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Growth characteristics in individuals with osteogenesis imperfecta in North America: results from a multicenter study

  • Brittle Bone Disorders Consortium
  • Department of Molecular and Human Genetics
  • Baylor College of Medicine
  • Bone and Osteogenesis Imperfecta Department
  • Kennedy Krieger Institute
  • Oregon Health and Science University
  • University of Wisconsin-Madison
  • Shriners Hospitals for Children
  • Alfred I. duPont Hospital for Children
  • Osteogenesis Imperfecta Foundation
  • University of South Florida
  • University of Washington
  • McGill University
  • Texas Children's Hospital Houston
  • University of California at Los Angeles
  • Children's National Medical Center
  • Hospital for Special Surgery - New York
  • University of Nebraska Medical Center

Research output: Contribution to journal › Article › peer-review

52 Scopus citations

Abstract

Purpose: Osteogenesis imperfecta (OI) predisposes people to recurrent fractures, bone deformities, and short stature. There is a lack of large-scale systematic studies that have investigated growth parameters in OI. Methods: Using data from the Linked Clinical Research Centers, we compared height, growth velocity, weight, and body mass index (BMI) in 552 individuals with OI. Height, weight, and BMI were plotted on Centers for Disease Control and Prevention normative curves. Results: In children, the median z-scores for height in OI types I, III, and IV were −0.66, −6.91, and −2.79, respectively. Growth velocity was diminished in OI types III and IV. The median z-score for weight in children with OI type III was −4.55. The median z-scores for BMI in children with OI types I, III, and IV were 0.10, 0.91, and 0.67, respectively. Generalized linear model analyses demonstrated that the height z-score was positively correlated with the severity of the OI subtype (P < 0.001), age, bisphosphonate use, and rodding (P < 0.05). Conclusion: From the largest cohort of individuals with OI, we provide median values for height, weight, and BMI z-scores that can aid the evaluation of overall growth in the clinic setting. This study is an important first step in the generation of OI-specific growth curves.

Original languageEnglish
Pages (from-to)275-283
Number of pages9
JournalGenetics in Medicine
Volume21
Issue number2
DOIs
StatePublished - 1 Feb 2019
Externally publishedYes

Keywords

  • Growth
  • Height
  • Natural history study
  • Osteogenesis imperfecta
  • Weight

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