Pediatric Endocrinology

An Intermediary Role for Insulin Resistance in the Adipose-Bone Mass Relationship in Adolescents

An Intermediary Role for Insulin Resistance in the Adipose-Bone Mass Relationship in Adolescents

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Insulin resistance may play an intermediary role in the relationship between adiposity and lumbar spine bone mass in adolescents.

Triponderal Mass Index Not Superior to BMI in Estimating Obesity Outcomes

Triponderal Mass Index Not Superior to BMI in Estimating Obesity Outcomes

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Triponderal mass index alone and in combination with body mass index (BMI) or subscapular skinfold thickness was not superior to BMI alone for estimating obesity-related outcomes in adulthood.

Trends in Metabolic, Bariatric Surgery for Pediatric Patients

Trends in Metabolic, Bariatric Surgery for Pediatric Patients

From 2005 through 2014, an estimated 14,178 metabolic and bariatric surgery (MBS) procedures were performed among pediatric patients aged 20 years and younger with severe obesity.

Pediatric Obesity Linked to Slipped Capital Femoral Epiphysis

Pediatric Obesity Linked to Slipped Capital Femoral Epiphysis

High childhood body mass index is strongly correlated with slipped capital femoral epiphysis.

Supporting the Transition From Pediatric to Adult Health Care

Supporting the Transition From Pediatric to Adult Health Care

Guidelines have been updated to support the health care transition from adolescence to adulthood.

Predictive Variables for Permanent vs Transient Congenital Hypothyroidism

Predictive Variables for Permanent vs Transient Congenital Hypothyroidism

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Thyroid stimulating hormone levels at diagnosis and the L-thyroxine dose through treatment may distinguish between permanent and transient congenital hypothyroidism.

Breastfeeding Inversely Associated With Weight Gain Velocity and BMI

Breastfeeding Inversely Associated With Weight Gain Velocity and BMI

Breastfeeding is inversely associated with body mass index z scores measured at 12 months, and the association is attenuated with formula supplementation by six months.

Safety and Mortality Outcomes Following Pediatric Growth Hormone Therapy

Safety and Mortality Outcomes Following Pediatric Growth Hormone Therapy

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Primary cancer rates and mortality risk were no higher for pediatric patients treated with growth hormone therapy.

Education Can Increase Emotional Intelligence in Residents

Education Can Increase Emotional Intelligence in Residents

Following an educational intervention, residents from pediatrics and med-ped residency programs have an increase in total emotional intelligence.

Endocrine Society Updates Congenital Adrenal Hyperplasia Clinical Practice Guidelines

Endocrine Society Updates Congenital Adrenal Hyperplasia Clinical Practice Guidelines

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The guideline highlights shared decision making among patients, their families, and physicians for the management of congenital adrenal hyperplasia.

Linking Gestational Diabetes to Maternal Glucose Metabolism, Childhood Adiposity

Linking Gestational Diabetes to Maternal Glucose Metabolism, Childhood Adiposity

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To understand the associations between exposure to gestational diabetes and the risk for maternal glucose metabolism and childhood adiposity, researchers followed a cohort of mothers and children for a median of 11.4 years.

Providers of Pediatric Care Have Role in Supporting Transgender Youth

Providers of Pediatric Care Have Role in Supporting Transgender Youth

The AAP recommends that youth who identify as TGD have access to comprehensive, gender affirming, and developmentally appropriate health care.

Perinatal Exposure to Air Pollution Linked to Newborn Thyroid Function

Perinatal Exposure to Air Pollution Linked to Newborn Thyroid Function

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Total thyroxine in newborns was measured by heel-stick blood spot test.

Adipokines Associated With Clinical Course Alteration in Pediatric Patients With T1D

Adipokines Associated With Clinical Course Alteration in Pediatric Patients With T1D

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Altered serum levels of nicotinamide phosphoribosyltransferase, omentin-1, and caspase-cleaved cytokeratin 18 fragment M30 in children with type 1 diabetes may signify metabolic differences that do not stabilize with insulin treatment.

Executive Function Predicts T1D Management Into Emerging Adulthood

Executive Function Predicts T1D Management Into Emerging Adulthood

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Individuals with higher executive function performance at baseline experienced slower increases in HbA1c.

