Repository of Research and Investigative Information

Repository of Research and Investigative Information

Zahedan University of Medical Sciences

Growth impairment in beta-thalassemia major: The role of trace element deficiency and other potential factors

(2007) Growth impairment in beta-thalassemia major: The role of trace element deficiency and other potential factors. Journal of Pediatric Hematology Oncology. pp. 5-8. ISSN 1077-4114

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Official URL: <Go to ISI>://WOS:000243951300003

Abstract

A serious problem in thalassemia major is growth impairment for which several possible etiologies have been proposed. Sixty-seven patients with thalassemia were randomly enrolled into the study, divided into 2 groups with and without growth failure and the correlation between growth failure and the following parameters was evaluated: age, sex, serum ferritin level, serum zinc and copper concentrations, serum copper-zinc ratio, regularity of blood transfusion, and the regularity and duration of chelation therapy. Among all studied parameters, only age, duration, and type of chelation therapy and age of beginning chelation therapy were significantly different between the 2 groups. Binomial multivariate logistic regression showed that the only significant independent correlation was between age and growth failure. A 1-year increase in age is associated with a 1.57-fold increase in the risk of growth impairment. The results of this study indicated that a temporally cumulative damage to growth-mediating mechanisms except those considered here is responsible for growth failure in thalassemia major.

Item Type: Article
Keywords: thalassemia growth failure zinc deficiency chelation therapy urinary zinc excretion short stature endocrine function hormone-secretion serum ferritin puberty iron selenium children Oncology Hematology Pediatrics
Page Range: pp. 5-8
Journal or Publication Title: Journal of Pediatric Hematology Oncology
Journal Index: ISI
Volume: 29
Number: 1
Identification Number: https://doi.org/10.1097/MPH.0b013e31802d74f3
ISSN: 1077-4114
Depositing User: خانم مهدیه رضائی پور
URI: http://eprints.zaums.ac.ir/id/eprint/2900

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