Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation

ISSN:
1432-198X
Keywords:
Key words Growth ; Growth factors ; Dislipoproteinemia ; Bone mineral density ; Serum leptin ; Renal transplantation ; Deflazacort
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract  Kidney function, growth velocity, weight/ height ratio, body composition, lipid profile, and bone mass were studied in a randomized, multicenter trial of deflazacort versus methylprednisone in 27 prepubertal patients with kidney transplantation. Methylprednisone (0.20±0.03) was replaced by deflazacort (13 patients, 0.30±0.03 mg/kg per day). After 12 months, creatinine clearance decreased significantly only during methylprednisone therapy. Growth velocity increased only in patients treated with deflazacort from 3.3±0.6 to 5.6±0.5 cm/year. Serum levels of several components of the insulin-like growth factor axis did not change. Weight/height ratio was increased in methylprednisone-treated patients (P〈0.05) and decreased in deflazacort-treated patients (P〈0.005). Lean body mass increased in both groups (P〈0.005). Fat body mass and serum leptin increased only in methylprednisone-treated patients (P〈0.025). Total cholesterol and low-density lipoprotein-cholesterol increased in methylprednisone-treated patients by 9.9% (P〈0.05) and 12.5% (P〈0.025). High-density lipoprotein-cholesterol increased by 21% (P〈0.005) and apolipoprotein B decreased by 11% (P〈0.005) in deflazacort-treated patients. Total skeleton and lumbar spine bone mineral density decreased in both groups, but at 1 year methylprednisone-treated patients had lost 50% more bone. Bone mineral content decreased only in methylprednisone-treated patients (P〈0.01). Our data suggest that substituting deflazacort for maintenance methylprednisone might prevent height loss, excessive bone loss, and fat accumulation; and leads to an improvement in the lipoproteins of these children.
Type of Medium:
Electronic Resource
URL:
_version_ 1798295869733208064
autor Ferraris, J. R.
Pasqualini, T.
Legal, S.
Sorroche, P.
Galich, A. M.
Pennisi, P.
Domene, H.
Jasper, H.
autorsonst Ferraris, J. R.
Pasqualini, T.
Legal, S.
Sorroche, P.
Galich, A. M.
Pennisi, P.
Domene, H.
Jasper, H.
book_url http://dx.doi.org/10.1007/s004670000337
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM205949126
issn 1432-198X
journal_name Pediatric nephrology
materialart 1
notes Abstract  Kidney function, growth velocity, weight/ height ratio, body composition, lipid profile, and bone mass were studied in a randomized, multicenter trial of deflazacort versus methylprednisone in 27 prepubertal patients with kidney transplantation. Methylprednisone (0.20±0.03) was replaced by deflazacort (13 patients, 0.30±0.03 mg/kg per day). After 12 months, creatinine clearance decreased significantly only during methylprednisone therapy. Growth velocity increased only in patients treated with deflazacort from 3.3±0.6 to 5.6±0.5 cm/year. Serum levels of several components of the insulin-like growth factor axis did not change. Weight/height ratio was increased in methylprednisone-treated patients (P〈0.05) and decreased in deflazacort-treated patients (P〈0.005). Lean body mass increased in both groups (P〈0.005). Fat body mass and serum leptin increased only in methylprednisone-treated patients (P〈0.025). Total cholesterol and low-density lipoprotein-cholesterol increased in methylprednisone-treated patients by 9.9% (P〈0.05) and 12.5% (P〈0.025). High-density lipoprotein-cholesterol increased by 21% (P〈0.005) and apolipoprotein B decreased by 11% (P〈0.005) in deflazacort-treated patients. Total skeleton and lumbar spine bone mineral density decreased in both groups, but at 1 year methylprednisone-treated patients had lost 50% more bone. Bone mineral content decreased only in methylprednisone-treated patients (P〈0.01). Our data suggest that substituting deflazacort for maintenance methylprednisone might prevent height loss, excessive bone loss, and fat accumulation; and leads to an improvement in the lipoproteins of these children.
package_name Springer
publikationsjahr_anzeige 2000
publikationsjahr_facette 2000
publikationsjahr_intervall 7999:2000-2004
publikationsjahr_sort 2000
publisher Springer
reference 14 (2000), S. 682-688
schlagwort Key words Growth
Growth factors
Dislipoproteinemia
Bone mineral density
Serum leptin
Renal transplantation
Deflazacort
search_space articles
shingle_author_1 Ferraris, J. R.
Pasqualini, T.
Legal, S.
Sorroche, P.
Galich, A. M.
Pennisi, P.
Domene, H.
Jasper, H.
shingle_author_2 Ferraris, J. R.
Pasqualini, T.
Legal, S.
