Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Institute of Medical Statistics and Informatics, Belgrade, Serbia
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University Children’s Clinic, Belgrade, Serbia
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University Children’s Clinic, Belgrade, Serbia
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Mother and Child Health Care Institute of Serbia ‘Dr Vukan Cupic’, Belgrade, Serbia
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Mother and Child Health Care Institute of Serbia ‘Dr Vukan Cupic’, Belgrade, Serbia
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Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia
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Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Institute of Pathology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia
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Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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density (BMD) impairment in different COGHD subgroups ( 1 ). Observations are particularly contradictory concerning BC and BMD in respect of the role of rhGH continuation in the transition period (TP). Several studies have demonstrated improvement of these
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maximal oxygen consumption (VO 2 max). The primary aim of this review was to identify what evidence is available on the risks of GHD and the benefits of rhGH therapy during the transition period in the following areas: bone mass, body
Division of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, the Netherlands
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Università “Federico II” di Napoli, Dipartimento di Medicina Clinica e Chirurgia, Sezione di Endocrinologia, Naples, Italy
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Department of Endocrinology and Metabolism, Amsterdam Gastroenterology Endocrinology & Metabolism, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, Netherlands
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Adult Chair of MTG Pituitary of Endo-ERN
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expertise in the specific condition. Transition of care practices Start and end of transition of care The criteria for start and end of the transition period were the topic of the following section of the survey. In one-third of the RCs
International Center for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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International Center for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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International Center for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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International Center for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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Puberty marks a transition period, which leads to the attainment of adult sexual maturity. Timing of puberty is a strongly heritable trait. However, large genetic association studies can only explain a fraction of the observed variability and striking secular trends suggest that lifestyle and/or environmental factors are important. Using liquid-chromatography tandem-mass-spectrometry, we measured endocrine-disrupting chemicals (EDCs; triclosan, bisphenol A, benzophenone-3, 2,4-dichlorophenol, 11 metabolites from 5 phthalates) in longitudinal urine samples obtained biannually from peri-pubertal children included in the COPENHAGEN puberty cohort. EDC levels were associated with blood DNA methylation profiles from 31 boys and 20 girls measured both pre- and post-pubertally. We found little evidence of single methylation sites that on their own showed association with urinary excretion levels of EDCs obtained either the same-day or measured as the yearly mean of dichotomized EDC levels. In contrast, methylation of several promoter regions was found to be associated with two or more EDCs, overlap with known gene–chemical interactions, and form a core network with genes known to be important for puberty. Furthermore, children with the highest yearly mean of dichotomized urinary phthalate metabolite levels were associated with higher promoter methylation of the thyroid hormone receptor interactor 6 gene (TRIP6), which again was mirrored by lower circulating TRIP6 protein levels. In general, the mean TRIP6 promoter methylation was mirrored by circulating TRIP6 protein levels. Our results provide a potential molecular mode of action of how exposure to environmental chemicals may modify pubertal development.
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treatment in the transition period or for adults only in a few countries ( 2 , 17 ). Therefore, in most countries, the diagnosis of adult GH deficiency must be established according to guidelines before it can be used in the transition period and in adults
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deficiency Adult height Change in height SDS/growth velocity IGF-I GH deficiency in the transition period Body composition Peak bone mass, DXA Z score, LBM, and FM IGF-I CRI, Noonan syndrome, SHOX, Turner syndrome, SGA, SRS, ISS
Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark
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://doi.org/10.1210/jc.2018-01175 ) 22 Spaziani M Tarantino C Tahani N Gianfrilli D Sbardella E Isidori AM Lenzi A Radicioni AF . Clinical, diagnostic, and therapeutic aspects of growth hormone deficiency during the transition period: review of
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recommencement of GH replacement therapy on bone mineral density and body composition in the transition period ( 12 ). FM, fat mass; LBM, lean body mass; TB BMC, total body bone mineral content. The second scientific session of the meeting explored
UPMC Univ, Paris, France
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Université Paris Descartes, Paris, France
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UPMC Univ, Paris, France
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care is a time when many patients with CAH stop adherence to their medication ( 3 , 4 , 11 ). A German study insists on the lack of support concerning psychosexual development during transition period ( 4 ). Unfortunately, many patients in adulthood
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groups ( 14 ). Regarding metabolic features, we observed increased weight from an early age and some indicators of insulin resistance during adulthood ( 12 ). Puberty is a transition period between childhood and adulthood accompanied by profound changes