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Growth Hormone and Growth Hormone Secretagogues in Adults

  • Chapter
Hormone Replacement Therapy

Part of the book series: Contemporary Endocrinology ((COE,volume 13))

Abstract

The association of growth hormone (GH) with the promotion of linear growth in childhood has focused attention away from its role in adults, but GH secretion continues throughout life, reaching a maximum in adolescence and then declining progressively with age. Many age-related changes resemble those of patients with classical GH deficiency (GHD), including a reduction in muscle and bone mass, an increase in body fat, diminished exercise capacity, and adverse changes in lipoprotein profiles (1). There are other changes less classically associated with GHD that may also be related to the age-related decline in GH secretion. Sleep disorders, for example, become more common with aging, and because nocturnal GH secretion is synchronized with slow-wave sleep, it has been suggested that GH, or the stimuli to GH secretion, may promote as well as respond to sleep.

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References

  1. Corpas E, Harman SM, Blackman MR. Human growth hormone and human aging. Endocr Rev 1993; 14: 20–39.

    PubMed  CAS  Google Scholar 

  2. Hoffman DM, O’ Sullivan AJ, Baxter RC, Ho KKY. Diagnosis of growth-hormone deficiency in adults. Lancet 1994; 343: 1064–1068.

    Article  PubMed  CAS  Google Scholar 

  3. Pharmacia and Upjohn. Letter to Physicians 1997.

    Google Scholar 

  4. Gelato MC, Merriam GR. Growth hormone-releasing hormone. Ann Rev Physiology 1986; 48: 569–591.

    Article  CAS  Google Scholar 

  5. Bowers CY, Veeraragavan K, Sethumadhavan K. A typical growth hormone releasing peptides. In: Bercu BB, Walker RF, eds. Growth Hormone: Basic and Clinical Aspects. Springer-Verlag, New York, 1994, pp. 203–222.

    Google Scholar 

  6. Patchett AA, Nargund RP, Tata JR, Chen MH, Barakat KJ, Johnston DB, Cheng K, Chan WW, Butler B, Hickey G, Smith RG. Design and biological activites of L-163.191 (MK-0677), a potent, orally active growth hormone secretagogue. Proc Nat Acad Sci USA 1995, 92: 7001–7005.

    Article  PubMed  CAS  Google Scholar 

  7. Mericq V, Cassorla F, Garcia H, Avila A, Bowers CY, Merriam GR. Growth hormone (Gil) responses to GH-releasing peptide and to GH-releasing hormone in GH-deficient children. J Clin Endocrinol Metab 1995, 80: 1681–1684.

    Article  PubMed  CAS  Google Scholar 

  8. Pandya N, DeMott-Friberg R, Bowers CY, Barkan AL, Jaffe CA. Growth hormone-releasing peptide-6 requires endogenous hypothalamic GH-releasing hormone for maximal GH stimulation. J Clin Endocrinol Metab 1998; 83: 1186–1189.

    Article  PubMed  CAS  Google Scholar 

  9. Gelato MC, Malozowski S, Caruso-Nicoletti M, Ross JL, Pescovitz OH, Rose S, Loriaux DL, Cassorla F, Merriam GR. Growth hormone (GH) responses to GH-releasing hormone during pubertal development in normal boys and girls:comparison to idiopathic short stature and GH deficiency. J Clin Endocrinol Metab 1986; 63: 174–179.

    Article  PubMed  CAS  Google Scholar 

  10. Pavlov EP, Harman SM, Merriam GR, Gelato MC, Blackman MR. Responses of growth hormone (GH) and somatomedin-C to GH-releasing hormone in healthy aging men. J Clin Endocrinol Metab 1986; 62: 595–600.

    Article  PubMed  CAS  Google Scholar 

  11. Chapman IM,. Hartman ML, Pezzoli SS,. Harrell Jr FE, Hintz RL, Alberti KG, Thorner MO. Effect of aging on the sensitivity of growth hormone secretion to insulin-like growth factor-I negative feedback. J Clin Endocrinol Metab 1997; 82: 2996–3004.

    Article  Google Scholar 

  12. Ghigo E, Goffi S, Nicolosi M, Arvat E, Valente F, Mazza E, Ghigo MC, Camanni F. Growth hormone (GH) responsiveness to combined administration of arginine and GH-releasing hormone does not vary with age in man. J Clin Endocrinol Metab 1990; 71: 1481–1485.

    Article  PubMed  CAS  Google Scholar 

  13. VandenBerghe G, deZegher F, Veldhuis JD, et al. The somatotrophic axis in critical illness:effect of continuous growth hormone (GH)-releasing hormone and GH-releasing peptide-2 infusion. J Clin Endocrinol Metab 1997; 82: 590–599.

    Article  CAS  Google Scholar 

  14. Christ ER, Carroll PV, Russell JDL, Sonksen PH. The consequences of growth hormone deficiency in adulthood, and the effects of growth hormone replacement. Schweiz Med Wochenschr 1997; 127: 1440–9.

