Determinants of IGF1 and GH across the weight spectrum: from anorexia nervosa to obesity
Open accessAbstract
Context: Chronic starvation is characterized by GH resistance, and obesity is characterized by decreased GH secretion. In both extremes, IGF1 levels may be low and androgen levels may be abnormal. Objective: To investigate the determinants of IGF1 and GH across the weight spectrum in women. Design: Cross-sectional study. Setting: Clinical research center. Study participants: In total, 32 women had participated in the study: 11 women with anorexia nervosa (AN), 11 normal-weight women, and 10 obese women of comparable mean age. Intervention: None. Main outcome measures: Pooled hourly overnight serum samples assayed for IGF1, GH, estradiol (E 2), testosterone, SHBG, insulin, free fatty acids, and trunk fat. Results: Free testosterone was higher in obese women and lower in women with AN than in normal-weight women, and was the only independent (and positive) predictor of IGF1 levels, accounting for 14% of the variability (P=0.032) in the group as a whole. This relationship was stronger when obese women were excluded, with free testosterone accounting for 36% of the variability (P=0.003). Trunk fat accounted for 49% of the variability (P<0.0001) of GH, with an additional 7% of the variability attributable to E 2 (P=0.042) in the group as a whole, but was not a significant determinant of GH secretion when obese women were excluded. Conclusions: Free testosterone is a significant determinant of IGF1 levels in women across the body weight spectrum. In contrast, GH secretion is differentially regulated at the extremes of the weight spectrum.
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The greatest impact of these endocrinological changes appears related to alterations in sex hormones (testosterone and androgens), growth hormone, and adipokines.
“The greatest impact of these changes appears to be related to alterations in sex hormone (i.e. testosterone and androgens), growth hormone, and a host of adipokines [29,34-46].”
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- Authors
- Brick, D. J., Gerweck, A. V., Meenaghan, E., Lawson, E. A., Misra, M., Fazeli, P., Johnson, W., Klibanski, A., & Miller, K. K.
- Affiliations
- Harvard University (US)
- Venue
- European Journal of Endocrinology
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-08
- Volume
- 163
- Issue
- 2
- Pages
- 185-191
- ISSN
- 0804-4643 (ISSN-L)
- 1479-683X
- PMC
- PMC2953770
- OpenAlex
- W2165655868
- Cited by
- 46
- References
- 31
- Citations by year
- 2023: 2 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 7 · 2014: 1 · 2013: 4 · 2012: 5
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- European Journal of Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Massachusetts General Hospital
- National Heart, Lung, and Blood Institute (K24HL092902, R01HL077674)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK52525, P30DK040561)
- National Center for Research Resources (UL1RR025758, M01RR001066, M01-RR01066)
- NIH Clinical Center
- 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 › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- insulin-like growth factor I, growth hormone, anorexia nervosa, obesity, body weight, free testosterone, estradiol, trunk fat, sex hormone-binding globulin, insulin, androgens, women
- MeSH terms
- Adipose Tissue, Adolescent, Anorexia Nervosa, Body Composition, Body Weight, Cross-Sectional Studies, Estradiol, Fatty Acids, Nonesterified, Female, Humans, Insulin, Insulin-Like Growth Factor I, Middle Aged, Obesity, Radioimmunoassay, Sex Hormone-Binding Globulin, Testosterone, Body Mass Index, Human Growth Hormone
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