Early traits of metabolic syndrome in pediatric post-cancer survivors: outcomes in adolescents and young adults treated for childhood medulloblastoma
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0004-27302011000800022 http://repositorio.unifesp.br/handle/11600/6689 |
Resumo: | OBJECTIVE: To analyze traits of metabolic syndrome (MetS) in medulloblastoma survivors. SUBJECTS AND METHODS: Sixteen childhood medulloblastoma survivors aged 18.0 (4.4) years, with history of craniospinal radiation therapy (RT) were compared with nine control subjects matched by age, gender, and body mass index, according to fat distribution, metabolic and cardiovascular variables. RESULTS: Medulloblastoma patients showed increases in waist circum-ference and its relationships (all p < 0.05), and HOMA1-IR (p = 0.006), which were modified by growth hormone (GH) secretion status. However, these increases were within normal range. CONCLUSIONS: Adolescent and young adult survivors of medulloblastoma showed centripetal fat deposition and decreased insulin sensitivity, associated with GH status. Pediatric brain tumor survivors following RT should be monitored for the diagnosis of MetS traits predisposing to cardiovascular disease. |
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Early traits of metabolic syndrome in pediatric post-cancer survivors: outcomes in adolescents and young adults treated for childhood medulloblastomaFatores precoces para síndrome metabólica em sobreviventes de câncer pediátrico: resultados em adolescentes e adultos jovens tratados por meduloblastoma na infânciaMedulloblastomamedulloblastomacardiovascular diseasesmetabolic syndrome XMeduloblastomameduloblastomaprevenção e controledoenças cardiovascularessíndrome X metabólicaOBJECTIVE: To analyze traits of metabolic syndrome (MetS) in medulloblastoma survivors. SUBJECTS AND METHODS: Sixteen childhood medulloblastoma survivors aged 18.0 (4.4) years, with history of craniospinal radiation therapy (RT) were compared with nine control subjects matched by age, gender, and body mass index, according to fat distribution, metabolic and cardiovascular variables. RESULTS: Medulloblastoma patients showed increases in waist circum-ference and its relationships (all p < 0.05), and HOMA1-IR (p = 0.006), which were modified by growth hormone (GH) secretion status. However, these increases were within normal range. CONCLUSIONS: Adolescent and young adult survivors of medulloblastoma showed centripetal fat deposition and decreased insulin sensitivity, associated with GH status. Pediatric brain tumor survivors following RT should be monitored for the diagnosis of MetS traits predisposing to cardiovascular disease.OBJETIVO: Analisar características que predispõem para síndrome metabólica (SM) em sobreviventes de meduloblastoma. SUJEITOS E MÉTODOS: Dezesseis sobreviventes de meduloblastoma pediátrico, 18,0 (4,4) anos, história de radioterapia (RT) cranioespinhal, comparados a nove controles pareados por idade, sexo e índice de massa corporal, de acordo com distribuição de gordura, variáveis metabólicas e cardiovasculares. RESULTADOS: Pacientes com meduloblastoma mostraram aumento da cintura e relações (todos p < 0,05) e HOMA1-IR (p = 0,006), modificados pela secreção do hormônio de crescimento (GH), mas dentro dos limites de normalidade. CONCLUSÕES: Sobreviventes adolescentes e adultos jovens de meduloblastoma apresentaram deposição centrípeta de gordura e diminuição da sensibilidade à insulina, associados ao estado do GH. Sobreviventes de tumor cerebral pediátrico que receberam RT devem ser monitorados para diagnosticar fatores para SM predispondo à doença cardiovascular.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Department of PediatricsUNIFESP-EPM Department of MedicineUniversidade de São Paulo Department of Food Science and Experimental Nutrition Pharmaceutical Science SchoolUNIFESP-EPM Department of PediatricsUNIFESP, EPM, Department of PediatricsUNIFESP, EPM Department of MedicineUNIFESP, EPM Department of PediatricsSciELOConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Sociedade Brasileira de Endocrinologia e MetabologiaUniversidade Federal de São Paulo (UNIFESP)Universidade de São Paulo (USP)Siviero-Miachon, Adriana Aparecida [UNIFESP]Monteiro, Carlos Manoel de Castro [UNIFESP]Pires, Liliane VianaRozalem, Ana Carolina [UNIFESP]Silva, Nasjla Saba da [UNIFESP]Petrilli, Antonio Sergio [UNIFESP]Spinola-Castro, Angela Maria [UNIFESP]2015-06-14T13:43:20Z2015-06-14T13:43:20Z2011-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion653-660application/pdfhttp://dx.doi.org/10.1590/S0004-27302011000800022Arquivos Brasileiros de Endocrinologia & Metabologia. Sociedade Brasileira de Endocrinologia e Metabologia, v. 55, n. 8, p. 653-660, 2011.10.1590/S0004-27302011000800022S0004-27302011000800022.pdf0004-2730S0004-27302011000800022http://repositorio.unifesp.br/handle/11600/6689WOS:000298885900022engArquivos Brasileiros de Endocrinologia & Metabologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T10:02:31Zoai:repositorio.unifesp.br/:11600/6689Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T10:02:31Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Early traits of metabolic syndrome in pediatric post-cancer survivors: outcomes in adolescents and young adults treated for childhood medulloblastoma Fatores precoces para síndrome metabólica em sobreviventes de câncer pediátrico: resultados em adolescentes e adultos jovens tratados por meduloblastoma na infância |
