Effects of sex and age on the 24-hour profile of growth hormone secretion in man: importance of endogenous estradiol concentrations
Abstract
We undertook a study of the separate and combined effects of age and sex on the pulsatile pattern of GH secretion. The 24-h secretory profile of GH was generated by 20-min sampling in 10 young women (aged 18-33 yr), 10 young men (aged 18-33 yr), 8 postmenopausal women (aged greater than 55 yr), and 8 older men (aged greater than 55 yr). A computer-assisted pulse analysis program was used to assess both total GH secretion, as reflected in the 24-h integrated GH concentration (IGHC), and pulsatile secretion, as denoted by pulse frequency, duration, amplitude, and the fraction of GH secreted in pulses during the 24-h period (FGHP). IGHC was significantly greater in women than in men (P less than 0.025) and greater in the young than in the old (P less than 0.003). The mean pulse amplitude, duration, and FGHP were each greater in the young (P less than 0.006, P less than 0.03, and P less than 0.0001, respectively), but not significantly different between the sexes. The mean pulse frequency was not affected by sex or age. The serum concentration of free estradiol, but not free testosterone, correlated with IGHC (r = 0.46; P less than 0.005), pulse amplitude (r = 0.53; P less than 0.001), and FGHP (r = 0.59; P less than 0.0002). After correcting for the effects of estradiol, neither sex nor age influenced IGHC or mean pulse amplitude, while the effect of age on FGHP was reduced from 81% to 29%. Of the indices of GH secretion, FGHP had the strongest correlation (r = 0.43; P less than 0.006) with somatomedin-C. Somatomedin-C declined significantly with age in both sexes. Our results indicate that sex and age have independent and interrelated effects on GH secretion. These effects can be largely accounted for by corresponding variations in endogenous estradiol levels. These observations suggest an amplifying action of estradiol on the neuroendocrine regulation of pulsatile GH release.
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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 [166]
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“的紊乱。支持这一观点的是,鼠转基因表达的过氧 化物酶体增殖物激活受体 γ 共激活剂 -1α(PGC1α) 在 骨骼肌 ( 线粒体生物起源的主要调控者 ) 阻止了年龄 相关的自噬量增加和肌肉质量减少 [92] 。 除这些肌纤维内的变化外,由于卫星细胞的减少 和存留能力受损,肌肉再生能力随年龄增长而发生障 碍 [93] 。如前文所述,静止卫星细胞停留在肌纤维膜 与肌纤维基膜之间,对出生后生长和损伤后修复至关 重要。尽管导致这种减少和功能紊乱的精确机制尚未 证明,来自其他组织干细胞群包括造血干细胞和神经 干细胞的证据表明,长期暴露于炎症因子和氧化应激 可能破坏干细胞增殖平衡、自我更新和适当分化 [94,95] 。 有趣的是,尽管许多迹象…”
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- Authors
- HO, K. Y., EVANS, W. S., BLIZZARD, R. M., VELDHUIS, J. D., MERRIAM, G. R., SAMOJLIK, E., FURLANETTO, R., ROGOL, A. D., KAISER, D. L., & THORNER, M. O.
- Affiliations
- Newark Beth Israel Medical Center (US)
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1987-01
- Volume
- 64
- Issue
- 1
- Pages
- 51-58
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W1987910229
- Cited by
- 921
- References
- 39
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 7 · 2023: 9 · 2022: 14 · 2021: 11 · 2020: 8 · 2019: 12 · 2018: 13 · 2017: 14 · 2016: 8 · 2015: 11 · 2014: 13 · 2013: 15 · 2012: 16
- FWCI
- 20.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Santen
- National Institutes of Health (5r01am032632-03)
- National Center for Research Resources (RR 00847)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD-13197)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Keywords
- growth hormone secretion, pulsatile secretion, sex differences, aging, estradiol, free testosterone, insulin-like growth factor I, pulse frequency, pulse amplitude, postmenopausal women, older men, neuroendocrine regulation
- MeSH terms
- Adolescent, Adult, Aged, Aging, Circadian Rhythm, Estradiol, Humans, Insulin-Like Growth Factor I, Male, Middle Aged, Pulse, Sex Factors, Growth Hormone, Testosterone
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