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Brain development after prenatal growth retardation; effects of growth hormone treatment

Conditions
small for gestational age / intra uterine growth failure
10021112
10010273
Registration Number
NL-OMON30243
Lead Sponsor
Vrije Universiteit Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
110
Inclusion Criteria

Indications for GH treatment is based on the protocol as described by the dutch Working group on Growth Hormone
inclusioncriteria for group A (SGA-short; without GH treatment):
- Birth weight or birth length below *2 SD adjusted for duration of pregnancy.
- Present height below *2.5 SD and below minus 1 SD target height-SDS.
- Calendar age between 4 and 6 years.
- No evidence of catch up growth during the preceding year.
- Children are under regular control by pediatrician, but do not choose to be treated with GH ;Inclusion criteria group B: (SGA-short; with GH treatment)
This is a patient population who meet the criteria for SGA-short, (see inclusion criteria group a) and are willing to be treated with GH. ;Inclusion criteria group C (SGA-normal height):
- Birth weight or birth length below *2 SD adjusted for duration of pregnancy.
- Present height above -2.0 SD and above minus 1 SD of target height -SDS.
- Calendar age between 4 and 6 years.;Inclusion criteria group D ( AGA-normal height):
- Normal birth weight/length adjusted for duration of pregnancy
- Present height above *2 SD for age and within target range (TH plus and minus 2 SD)
- Calendar age between 4 and 6 years.;inclusion criteria for group E (SGA-short; with GH treatment):
- Birth weight or birth length below *2 SD adjusted for duration of pregnancy.
- Present height below *2.5 SD and less than 1 SD below target height-SDS.
- Calendar age above 6 years.
- No evidence of catch up growth during the preceding year.
- Children are under regular control by pediatrician, are willing to be treated with GH

Exclusion Criteria

Dysmorphic criteria or a known syndrome (except for Silver Russell syndrome)
Skeletal dysplasia
Serious complications in the neonatal period
Other diseases, responsible for growth failure
Medication influencing growth
Psychomotor retardation
Prematurity < 35 weeks

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>growth and brain functioning (results of neuropsychologic tests and<br /><br>neuroimaging)</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>relationship between results of neuropsychologic tests and results of<br /><br>neuroimaging techniques</p><br>
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