Metabolic Risk Assessment in Prepubertal Children With Congenital Hypothyroidism

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age5-12
SponsorBuzzi Children's Hospital

About this trial

We propose a multicenter prospective study to define the prevalence and severity score of metabolic syndrome in a prepubertal pediatric cohort with congenital hypothyroidism, compared to a healthy and normal-weight pediatric population. These data will help to define whether hypothyroidism can be considered a risk factor for the metabolic health of the pediatric population. The possible identification of an at-risk metabolic profile will provide useful information to optimize the diagnostic and monitoring pathway for affected children.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Pubertal stage Tanner 1

Permanent congenital hypothyroidism

All ethnic groups

Informed consent signature

Disqualifiers

Age< 5 years

Pubertal stage Tanner 2-5

Transient congenital hypothyroidism or other type of hypothyroidism

Trial population

We enrolled patients affected by permanent congenital hypothyroidism in prepubertal age and healthy childrens in prepubertal age to compare them with each other.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • prospective observational study (clinical, hormonal and auxological data)

    Other intervention

    We collect clinical, hormonal and auxological data and compare them between the two groups.

Treatment groups

170 Participants
are divided into 3 treatment groups
Group A: Permanent congenital hypothyroidism1 intervention
Group B: Healthy childrens normal weight1 intervention
Group C: Healthy childrens overweight/obese1 intervention

Trial outcomes

Primary outcomes

1

Metabolic syndrome (MS)

Presence of at least 3 of the following parameters: 1. BMI z-score ≥ 2 and/or waist-to-height ratio (WHtR) \> 0.5 2. Fasting blood glucose ≥ 100 mg/dL and/or TryG index ≥ 7.88 3. Total cholesterol ≥ 200 mg/dL 4. HDL cholesterol \< 40 mg/dL and/or LDL cholesterol ≥ 130 mg/dL 5. Triglycerides (TG) ≥ 100 mg/dL for ages 0-9 years; ≥ 130 mg/dL for ages \>10 years 6. Systolic and/or diastolic blood pressure (SBP and/or DBP) ≥ 90th percentile for age and sex

Time frame
At the time of enrollment
2

Metabolic score (MeTs)

Males MetS z-score = -4.931 + 0.2804 \* BMI z-score - 0.0257 \* HDL + 0.0189 \* SBP + 0.6240 \* log(triglycerides) + 0.0140 \* fasting glucose Females MetS z-score = -4.3757 + 0.4849 \* BMI z-score - 0.0176 \* HDL-C + 0.0257 \* SBP + 0.3172 \* log(triglycerides) + 0.0083 \* fasting glucose

Time frame
At the time of enrollment

Secondary outcomes

Other outcomes

Sponsors and contacts

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Buzzi Children's Hospital

Lead sponsor

Federico II University

Collaborator

IRCCS Ospedale San Raffaele

Collaborator

Policlinico di Bari Giovanni XXIII

Collaborator

Azienda Ospedaliero Universitaria Policlinico Modena

Collaborator

Azienda Ospedaliero-Universitaria di Parma

Collaborator

Azienda Ospedaliera Ospedale Infantile Regina Margherita Sant'Anna

Collaborator

Azienda Ospedaliera Sant'Anna

Collaborator

University Hospital Perugia

Collaborator

University of L'Aquila

Collaborator

Clinica Pediatrica Università di Novara

Collaborator

Santobono-Pausilpon Hospital

Collaborator

Policlinico G . Martino, Messina Italy

Collaborator

IRCCS Azienda Ospedaliero-Universitaria di Bologna

Collaborator

University Hospital of Ancona

Collaborator

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