m2 ; SDS 1.5; P = .006). BMI correlated negatively in CAH females with self-perception (rs = -.64, P = .0338), physical well-being (rs = -.8; P = .0086), social exclusion rs = -.65; P = .031) and emotions (rs = -.7; P = .0169).

Conclusion: Health-related quality of life and body compositions were similar to those of healthy adolescents. Lower scores in HRQoL dimensions as self-perception, physical well-being, social exclusion and emotions were detected and correlated negatively with BMI. Treatment strategies and psychological support should consider HRQoL and adapted in specific treatment guidelines.

Keywords: anthropometry; chronic endocrinopathies; health-related quality of life; transition.

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References

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