Growth hormone dynamics in healthy adults are related to age and sex and strongly dependent on body mass index
Open accessAbstract
BACKGROUND: Studies on 24-hour growth hormone (GH) secretion are rare. The influences of sex, age, and adiposity are well recognized but generally derived from specific, selected subject groups, not spanning sexes, many age decades, and a range of body weights. OBJECTIVE: Our goal was to investigate GH dynamics in a group of 130 healthy adult subjects, both men and women, across 5 age decades as well as a 2.5-fold range of body mass index (BMI) values. METHODS: GH was measured by a sensitive immunofluorometric assay. Secretion parameters were quantified by automated deconvolution and relative pattern randomness by approximate entropy (ApEn). RESULTS: The median age was 40 years (range 20-77). The median BMI was 26 (range 18.3-49.8). Pulsatile 24-hour GH secretion was negatively correlated with age (p = 0.002) and BMI (p < 0.0001). Basal GH secretion negatively correlated with BMI (p = 0.003) but not with age. The sex- dependent GH secretion (greater in women) was no longer detectable after 50 years of age. Insulin-like growth factor (IGF)-1 levels were lower in women over 50 years of age compared with men of a similar age. ApEn showed an age-related increase in both sexes and was higher in premenopausal and postmenopausal women than in men of comparable age (p < 0.0001). A single fasting GH measurement is not informative of 24-hour GH secretion. CONCLUSIONS: BMI dominates the negative regulation of 24-hour GH secretion across 5 decades of age in this up till now largest cohort of healthy adults who underwent 24-hour blood sampling. Sex also impacts GH secretion before the age of 50 years as well as its regularity at all ages. Differences in serum IGF-1 partly depend on the pre- or postmenopausal state. Finally, a single GH measurement is not informative of 24-hour GH secretion.
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Endogenous GH secretion in young women is consistently higher (typically twice as high) as in young men of similar age.
“The proposal that the sex difference in muscle mass and function might be due to sex differences in endogenous GH secretion (116) is refuted by the extensive and conclusive clinical evidence that endogenous GH secretion in young women is consistently higher (typically twice as high) as in young men of similar age (163–170).”
From Circulating Testosterone as the Hormonal Basis of Sex Differences in Athletic Performance (2018) · cites this paper as [169]
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“Higher BMI is associated with attenuated 24-h GH secretion, and a more subtly increased 24-h TSH, prolactin and ACTH secretion (4, 21, 34, 35).”
Self-citation
- Authors
- Roelfsema, F., & Veldhuis, J. D.
- Affiliations
- Leiden University Medical Center (NL)
- Mayo Clinic (US)
- Venue
- Neuroendocrinology
- Publisher
- S. Karger AG
- Published
- 2015-07-28
- Volume
- 103
- Issue
- 3-4
- Pages
- 335-344
- ISSN
- 0028-3835 (ISSN-L)
- 1423-0194
- PMC
- PMC4731317
- OpenAlex
- W984684029
- Cited by
- 53
- References
- 69
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 6 · 2023: 2 · 2022: 5 · 2021: 8 · 2020: 4 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 2 · 2015: 1
- FWCI
- 4.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Neuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- Funders
- National Institutes of Health (DK050456)
- National Institute on Aging (R01AG031763, R01AG029362, R01AG019695)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK050456, R01DK073148)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- growth hormone secretion, pulsatile secretion, body mass index, adiposity, age-related decline, sex differences, menopause, insulin-like growth factor I, approximate entropy, healthy adults
- MeSH terms
- Adult, Aged, Aging, Female, Humans, Insulin-Like Growth Factor I, Male, Middle Aged, Radioimmunoassay, Sex Characteristics, Growth Hormone, Body Mass Index, Linear Models, Nonlinear Dynamics, Entropy, Young Adult, Healthy Volunteers
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