{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:46:47Z","timestamp":1789753607278,"version":"4.0.1"},"reference-count":59,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\nHintergrund Wachstum wird durch Hormone, genetische und exogene Faktoren beeinflusst. <\/jats:p><jats:p>\nFragestellungen Welche Bedeutung haben Psyche, Lebensumst\u00e4nde oder maternaler Drogenkonsum in der Schwangerschaft f\u00fcr das Wachstum von Kindern?<\/jats:p><jats:p>\nMethoden Ergebnisse eines Arbeitstreffens p\u00e4diatrischer Endokrinologen mit aktueller Literaturrecherche.<\/jats:p><jats:p>\nErgebnisse Psychosoziale Deprivation kann bei Kindern mit Kleinwuchs und einem Wachstums-hormon (WH)-Mangel einhergehen, der bei \u00c4nderung der Umgebung und unter psychosozialer Unterst\u00fctzung reversibel ist. Krieg und Migration gehen h\u00e4ufig mit Untergewicht, Wachstumsst\u00f6rung und schlechter Gesundheitsversorgung einher. Diese bessern sich nach Konfliktende, die Kinder bleiben dennoch h\u00e4ufig zu klein. Alkohol- oder Drogenkonsum von Schwangeren sind mit einem niedrigeren Geburtsgewicht und einem erh\u00f6hten Risiko f\u00fcr Fr\u00fch- und \u201esmall for gestational age\u201c (SGA)-Geburtlichkeit assoziiert. Kinder mit Aufmerksamkeitsdefizit-Hyperaktivit\u00e4ts-Syndrom (ADHS) zeigten meist nach Beginn einer Stimulanzientherapie eine leichte Wachstumsverlangsamung, erreichen aber eine normale Endh\u00f6he.<\/jats:p><jats:p>\nSchlussfolgerungen Bei Kindern mit idiopathischem Kleinwuchs sollte differenzialdiagnostisch die psychosoziale Genese in Betracht gezogen werden. Eine Stimulanzientherapie bei ADHS wirkt sich demgegen\u00fcber auf das Wachstum kaum aus.<\/jats:p>","DOI":"10.1055\/a-1672-4759","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T00:11:31Z","timestamp":1639440691000},"page":"61-67","source":"Crossref","is-referenced-by-count":4,"title":["Einfluss von psychosozialen Belastungsfaktoren auf das L\u00e4ngenwachstum"],"prefix":"10.1055","volume":"234","author":[{"given":"Bettina C.","family":"Gohlke","sequence":"additional","affiliation":[{"name":"P\u00e4diatrische Endokrinologie, Universit\u00e4tskinderklinik, Endokrinologie Bonn, Germany, Bonn, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Bettendorf","sequence":"additional","affiliation":[{"name":"Division of Paediatric Endocrinology and Diabetes, University Children\u02bcs Hospital Heidelberg, University Hospital Heidelberg, Heidelberg, 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