title |
Early traits of metabolic syndrome in pediatric post-cancer survivors: outcomes in adolescents and young adults treated for childhood medulloblastoma |
spellingShingle |
Early traits of metabolic syndrome in pediatric post-cancer survivors: outcomes in adolescents and young adults treated for childhood medulloblastoma Siviero-Miachon, Adriana Aparecida [UNIFESP] Medulloblastoma medulloblastoma cardiovascular diseases metabolic syndrome X Meduloblastoma meduloblastoma prevenção e controle doenças cardiovasculares síndrome X metabólica |
title_short |
Early traits of metabolic syndrome in pediatric post-cancer survivors: outcomes in adolescents and young adults treated for childhood medulloblastoma |
title_full |
Early traits of metabolic syndrome in pediatric post-cancer survivors: outcomes in adolescents and young adults treated for childhood medulloblastoma |
title_fullStr |
Early traits of metabolic syndrome in pediatric post-cancer survivors: outcomes in adolescents and young adults treated for childhood medulloblastoma |
title_full_unstemmed |
Early traits of metabolic syndrome in pediatric post-cancer survivors: outcomes in adolescents and young adults treated for childhood medulloblastoma |
title_sort |
Early traits of metabolic syndrome in pediatric post-cancer survivors: outcomes in adolescents and young adults treated for childhood medulloblastoma |
author |
Siviero-Miachon, Adriana Aparecida [UNIFESP] |
author_facet |
Siviero-Miachon, Adriana Aparecida [UNIFESP] Monteiro, Carlos Manoel de Castro [UNIFESP] Pires, Liliane Viana Rozalem, Ana Carolina [UNIFESP] Silva, Nasjla Saba da [UNIFESP] Petrilli, Antonio Sergio [UNIFESP] Spinola-Castro, Angela Maria [UNIFESP] |
author_role |
author |
author2 |
Monteiro, Carlos Manoel de Castro [UNIFESP] Pires, Liliane Viana Rozalem, Ana Carolina [UNIFESP] Silva, Nasjla Saba da [UNIFESP] Petrilli, Antonio Sergio [UNIFESP] Spinola-Castro, Angela Maria [UNIFESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Siviero-Miachon, Adriana Aparecida [UNIFESP] Monteiro, Carlos Manoel de Castro [UNIFESP] Pires, Liliane Viana Rozalem, Ana Carolina [UNIFESP] Silva, Nasjla Saba da [UNIFESP] Petrilli, Antonio Sergio [UNIFESP] Spinola-Castro, Angela Maria [UNIFESP] |
dc.subject.por.fl_str_mv |
Medulloblastoma medulloblastoma cardiovascular diseases metabolic syndrome X Meduloblastoma meduloblastoma prevenção e controle doenças cardiovasculares síndrome X metabólica |
topic |
Medulloblastoma medulloblastoma cardiovascular diseases metabolic syndrome X Meduloblastoma meduloblastoma prevenção e controle doenças cardiovasculares síndrome X metabólica |
description |
OBJECTIVE: To analyze traits of metabolic syndrome (MetS) in medulloblastoma survivors. SUBJECTS AND METHODS: Sixteen childhood medulloblastoma survivors aged 18.0 (4.4) years, with history of craniospinal radiation therapy (RT) were compared with nine control subjects matched by age, gender, and body mass index, according to fat distribution, metabolic and cardiovascular variables. RESULTS: Medulloblastoma patients showed increases in waist circum-ference and its relationships (all p < 0.05), and HOMA1-IR (p = 0.006), which were modified by growth hormone (GH) secretion status. However, these increases were within normal range. CONCLUSIONS: Adolescent and young adult survivors of medulloblastoma showed centripetal fat deposition and decreased insulin sensitivity, associated with GH status. Pediatric brain tumor survivors following RT should be monitored for the diagnosis of MetS traits predisposing to cardiovascular disease. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-11-01 2015-06-14T13:43:20Z 2015-06-14T13:43:20Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0004-27302011000800022 Arquivos Brasileiros de Endocrinologia & Metabologia. Sociedade Brasileira de Endocrinologia e Metabologia, v. 55, n. 8, p. 653-660, 2011. 10.1590/S0004-27302011000800022 S0004-27302011000800022.pdf 0004-2730 S0004-27302011000800022 http://repositorio.unifesp.br/handle/11600/6689 WOS:000298885900022 |
url |
http://dx.doi.org/10.1590/S0004-27302011000800022 http://repositorio.unifesp.br/handle/11600/6689 |
identifier_str_mv |
Arquivos Brasileiros de Endocrinologia & Metabologia. Sociedade Brasileira de Endocrinologia e Metabologia, v. 55, n. 8, p. 653-660, 2011. 10.1590/S0004-27302011000800022 S0004-27302011000800022.pdf 0004-2730 S0004-27302011000800022 WOS:000298885900022 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Arquivos Brasileiros de Endocrinologia & Metabologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
653-660 application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Endocrinologia e Metabologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Endocrinologia e Metabologia |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268445857939456 |