Sorroche, P.
Galich, A. M.
Pennisi, P.
Domene, H.
Jasper, H.
shingle_author_3 Ferraris, J. R.
Pasqualini, T.
Legal, S.
Sorroche, P.
Galich, A. M.
Pennisi, P.
Domene, H.
Jasper, H.
shingle_author_4 Ferraris, J. R.
Pasqualini, T.
Legal, S.
Sorroche, P.
Galich, A. M.
Pennisi, P.
Domene, H.
Jasper, H.
shingle_catch_all_1 Ferraris, J. R.
Pasqualini, T.
Legal, S.
Sorroche, P.
Galich, A. M.
Pennisi, P.
Domene, H.
Jasper, H.
Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation
Key words Growth
Growth factors
Dislipoproteinemia
Bone mineral density
Serum leptin
Renal transplantation
Deflazacort
Key words Growth
Growth factors
Dislipoproteinemia
Bone mineral density
Serum leptin
Renal transplantation
Deflazacort
Abstract  Kidney function, growth velocity, weight/ height ratio, body composition, lipid profile, and bone mass were studied in a randomized, multicenter trial of deflazacort versus methylprednisone in 27 prepubertal patients with kidney transplantation. Methylprednisone (0.20±0.03) was replaced by deflazacort (13 patients, 0.30±0.03 mg/kg per day). After 12 months, creatinine clearance decreased significantly only during methylprednisone therapy. Growth velocity increased only in patients treated with deflazacort from 3.3±0.6 to 5.6±0.5 cm/year. Serum levels of several components of the insulin-like growth factor axis did not change. Weight/height ratio was increased in methylprednisone-treated patients (P〈0.05) and decreased in deflazacort-treated patients (P〈0.005). Lean body mass increased in both groups (P〈0.005). Fat body mass and serum leptin increased only in methylprednisone-treated patients (P〈0.025). Total cholesterol and low-density lipoprotein-cholesterol increased in methylprednisone-treated patients by 9.9% (P〈0.05) and 12.5% (P〈0.025). High-density lipoprotein-cholesterol increased by 21% (P〈0.005) and apolipoprotein B decreased by 11% (P〈0.005) in deflazacort-treated patients. Total skeleton and lumbar spine bone mineral density decreased in both groups, but at 1 year methylprednisone-treated patients had lost 50% more bone. Bone mineral content decreased only in methylprednisone-treated patients (P〈0.01). Our data suggest that substituting deflazacort for maintenance methylprednisone might prevent height loss, excessive bone loss, and fat accumulation; and leads to an improvement in the lipoproteins of these children.
1432-198X
1432198X
Springer
shingle_catch_all_2 Ferraris, J. R.
Pasqualini, T.
Legal, S.
Sorroche, P.
Galich, A. M.
Pennisi, P.
Domene, H.
Jasper, H.
Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation
Key words Growth
Growth factors
Dislipoproteinemia
Bone mineral density
Serum leptin
Renal transplantation
Deflazacort
Key words Growth
Growth factors
Dislipoproteinemia
Bone mineral density
Serum leptin
Renal transplantation
Deflazacort
Abstract  Kidney function, growth velocity, weight/ height ratio, body composition, lipid profile, and bone mass were studied in a randomized, multicenter trial of deflazacort versus methylprednisone in 27 prepubertal patients with kidney transplantation. Methylprednisone (0.20±0.03) was replaced by deflazacort (13 patients, 0.30±0.03 mg/kg per day). After 12 months, creatinine clearance decreased significantly only during methylprednisone therapy. Growth velocity increased only in patients treated with deflazacort from 3.3±0.6 to 5.6±0.5 cm/year. Serum levels of several components of the insulin-like growth factor axis did not change. Weight/height ratio was increased in methylprednisone-treated patients (P〈0.05) and decreased in deflazacort-treated patients (P〈0.005). Lean body mass increased in both groups (P〈0.005). Fat body mass and serum leptin increased only in methylprednisone-treated patients (P〈0.025). Total cholesterol and low-density lipoprotein-cholesterol increased in methylprednisone-treated patients by 9.9% (P〈0.05) and 12.5% (P〈0.025). High-density lipoprotein-cholesterol increased by 21% (P〈0.005) and apolipoprotein B decreased by 11% (P〈0.005) in deflazacort-treated patients. Total skeleton and lumbar spine bone mineral density decreased in both groups, but at 1 year methylprednisone-treated patients had lost 50% more bone. Bone mineral content decreased only in methylprednisone-treated patients (P〈0.01). Our data suggest that substituting deflazacort for maintenance methylprednisone might prevent height loss, excessive bone loss, and fat accumulation; and leads to an improvement in the lipoproteins of these children.
