Exercise combined with lysine-inositol vitamin B12 promotes height growth in children with idiopathic short stature

IF 1.6 4区 医学 Q4 CELL BIOLOGY Growth Hormone & Igf Research Pub Date : 2023-04-01 DOI:10.1016/j.ghir.2023.101535
Fengping Sun , Liqin Chao , Junxia Zhang , Xiaoli Pan
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引用次数: 2

Abstract

Objective

This study was aimed to systematically determine the effect of exercise combined with lysine-inositol vitamin B12 (VB12) therapy on the height of children with idiopathic short stature (ISS).

Methods

Sixty children with ISS were randomly divided into observation and control groups (N = 30). Each group was given lysine-inositol VB12 oral solution (10 mL bid). Simultaneously, the observation group exercised following the “ISS exercise instruction sheet”. The height (H), growth velocity (GV), height standard deviation score (HtSDS) and other indicators were compared after 6 and 12 months of intervention, respectively. After 12 months of intervention, the biochemical indicators of the two groups, together with the correlation between the average days of exercise per week and average minutes of exercise per day, GV and serum growth hormone were analyzed.

Results

After 6 and 12 months of treatment, the GV, serum GHRH, GHBP, GH, IGF-1, and IGFBP-3 levels in the observation group were significantly higher than those in the control group, and HtSDS was significantly lower than that in the control group (P<0.01). After 12 months of treatment, the height of the observation group was significantly higher than that of the control group (P<0.05). There was no significant difference in the biochemical indicators between two groups (P>0.05). Average days of exercise per week and average minutes of exercise per day were positively correlated with GV and GHBP levels. Serum GHRH, GH, IGF-1, and IGFBP-3 levels were negatively correlated. Average minutes of exercise per day were negatively correlated with GV and GHBP levels. Serum GHRH, GH, IGF-1, and IGFBP-3 levels were positively correlated.

Conclusion

Regular and moderate stretching exercises combined with lysine-inositol VB12 can effectively promote height growth of children with ISS, which is clinically safe. The mechanism promotes serum GHRH, GHBP, GH, IGF-1, and IGFBP-3 levels.

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运动结合赖氨酸肌醇维生素B12可促进特发性身材矮小儿童的身高增长
目的系统评价运动联合赖氨酸肌醇维生素B12(VB12)治疗对特发性身材矮小(ISS)患儿身高的影响。方法将60例ISS患儿随机分为观察组和对照组(N=30)。每组给予赖氨酸肌醇VB12口服溶液(10mL bid)。同时,观察组按照“ISS锻炼指导单”进行锻炼。分别在干预6个月和12个月后比较身高(H)、生长速度(GV)、身高标准差评分(HtSDS)和其他指标。干预12个月后,分析两组的生化指标,以及每周平均运动天数与每天平均运动分钟数、GV和血清生长激素的相关性。结果治疗6个月和12个月后,观察组GV、血清GHRH、GHBP、GH、IGF-1和IGFBP-3水平显著高于对照组,HtSDS水平显著低于对照组(P<0.01),观察组身高明显高于对照组(P<;0.05),两组生化指标无显著差异(P>;0.05)。平均每周运动天数和平均每天运动分钟数与GV和GHBP水平呈正相关。血清GHRH、GH、IGF-1和IGFBP-3水平呈负相关。每天平均运动分钟数与GV和GHBP水平呈负相关。血清GHRH、GH、IGF-1和IGFBP-3水平呈正相关。结论有规律适度的伸展运动配合赖氨酸肌醇VB12能有效促进ISS患儿身高增长,临床安全。该机制促进血清GHRH、GHBP、GH、IGF-1和IGFBP-3水平。
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来源期刊
Growth Hormone & Igf Research
Growth Hormone & Igf Research 医学-内分泌学与代谢
CiteScore
3.30
自引率
0.00%
发文量
38
审稿时长
57 days
期刊介绍: Growth Hormone & IGF Research is a forum for research on the regulation of growth and metabolism in humans, animals, tissues and cells. It publishes articles on all aspects of growth-promoting and growth-inhibiting hormones and factors, with particular emphasis on insulin-like growth factors (IGFs) and growth hormone. This reflects the increasing importance of growth hormone and IGFs in clinical medicine and in the treatment of diseases.
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