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Cited by 116Hypothalamic control of reproductive hormonesOvarian function and disordersGrowth Hormone and Insulin-like Growth Factors

Maturation of Luteinizing Hormone (Gonadotropin-Releasing Hormone) Secretion across Puberty: Evidence for Altered Regulation in Obese Peripubertal Girls

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McCartney, Christopher R., Prendergast, Kathleen A., Blank, Susan K., Helm, Kristin D., Chhabra, Sandhya, Marshall, John C.·2009·The Journal of Clinical Endocrinology & Metabolism
DOI 10.1210/jc.2008-1252PMC PMC2630866
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Abstract

Context: Peripubertal obesity (body mass index-for-age ≥ 95%) in girls is associated with hyperandrogenemia. LH likely contributes to this relationship, but overnight LH secretion in obese girls is poorly characterized. Objective: The aim of the study was to evaluate LH pulse characteristics in obese girls throughout pubertal maturation. Design: We conducted a cross-sectional analysis. Setting: The study was performed in a general clinical research center. Participants: Eight nonobese and five obese Tanner 1–2 girls participated, as well as 32 nonobese and 12 obese Tanner 3–5 girls. Intervention: Blood samples were collected every 10 min overnight (from 1900 to 0700 h). Main Outcome Measures: LH pulse frequency, amplitude, and mean LH were measured in three 4-h time blocks (block 1, 1900–2300 h; block 2, 2300–0300 h; and block 3, 0300–0700 h). Results: Tanner stage 1–2 nonobese girls demonstrated nocturnal increases of LH frequency (P < 0.01, block 1 vs. 2) and mean LH (P < 0.05, block 1 vs. 2 and 3). Obese Tanner 1–2 girls had lower 12-h LH frequency and LH amplitude (P < 0.05 for both), with no overnight changes of LH pulse parameters. Compared to normal, LH frequency was elevated in Tanner 3–5 obese girls (P < 0.01 in all blocks), whereas LH amplitude was low (P < 0.05 in all blocks). Overnight increases of LH amplitude were observed in nonobese Tanner 3–5 girls (P < 0.0001), but not in obese Tanner 3–5 girls. Conclusions: Obesity in prepubertal and early pubertal girls is associated with reduced LH secretion and reduced nocturnal changes of LH. In later pubertal girls, obesity is linked with reduced LH amplitude, but elevated LH frequency; the latter may reflect effects of hyperandrogenemia.

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  • Longer duration trials of 12 months or more in adolescents with polycystic ovary syndrome are very limited and are either open-labelled or lack placebo-controlled arms.

    “Longer duration trials (12 months or more) are very limited and are either open-labelled trials or lack placebocontrolled arms [133, 135, 161-163]”

    From The Diagnosis of Polycystic Ovary Syndrome during Adolescence (2015) · cites this paper as [133]

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Authors
McCartney, C. R., Prendergast, K. A., Blank, S. K., Helm, K. D., Chhabra, S., & Marshall, J. C.
Affiliations
University of Virginia Health System (US)
ORCID
McCartney, Christopher R.
Venue
The Journal of Clinical Endocrinology & Metabolism
Publisher
The Endocrine Society
Published
2009-01-01
Volume
94
Issue
1
Pages
56-66
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
DOI
10.1210/jc.2008-1252
PMC
PMC2630866
OpenAlex
W2109550569
Cited by
116
References
45
Citations by year
2026: 3 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 10 · 2020: 8 · 2019: 5 · 2018: 6 · 2017: 8 · 2016: 9 · 2015: 9 · 2014: 10 · 2013: 6 · 2012: 9
FWCI
6.95
Type
journal article
Language
en
Open access
Locations
  • The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5k23hd044742-05)
  • National Institute of Diabetes and Digestive and Kidney Diseases (F32 HD-DK42895)
  • National Center for Research Resources (M01RR000847, M01-RR 00847)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (F32HD055014, T32HD007382, K23-HD-044742, T32 HD07382, U54HD028934, U54-HD-28934)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
  • Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
Keywords
luteinizing hormone, luteinizing hormone secretion, puberty, hyperandrogenemia, LH pulse frequency, LH pulse amplitude, prepubertal girls, Tanner stages, gonadotropin secretion
MeSH terms
Adolescent, Child, Cross-Sectional Studies, Estradiol, Female, Follicle Stimulating Hormone, Humans, Luteinizing Hormone, Obesity, Puberty, Testosterone

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