The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.
The Effects of Treatment with Recombinant Human Growth Hormone on Body Composition and Metabolism in Adults with Growth Hormone Deficiency
Abstract
In a double-blind, placebo-controlled trial, we studied the effects of six months of growth hormone replacement in 24 adults with growth hormone deficiency. Most of the patients had acquired growth hormone deficiency during adulthood as a consequence of treatment for pituitary tumors, and all were receiving appropriate thyroid, adrenal, and gonadal hormone replacement. The daily dose of recombinant human growth hormone (rhGH) was 0.07 U per kilogram of body weight, given subcutaneously at bedtime. The mean (+/- SE) plasma concentration of insulin-like growth factor I increased from 0.41 +/- 0.05 to 1.53 +/- 0.16 U per liter during rhGH treatment. Treatment with rhGH had no effect on body weight. The mean lean body mass, however, increased by 5.5 +/- 1.1 kg (P less than 0.0001), and the fat mass decreased by 5.7 +/- 0.9 kg (P less than 0.0001) in the group treated with growth hormone; neither changed significantly in the placebo group. The basal metabolic rate, measured at base line and after one and six months of rhGH administration, increased significantly; the respective values were 32.4 +/- 1.4, 37.2 +/- 2.2, and 34.4 +/- 1.6 kcal per kilogram of lean body mass per day (P less than 0.001 for both comparisons). Fasting plasma cholesterol levels were lower (P less than 0.05) in the rhGH-treated group than in the placebo group, whereas plasma triglyceride values were similar in the two groups throughout the study. We conclude that growth hormone has a role in the regulation of body composition in adults, probably through its anabolic and lipolytic actions.
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“GH treatment in adults with hypopituitarism and associated GH deficiency can improve body composition and increase lean body mass.95”
From Age-related and disease-related muscle loss: The effect of diabetes, obesity, and other diseases (2014) · cites this paper as [95]
In the citing paper
“Increased adiposity 79, 80 is also associated with reduced GH secretion during aging.”
From Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications (2021) · cites this paper as [79]
In the citing paper
“Reductions in GH secretion also result in a loss of lean body mass 79, 158 and decreased strength.158”
From Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications (2021) · cites this paper as [79]
Citations
Cites
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BENEFICIAL EFFECTS OF GROWTH HORMONE TREATMENT IN GH-DEFICIENT ADULTS
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Human Body Composition: Growth, Aging, Nutrition, and Activity
Forbes, G. B. (1987) · Medical Entomology and Zoology · Cited by 461
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Impaired Growth Hormone Responses to Growth Hormone–Releasing Factor in Obesity
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Guler, H. P., Schmid, C., Zapf, J., & Froesch, E. R. (1989) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.86.8.2868 · Cited by 322
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Research works printed but not linked: 2
- Manson, 1986, Surgery, 100, 188
- Sönksen PH. Double antibody technique for the simultaneous assay of insulin and growth hormone. In: Antoniades HN, ed. Hormones in human blood: detection and assay. Cambridge, Mass.: Harvard University Press, 1976:176–99.
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Ghrelin induces adiposity in rodents
Tschöp, M., Smiley, D. L., & Heiman, M. L. (2000) · Nature · doi:10.1038/35038090 · Cited by 3,949
Premature mortality due to cardiovascular disease in hypopituitarism
Rosén, T., & Bengtsson, B.-Å. (1990) · The Lancet · doi:10.1016/0140-6736(90)91812-o · Cited by 1,402
Biological, Physiological, Pathophysiological, and Pharmacological Aspects of Ghrelin
van der Lely, A. J., Tschöp, M., Heiman, M. L., & Ghigo, E. (2004) · Endocrine Reviews · doi:10.1210/er.2002-0029 · Cited by 1,187
Age-related and disease-related muscle loss: The effect of diabetes, obesity, and other diseases
Kalyani, R. R., Corriere, M., & Ferrucci, L. (2014) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(14)70034-8 · Cited by 1,102
Molitch, M. E., Clemmons, D. R., Malozowski, S., Merriam, G. R., & Vance, M. L. (2011) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2011-0179 · Cited by 1,047
Metadata
- Authors
- Salomon, F., Cuneo, R. C., Hesp, R., & Sönksen, P. H.
- Affiliations
- St Thomas' Hospital (GB)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1989-12-28
- Volume
- 321
- Issue
- 26
- Pages
- 1797-1803
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2331609610
- Cited by
- 1,326
- References
- 33
- Citations by year
- 2026: 8 · 2025: 3 · 2024: 10 · 2023: 14 · 2022: 11 · 2021: 14 · 2020: 15 · 2019: 15 · 2018: 16 · 2017: 10 · 2016: 23 · 2015: 21 · 2014: 23 · 2013: 24 · 2012: 28
- FWCI
- 23.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Keywords
- recombinant human growth hormone, growth hormone deficiency, body composition, lean body mass, fat mass, basal metabolic rate, insulin-like growth factor I, pituitary tumors, triglycerides, lipolysis, anabolism, adults
- MeSH terms
- Adult, Basal Metabolism, Body Composition, Clinical Trials as Topic, Double-Blind Method, Energy Metabolism, Female, Glucose, Humans, Male, Middle Aged, Proteins, Recombinant Proteins, Growth Hormone, Lipid Metabolism
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