This finding suggests that there are gender-dimorphic susceptibilities for SGA postnatal pubertal changes With regard to the age of pubertal initiation, most studies report an age similar to that for children born AGA however, several researchers have shown either an earlier pubertal timing, , or late tempo. This paper presents a summary of the key issues discussed at the conferences regarding the clinical identification and optimal management of children born SGA. Shortly thereafter, a consensus report was produced, which is presented here in final form. In March, 2009, the group met in Prague, Czech Republic, to further discuss and agree on the elements of a consensus document. They held the first meeting in Lima, Peru, in October 2008, where three working groups discussed key issues to address within the consensus, specifically regarding the evaluation and management of children born SGA within Latin America. The development of the 2007 consensus statement on the management of children born SGA by the International Societies of Pediatric Endocrinology and the Growth Hormone Research Society prompted leading experts to develop a similar consensus statement for Latin America. Hence, it is imperative to begin managing the health care of these children as early as possible to achieve optimal outcomes.
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