Growth Outcomes and Final Height in Children with Acquired Hypothyroidism: A Systematic Review
2024

Growth Outcomes in Children with Acquired Hypothyroidism

Sample size: 889 publication Evidence: moderate

Author Information

Author(s): Cammisa Ignazio, Rigante Donato, Cipolla Clelia

Primary Institution: Fondazione Policlinico Universitario A. Gemelli IRCCS

Hypothesis

What are the impacts of acquired hypothyroidism on children's growth outcomes?

Conclusion

Early diagnosis and treatment of acquired hypothyroidism are crucial, as many children show improvements in height velocity post-treatment, but complete normalization of growth may remain elusive.

Supporting Evidence

  • Growth arrest is frequently noted as a symptom in hypothyroidic children.
  • Many affected children present below the third percentile for height.
  • The timing of diagnosis significantly influences growth outcomes.
  • Levothyroxine therapy typically results in some degree of catch-up growth.

Takeaway

Hypothyroidism can make kids grow slower and shorter, but if doctors catch it early and give them medicine, they can grow better, even if they don't reach their full height.

Methodology

A systematic literature review was conducted to analyze growth and final height in children with acquired hypothyroidism, including 16 studies.

Limitations

The review may have missed studies not indexed in PubMed and did not conduct a meta-analysis due to variability among included studies.

Participant Demographics

The sample included 230 males (26%) and 629 females (70%), with ages ranging from 1.2 to 18 years.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/children11121510

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