Volume 24, Issue 11 (Feb 2017)                   JSSU 2017, 24(11): 899-912 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

heidarianpoor A, razavi Z, seif M. Dual Effect of Aerobic Exercise and GnRH Agonists at the Same Time, on Estradiol Serum LevelsandGonadotropins (LH,LH/FSH) in Girls with Central Precocious Puberty. JSSU 2017; 24 (11) :899-912
URL: http://jssu.ssu.ac.ir/article-1-3983-en.html
Abstract:   (6756 Views)

Introduction: Precocious pubertyin girls refers to onset of puberty before age 8. The purpose of this study therefore was the study of the effect of aerobic training and the use of GnRH agonists on estradiol serum levelsand Gonadotropins in girls with central precocious puberty.

Methods: Twenty-five girls with central precocious puberty (aged 7.44±0.34 years) participated in this study. Subjects randomly were divided in to the healthy control group ( Without precocious puberty) (n=10) and three experimental groups (drug group) n=10 aerobic exercise and( drug groups) n=8 and aerobic exercise group (n=7). In the experimental group, aerobic program prolonged for 12 weeks 3 days a week 20-60 min  a day with 40-80% of Maximum heart rate and additionally GnRH agonists was used as medicine . The estradiol serum levelsand Gonadotropins were measured before, after, and after a follow-up program, respectively. BMI of subjects was measured to assess the effect of the aerobic exercises.

Results: Data analysis showed that the aerobic training led to decreased significantly estradiol serum levelsand Gonadotropins in the experimental group (aerobic exercise and aerobic exercise+ drug groups) (P≤0/05) The control group had no significant change in the index. BMI had no significant change in the drug group (P=0/06).

Conclusions: Considering to the results of this study it could demonstrate that aerobic training and GnRH agonists at the same time can lead to decrease the estradiol serum level sandimprove the Gonadotropins in precocious puberty girls. Aerobic training can also decrease the BMI in girls with central precocious puberty.

Full-Text [PDF 842 kb]   (2139 Downloads)    
Type of Study: Original article | Subject: Exercise Physiology
Received: 2016/12/2 | Accepted: 2017/01/22 | Published: 2017/04/15