1432-198X
1432198X
Springer
shingle_catch_all_3 Ferraris, J. R.
Pasqualini, T.
Legal, S.
Sorroche, P.
Galich, A. M.
Pennisi, P.
Domene, H.
Jasper, H.
Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation
Key words Growth
Growth factors
Dislipoproteinemia
Bone mineral density
Serum leptin
Renal transplantation
Deflazacort
Key words Growth
Growth factors
Dislipoproteinemia
Bone mineral density
Serum leptin
Renal transplantation
Deflazacort
Abstract  Kidney function, growth velocity, weight/ height ratio, body composition, lipid profile, and bone mass were studied in a randomized, multicenter trial of deflazacort versus methylprednisone in 27 prepubertal patients with kidney transplantation. Methylprednisone (0.20±0.03) was replaced by deflazacort (13 patients, 0.30±0.03 mg/kg per day). After 12 months, creatinine clearance decreased significantly only during methylprednisone therapy. Growth velocity increased only in patients treated with deflazacort from 3.3±0.6 to 5.6±0.5 cm/year. Serum levels of several components of the insulin-like growth factor axis did not change. Weight/height ratio was increased in methylprednisone-treated patients (P〈0.05) and decreased in deflazacort-treated patients (P〈0.005). Lean body mass increased in both groups (P〈0.005). Fat body mass and serum leptin increased only in methylprednisone-treated patients (P〈0.025). Total cholesterol and low-density lipoprotein-cholesterol increased in methylprednisone-treated patients by 9.9% (P〈0.05) and 12.5% (P〈0.025). High-density lipoprotein-cholesterol increased by 21% (P〈0.005) and apolipoprotein B decreased by 11% (P〈0.005) in deflazacort-treated patients. Total skeleton and lumbar spine bone mineral density decreased in both groups, but at 1 year methylprednisone-treated patients had lost 50% more bone. Bone mineral content decreased only in methylprednisone-treated patients (P〈0.01). Our data suggest that substituting deflazacort for maintenance methylprednisone might prevent height loss, excessive bone loss, and fat accumulation; and leads to an improvement in the lipoproteins of these children.
1432-198X
1432198X
Springer
shingle_catch_all_4 Ferraris, J. R.
Pasqualini, T.
Legal, S.
Sorroche, P.
Galich, A. M.
Pennisi, P.
Domene, H.
Jasper, H.
Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation
Key words Growth
Growth factors
Dislipoproteinemia
Bone mineral density
Serum leptin
Renal transplantation
Deflazacort
Key words Growth
Growth factors
Dislipoproteinemia
Bone mineral density
Serum leptin
Renal transplantation
Deflazacort
Abstract  Kidney function, growth velocity, weight/ height ratio, body composition, lipid profile, and bone mass were studied in a randomized, multicenter trial of deflazacort versus methylprednisone in 27 prepubertal patients with kidney transplantation. Methylprednisone (0.20±0.03) was replaced by deflazacort (13 patients, 0.30±0.03 mg/kg per day). After 12 months, creatinine clearance decreased significantly only during methylprednisone therapy. Growth velocity increased only in patients treated with deflazacort from 3.3±0.6 to 5.6±0.5 cm/year. Serum levels of several components of the insulin-like growth factor axis did not change. Weight/height ratio was increased in methylprednisone-treated patients (P〈0.05) and decreased in deflazacort-treated patients (P〈0.005). Lean body mass increased in both groups (P〈0.005). Fat body mass and serum leptin increased only in methylprednisone-treated patients (P〈0.025). Total cholesterol and low-density lipoprotein-cholesterol increased in methylprednisone-treated patients by 9.9% (P〈0.05) and 12.5% (P〈0.025). High-density lipoprotein-cholesterol increased by 21% (P〈0.005) and apolipoprotein B decreased by 11% (P〈0.005) in deflazacort-treated patients. Total skeleton and lumbar spine bone mineral density decreased in both groups, but at 1 year methylprednisone-treated patients had lost 50% more bone. Bone mineral content decreased only in methylprednisone-treated patients (P〈0.01). Our data suggest that substituting deflazacort for maintenance methylprednisone might prevent height loss, excessive bone loss, and fat accumulation; and leads to an improvement in the lipoproteins of these children.
1432-198X
1432198X
Springer
shingle_title_1 Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation
shingle_title_2 Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation
shingle_title_3 Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation
shingle_title_4 Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation
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source_archive Springer Online Journal Archives 1860-2000
timestamp 2024-05-06T09:43:04.119Z
titel Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation
titel_suche Effect of deflazacort versus methylprednisone on growth, body composition, lipid profile, and bone mass after renal transplantation
topic WW-YZ
uid nat_lic_papers_NLM205949126