Child Participation in Medicaid, CHIP Up From 2013 to 2016

Child Participation in Medicaid, CHIP Up From 2013 to 2016

From 2013 to 2016 there was an increase in children's participation in Medicaid and the Children's Health Insurance Program.

Higher Risk for Meningioma Linked to GH Treatment, Radiotherapy During Childhood

Higher Risk for Meningioma Linked to GH Treatment, Radiotherapy During Childhood

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The risk for meningioma was not significantly higher in patients who did not receive radiotherapy.

"Is It Just a Phase?" What to Do When Transgender Youths Ask to Transition

"Is It Just a Phase?" What to Do When Transgender Youths Ask to Transition

In the last 5 years, many clinicians have faced tough questions about how best to serve transgender youth while doing no harm.

Effect of Birth Weight and Rapid Weight Gain During Infancy on Insulin Sensitivity

Effect of Birth Weight and Rapid Weight Gain During Infancy on Insulin Sensitivity

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Investigators sought to determine the effect of birth weight, weight gain from 0 to 2 years, and adiposity on insulin resistance and sensitivity in early adolescence.

Grote Clinical Decision Rule May Be Best for Monitoring Growth in Children

Grote Clinical Decision Rule May Be Best for Monitoring Growth in Children

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Investigators sought to improve growth-monitoring programs by examining existing algorithms and examined the effect of using WHO vs national growth charts on algorithm performance.

Counseling Needed for Pediatric Patients With Impaired Fertility

Counseling Needed for Pediatric Patients With Impaired Fertility

Counseling about impaired fertility and sexual function for at-risk pediatric populations in developmentally appropriate ways is essential.

ASMBS Pediatric Committee Updates Guidelines on Bariatric Surgery in Teens

ASMBS Pediatric Committee Updates Guidelines on Bariatric Surgery in Teens

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The American Society for Metabolic and Bariatric Surgery Pediatric Committee has updated their 2012 evidence-based guidelines.

Appetite Awareness Training May Enhance Behavioral Strategies in Childhood Obesity

Appetite Awareness Training May Enhance Behavioral Strategies in Childhood Obesity

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The lifestyle physical activity program included weight education, control, self-monitoring, behavioral change techniques, and maintenance of behavior change.

Two-Screen Program More Effective for Identifying Congenital Hypothyroidism

Two-Screen Program More Effective for Identifying Congenital Hypothyroidism

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There are 14 states that perform a routine second screening in infants at approximately 2 weeks of age.

ADA Releases Updated Guidelines for Managing Pediatric Type 1 Diabetes

ADA Releases Updated Guidelines for Managing Pediatric Type 1 Diabetes

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It is critical for us to remember that children are not little adults. Pediatric-onset diabetes is different from adult-onset diabetes due to its distinct epidemiology, pathophysiology, developmental considerations, and response to therapy.

Smoothing the Care Team Transition for Youth With Type 1 Diabetes

Smoothing the Care Team Transition for Youth With Type 1 Diabetes

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The transition from pediatric to adult care for type 1 diabetes should be a gradual process, with a plan to make the change when the patient is ready, not at a pre-determined time.

Idiopathic Short Stature: Expert Perspectives

Idiopathic Short Stature: Expert Perspectives

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Guidelines from The Endocrine Society, updated in 2017, advocate a shared decision-making approach regarding growth hormone therapy and advise against routine treatment for all children with idiopathic short stature.

ISPAD Issues Consensus Statement on Diabetic Ketoacidosis and Hyperglycemia

ISPAD Issues Consensus Statement on Diabetic Ketoacidosis and Hyperglycemia

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ISPAD recommends adjustments for fluid management regarding rehydration rates in children and adolescents with diabetes ketoacidosis.

MiniMed 670G System Approved for Use in Younger Patients With T1D

MiniMed 670G System Approved for Use in Younger Patients With T1D

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The MiniMed 670G system measures glucose levels every 5 minutes and automatically adjusts insulin delivery to avoid highs and lows.

Safety and Performance of Omnipod HCL for Children With Type 1 Diabetes

Safety and Performance of Omnipod HCL for Children With Type 1 Diabetes

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In children with type 1 diabetes, the Omnipod hybrid closed-loop personal model system was safe and performed well.

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