References
1. Styne DM. Physiology of puberty. Horm Res 1994; 41(2):3-6.
2. Cheryl L, Julia L. Pubertal hormones organize the adolescent brain and behavior, review article. Frontiers in Neuroendocrinol 2005; 26: 163-74.
3. Alba M, Schally AV, Salvatori R. Partial reversibility of growth hormone (GH) deficiency in the GH-releasing hormone (GHRH) knockout mouse by postnatal treatment with a GHRH analog. Endocrinplpgy 2005; 146: 1506-13.
4. DiVall S. The influence of endocrine disruptors on growth and development of children. Current Opinions in Endocrinology, Diabetes and Obesity 2013; 20: 50-55.
5. Carel JC, Léger J. Clinical practice, precocious puberty. NEngl J Med 2008; 358: 2366-77.
6. Manna I. Growth development and maturity in children and adolescent: relation to sports and physical activity. American Journal of Sports Science and Medicine 2014; 2(5A): 48-50.
7. Weir K. The risks of earlier puberty. Academic American Association 2016; 47(3): 40.
8. Justin J, Garry L. Growth in precocious puberty. Indian Journal of Pediatrics 2006; 73: 81-88.
9. Brito V, Spinola-Castro A, Kochi C, Kopacek C, Silva P, Guerra-Junior G. Central precocious puberty: revisiting the diagnosis and therapeutic management. Arch Endocrinol Metab 2016; 60(2): 163-73.
10. Traggiai C, Perucchin PP, Zerbini K, Gastaldi R, De Biasio P, Lorini R. Outcome after depot gonadotrophin-releasing hormone agonist treatmentfor central precocious puberty: effects on body mass index and final height. Eur J Endocrinol 2005;153(3): 463–64.
11. Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child 1969; 44:291–303.
12. Ronald S. Swerdloff, William D. Odell. Hormonal mechanisms in the onset of puberty. Postgrad Med J 1975; 51(594): 200–208.
13. Key TJ, Appleby PN, Reeves GK, Roddam A, Dorgan JF, Longcope C, et al. Body mass index, serum sex hormones, and breast cancer risk in postmenopausal women. Journal of National Cancer Institute 2003; 95(16): 1218-26.
14. Racine MS, Symons KV, Foster CM, Barkan AL. Augmentation of growth hormone secretion after testosterone treatment in boys with constitutional delay of growth and adolescence: evidence against an increase in hypothalamic secretion of growth hormone-releasing hormone. J Clin Endocrinol Metab 2004; 89: 3326-31.
15. Bachmann GA, Schaefers M, Uddin A, Utian WH. Lowest effective transdermal 17 beta-estradiol dose for relief of hot flushes in postmenopausal women: a randomized controlled trial. Obstet Gynecol 2007; 110(4): 771-79.
16. Manna I. Growth development and maturity in children and adolescent: relation to sports and physical activity. American Journal of Sports Science and Medicine 2014; 2(5A): 48-50.
17. Copeland JL, Consitt LA, Tremblay MS. Hormonal responses to endurance and resistance exercise in females aged 19-69 years. Journal of Gerotology Series 2002; 57(4): 58-65.
18. Monninkhof EM, Velthuis MJ, Peeters PHM, Twisk JWR, Schuit AJ. Effect of exercise on postmenopausal sex hormone levels and role of body fat: A randomized controlled trial. Journal Clinical Oncology 2009; 27(27): 4492-99.
19. Głab E, Barg E, Wikiera B, Grabowski M, Noczyńska A. Influence of GnRH analog therapy on body mass in central precocious puberty. Pediatr Endocrinol Diabetes Metab2009; 15:7-11.
20. Pasquino AM, Pucarelli I, Accardo F, Demiraj V, Segni M, Di Nardo R. Long-term observation of 87 girls with idiopathic central precocious puberty treated with gonadotropin-releasing hormone analogs: Impact on adult height, body mass index, bone mineral content, and reproductive function. J Clin Endocrinol Metab 2008; 93(1): 190-95.
21. Giabicani E, Allali S, Durand A, Sommet J, Couto-Silva A, Brauner R. Presentation of 493 consecutive girls with idiopathic central precocious puberty: a single-center study. Journal Pone 2013; 8(7).
22. Lee S, Yang E, Seo J, Kim C. Effects of gonadotropin-releasing hormone agonist therapy on body mass index and height in girls with central precocious puberty. Chonnam Medical Journal 2012; 48: 27-31.
23. Palmert MR, Mansfield MJ, Crowley WF Jr, Crigler JF Jr, Crawford JD,Boepple PA. Is obesity an outcome of gonadotropin-releasing hormoneagonist administration? analysisof growth and body composition in 110 patients with central precocious puberty. J Clin Endocrinol Metab 1999; 84(12): 4480-88.
24. Arrigo T, De Luca F, Antoniazzi F, Galluzzi F, Segni M, Rosano M, et al. Reduction of baseline body mass index under gonadotropinsuppressivetherapy in girls with idiopathic precociouspuberty. Eur J Endocrinol 2004; 150(4): 533-37.
25. Kelly AS, Steinberger J, Olson TP, Dengel DR. In the absence of weight loss, exercise training does not improve adipokines or oxidative stress in overweight children. Metabolism 2007; 56(7): 9-1005.
26. Avkanl S, Brndabr A. Gynecological and breast and genital-urinary men, translation footprints. Sami-Tehran, Publishing and Promoting the Human Gift 2004; 144.
27. McTiernan A, WU L, Chen C, Chlebowski R, Mossavar-Rahmani Y, Modugno F, et al. Relation of BMI and physical activity to sex hormones in postmenopausal women. Obesity 2006; 14(9): 77-1662.
28. Anık A, Çatlı G, Abacı A, Böber E. Effect of gonadotropin-releasing hormone agonist therapy on body mass index and growth in girls with idiopathic central precocious puberty. Indian J Endocrinol Metab 2015; 19(2): 267–71.
29. Kemmler W, Wildt L, Engelke K, Pintag R, Pavel M, Bracher B,et al. Acute hormonal responses of high impact physical exercise session in early post menopausal women. Eur J Appl Physiol 2003; (90): 199-209.
30. McTiernan A, Tworoger SS, Ulrich CM, Yasui Y, Irwin ML, Rajan KB, et al. Effect of exercise on serum estrogens in postmenopausal women: a 12-Month randomized. Clinical Trial 2004; 64(8): 2923-28.
31. Williams, Nancy I. Effects of moderate aerobic exercise combined with caloric restriction on Circulating estrogens and IGF-1 in premenopausal women. Pennsylvania State University Park 2004; 44.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | SSU_Journals

Designed & Developed by : Yektaweb