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2010 AnnuAl REpoRT - Ciberdem

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The effects of metformin on cardiovascular risk factors in<br />

prepubertal children born small for gestational age without<br />

postnatal catch-up growth, currently treated with growth<br />

hormone<br />

Pfizer, PCP00046: 2009-2011<br />

Principal Investigator: Lourdes Ibáñez<br />

Associate investigators: Paula Casano, Marta Díaz, Carme<br />

Valls, María Victoria Marcos<br />

Scientific collaborations within CIBERDEM<br />

Body fat amount and distribution in childhood determines<br />

predisposition to type 2 diabetes<br />

CHILDBODYFAT: 2009-<strong>2010</strong><br />

Coordinator: Lourdes Ibáñez<br />

CIBERDEM groups: L Ibáñez, X Correig, L Masana<br />

Clinical trials<br />

Endocrine-metabolic and body composition effects of<br />

metformin administration in prepubertal children with a<br />

low birthweight for gestational age, postnatal catch-up<br />

growth and risk markers for the metabolic syndrome.<br />

Phase II<br />

Instituto de Salud Carlos III, Fondo de Investigación<br />

Sanitaria, EC08/00160: 2008-<strong>2010</strong><br />

Name of the participants: Ibáñez L (PI), Casano P, Diaz M,<br />

Valls C, del Rio L, Marcos MV, Enríquez G, Sebastiani G,<br />

Hollenberg G, Fortea E and Cortés R (researchers)<br />

Cumulative gain in total and abdominal fat mass in prepubertal<br />

girls (age ~ 8 years) with a history of low birthweight and precocious<br />

pubarche, who were randomized to remain untreated (n=19;<br />

open circles) or to receive metformin (n=19; closed circles) for 4 yr,<br />

and who were then followed for 1 yr without intervention. Pubertal<br />

metformin treatment reduced fat gain not only through puberty, but<br />

also beyond puberty. Mean and 95% CI are shown. Difference in<br />

rate of change between subgroups significant by repeated-measures<br />

ANOVA. Image from: J Pediatr, <strong>2010</strong>.<br />

Effects of the addition of metformin to growth hormone<br />

therapy on cardiovascular risk factors in prepubertal short<br />

children born small for gestational age. Phase II<br />

Instituto de Salud Carlos III, Fondo de Investigación<br />

Sanitaria, EC10/0031: <strong>2010</strong>-2012<br />

Name of the participants: Casano P (PI), Ibáñez L, Diaz M<br />

and Sebastiani G (researchers)<br />

Ethynil-estradiol-cyproterone acetate versus low-dose<br />

pioglitazone + flutamide + metformin in adolescents with<br />

hyperinsulinemic ovarian hyperandrogenism: Effects on<br />

parameters of chronic inflammation and on risk factors of<br />

type 2 diabetes and cardiovascular risk. Phase II<br />

Instituto de Salud Carlos III, Fondo de Investigación<br />

Sanitaria, PI09/90444: 2009-2011<br />

Name of the participants: Ibáñez L (PI), Diaz M, Casano P,<br />

López-Bermejo A, Marcos MV, Mir I, Moran E and Salvador<br />

C (researchers)<br />

Comparative study of subcutaneous insulin pump,<br />

glargine insulin and NPH in diabetic children aged 0-6 yr.<br />

Phase II<br />

Instituto de Salud Carlos III, Fondo de Investigación<br />

Sanitaria, EC07/90900: 2009-2011<br />

Name of the participants: Torres M (PI), Casano P, Díaz R,<br />

Jaramillo A, Anguita C, Gómez A and Marin S (researchers)<br />

Changes over 4 months (mean ± SEM) in total fat mass (by absorptiometry),<br />

abdominal (abd) subcutaneous (subc) fat (by magnetic<br />

resonance imaging), high-molecular-weight adiponectin (HMW adipo)<br />

and follistatin in short SGA children, before (N=18; open bars)<br />

and during (N=35; shaded bars) growth hormone (GH) treatment.<br />

*p

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