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Linear growth as a function of age at onset of puberty and sex steroid dosage: therapeutic implications
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PUBERTY plays a dual role in growth: height velocity is markedly accelerated while the rate of skeletal maturation is also increased with resultant fusion of epiphyseal cartilages. Thus, puberty can be considered as a growth-promoting event as well as the final height-limiting process. This concept is illustrated by early exposure to sex steroids such as occurs in central precocious puberty or congenital adrenal hyperplasia. These conditions accelerate growth but result in short adult height (1–6). The basic question addressed in this paper is how hormonal changes at puberty and the age of their occurrence influence growth rate and adult height. This query has practical implications including timing and dosage of sex steroid replacement therapy in hypogonadal patients and the use of GnRH agonist therapy in patients with precocious puberty or short stature. These issues may have profound social import since numerous (mostly uncharted) psychological aspects of adolescence may be related to stature and the timing of sexual development.
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Metadata
- Authors
- BOURGUIGNON, J.-P.
- Affiliations
- University of Liège (BE)
- Corresponding author
- BOURGUIGNON, JEAN-PIERRE
- Venue
- Endocrine Reviews
- Publisher
- The Endocrine Society
- Published
- 1988-11
- Volume
- 9
- Issue
- 4
- Pages
- 467-488
- ISSN
- 0163-769X (ISSN-L)
- 1945-7189
- OpenAlex
- W1969903517
- Cited by
- 158
- References
- 166
- Citations by year
- 2024: 2 · 2022: 1 · 2020: 1 · 2019: 2 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 4
- FWCI
- 8.53
- Type
- journal article
- Language
- en
- Open access
- green
- orbi.uliege.be
- Licence
- other-oa
- Locations
- Endocrine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Open Repository and Bibliography (University of Liège) (submittedVersion, other-oa)
- Funders
- Université Catholique de Louvain
- Pennsylvania State University
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Keywords
- puberty, puberty onset, linear growth, adult height, central precocious puberty, congenital adrenal hyperplasia, hypogonadism, GnRH agonist therapy, short stature, skeletal maturation, height velocity
- MeSH terms
- Adolescent, Aging, Androgens, Body Height, Child, Estrogens, Female, Growth Disorders, Humans, Male, Puberty
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