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Relationship between sleep and growth in patients with reversible somatotropin deficiency (psychosocial dwarfism)1

Published online by Cambridge University Press:  09 July 2009

Georg Wolff
Affiliation:
From the Department of Psychiatry and Behavioral Sciences, Baltimore, Maryland, 21205, U.S.A.
John Money
Affiliation:
Department of Pediatrics, The Johns Hopkins University School of Medicine and Hospital, Baltimore, Maryland, 21205, U.S.A.

Synopsis

In a partly retrospective, partly follow-up study, 27 patients aged 1 year 10 months to 16 years 2 months with reversible somatotropin deficiency, showed a relationship between the rate of statural growth and sleep, graded as good, poor, or mixed. During periods of good sleep the overall growth rate averaged 1·04 cm per month, and during periods of poor sleep it averaged 0·34 cm per month (t=8·46, df=32, P<0·001). Presumably, good growth, good sleep, and optimal nocturnal somatotropin release intercorrelate in this syndrome of dwarfism, but the data with regard to nocturnal somatotropin release remain to be demonstrated empirically.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1973

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References

REFERENCES

Capitanio, M. A., and Kirkpatrick, J. A. (1969). Widening of the cranial sutures. A roentgen observation during periods of accelerated growth in patients treated for deprivation dwarfism. Radiology, 92, 5359.CrossRefGoogle ScholarPubMed
Drash, P. W., Greenberg, N. E., and Money, J. (1968). Intelligence and personality in four syndromes of dwarfism. In Human Growth: Body Composition, Cell Growth, Energy, and Intelligence, pp. 568581. Edited by Cheek, D. B.. Lea and Febiger: Philadelphia.Google Scholar
Fenton, G. W., and Elphicke, T. M. (1969). Sleep patterns in malnutrition: a longitudinal study of anorexic patients. (Abstract.) Electroencephalography and Clinical Neuro-physiology, 27, 681.Google ScholarPubMed
Graham, C. G., Cordano, A., Blizzard, R. M., and Cheek, D. B. (1969). Infantile malnutrition: changes in body composition during rehabilitation. Pediatric Research, 3, 579589.CrossRefGoogle ScholarPubMed
Hadden, D. R. (1967). Glucose, free fatty acid, and insulin interrelations in kwashiorkor and marasmus. Lancet, 2, 589593.CrossRefGoogle ScholarPubMed
Hays, W. L. (1963). Statistics for Psychologists. Holt: New York.Google Scholar
Honda, Y., Takahashi, K., Takahashi, S., Azumi, K., Irie, M., Sakuma, M., Tshushima, T., and Shizume, K. (1969). Growth hormone secretion during nocturnal sleep in normal subjects. Journal of Clinical Endocrinology and Metabolism, 29, 2029.CrossRefGoogle ScholarPubMed
Hunter, W. M., and Rigal, W. M. (1965). Plasma growth hormone in children at night and following a glucose load. (Abstract.) Acta Endocrinologica, Suppl. 100, 121.Google Scholar
Kerr, G. R., Chamove, A. S., and Harlow, H. F. (1969). Environmental deprivation: its effect on the growth of infant monkeys. Journal of Pediatrics, 75, 833837.CrossRefGoogle ScholarPubMed
Linn, L. (1967). Clinical manifestations of psychiatric disorders. In Comprehensive Textbook of Psychiatry, pp. 546577. Edited by Freedman, A. M. and Kaplan, H. I.. Williams and Wilkins: Baltimore.Google Scholar
Marks, V., Howorth, N., and Greenwood, F. C. (1965). Plasma growth-hormone levels in chronic starvation in man. Nature, 208, 686687.CrossRefGoogle Scholar
Patton, R. G., and Gardner, L. I. (1962). Influence of family environment on growth: the syndrome of ‘maternal deprivation’. Pediatrics, 30, 957962.CrossRefGoogle Scholar
Patton, R. G., and Gardner, L. I. (1963). Growth Failure in Maternal Deprivation. Thomas: Springfield, Ill.Google Scholar
Patton, R. G., and Gardner, L. I. (1969). Short stature associated with maternal deprivation syndrome: disordered family environment as cause of so-called idio-pathic hypopituitarism. In Endocrine and Genetic Diseases of Childhood, pp. 7789. Edited by Gardner, L. I.. Saunders: Philadelphia.Google Scholar
Pimstone, B. I., Wittmann, W., Hansen, J. D. L., and Murray, P. (1966). Growth hormone and kwashiorkor. Role of protein in growth-hormone homoeostasis. Lancet, 2, 779780.CrossRefGoogle ScholarPubMed
Powell, G. F., Brasel, J. A., and Blizzard, R. M. (1967a). Emotional deprivation and growth retardation simulating idiopathic hypopituitarism. I. Clinical evaluation of the syndrome. New England Journal of Medicine, 276, 12711278.CrossRefGoogle ScholarPubMed
Powell, G. F., Brasel, J. A., Raiti, S., and Blizzard, R. M. (1967b). Emotional deprivation and growth retardation simulating idiopathic hypopituitarism. II. Endocrinologic evaluation of the syndrome. New England Journal of Medicine, 276, 12791283.CrossRefGoogle ScholarPubMed
Sassin, J. F., Parker, D. C., Mace, J. W., Gotlin, R. W., Johnson, L. C., and Rossman, L. G. (1969). Human growth hormone release: relation to slow-wave sleep and sleep-waking cycles. Science, 165, 513515.CrossRefGoogle Scholar
Silver, H. K., and Finkelstein, M. (1967). Deprivation dwarfism. Journal of Pediatrics, 70, 317324.CrossRefGoogle ScholarPubMed
Takahashi, Y., Kipnis, D. M., and Daughaday, W. H. (1968). Growth hormone secretion during sleep. Journal of Clinical Investigation, 47, 20792090.CrossRefGoogle ScholarPubMed
Whitten, C. F., Pettit, M. G., and Fischhoff, J. (1969). Evidence that growth failure from maternal deprivation is secondary to undereating. Journal of American Medical Association, 209, 16751682.CrossRefGoogle ScholarPubMed