    PubMed  CAS  Google Scholar 

  15. Cuneo RC, Salomon F, McGauley GA, Sonksen PH. The growth hormone deficiency syndrome in adults. Clin Endocrinol Oxf 1992; 37: 387–397.

    Article  PubMed  CAS  Google Scholar 

  16. Labram EK, Wilkin TJ. Growth hormone deficiency in adults and its response to growth hormone replacement. Qjm 1995; 88: 391–399.

    PubMed  CAS  Google Scholar 

  17. Ros’en T, Johannsson G, Johansson JO, Bengtsson BA. Consequences of growth hormone deficiency in adults and the benefits and risks of recombinant human growth hormone treatment. Horm Res 1995; 43: 93–99.

    Article  Google Scholar 

  18. Jorgensen JO, Muller J, Moller J, Wolthers T, Vahl N, Juul A, Skakkebaek NE, Christiansen JS. Adult growth hormone deficiency. Horm Res 1994; 42: 235–241.

    Article  PubMed  CAS  Google Scholar 

  19. Lieberman SA, Hoffman AR. Growth hormone deficiency in adults:characteristics and response to growth hormone replacement. J Pediatr 1996; 128: S58 - S60.

    Article  PubMed  CAS  Google Scholar 

  20. Markussis V, Beshyah SA, Fisher C, Sharp P, Nicolaides AN, Johnston DG. Detection of premature atherosclerosis by high-resolution ultrasonography in symptom-free hypopituitary adults. Lancet 1992; 340: 1188–1192.

    Article  PubMed  CAS  Google Scholar 

  21. Ros’en T, Bengtsson BA. Premature mortality due to cardiovascular disease in hypopituitarism. Lancet 1990; 336: 285–288.

    Article  Google Scholar 

  22. Bates AS, Van’t HW, Jones PJ, Clayton RN. The effect of hypopituitarism on life expectancy. J Clin Endocrinol Metab 1996; 81: 1169–1172.

    Article  PubMed  CAS  Google Scholar 

  23. Shahi M, Beshyah SA, Hackett D, Sharp PS, Johnston DG, Foale RA. Myocardial dysfunction in treated adult hypopituitarism:a possible explanation for increased cardiovascular mortality. Br Heart J 1992; 67: 92–96.

    Article  PubMed  CAS  Google Scholar 

  24. Evans HM, Long JA. The effect of the anterior lobe administered intraperitoneally upon growth. Maturity and oestrous cycles of the rat. Anat Rec 1921; 21: 62–63.

    Google Scholar 

  25. Raben MS. Clinical use of human growth hormone. N Engl J Med 1962; 266: 82–86.

    Article  PubMed  CAS  Google Scholar 

  26. Buchanan CR, Preece MA, Milner RD. Mortality, neoplasia, and Creutzfeldt-Jakob disease in patients treated with human pituitary growth hormone in the United Kingdom. BMJ 1991; 302: 824–828.

    Article  PubMed  CAS  Google Scholar 

  27. Salomon F, Cuneo RC, Hesp R, Sonksen PH. The effects of treatment with recombinant human growth hormone on body composition and metabolism in adults with growth hormone deficiency. N Engl J Med 1989; 321: 1797–1803.

    Article  PubMed  CAS  Google Scholar 

  28. Jorgensen JO, Pedersen SA, Thuesen L, Jorgensen J, Ingemann HT, Skakkebaek NE, Christiansen JS. Beneficial effects of growth hormone treatment in GH-deficient adults. Lancet 1989; 1: 1221–1225.

    Article  PubMed  CAS  Google Scholar 

  29. Carroll PV, Christ ER, Bengtsson BA, Carlsson L, Christiansen JS, Clemmons D, Hintz R, Ho K, Laron Z, Sizonenko P, Sonksen PH, Tanaka T, Thorner M. Growth hormone deficiency in adulthood and the effects of growth hormone replacement: a review. Growth Hormone Research Society Scientific Committee. J Clin Endocrinol Metab 1998; 83: 382–95.

    Article  PubMed  CAS  Google Scholar 

  30. Clark W, Kendall MJ. Growth hormone treatment for growth hormone deficient adults. J Clin Pharm Ther 1996; 21: 367–372.

    Article  PubMed  CAS  Google Scholar 

  31. Meling TR, Nylen ES. Growth hormone deficiency in adults: a review. Am J Med Sci 1996; 311: 153–166.

    Article  PubMed  CAS  Google Scholar 

  32. MantzorosCS, Moses AC. Whither recombinant human growth hormone? Ann Intern Med 1996; 125: 932–934.

    Google Scholar 

  33. Powrie J, Weissberger A, Sonksen P. Growth hormone replacement therapy for growth hormone-deficient adults. Drugs 1995; 49: 656–663.

    Article  PubMed  CAS  Google Scholar 

  34. Lamberts SW, Valk NK, Binnerts A. The use of growth hormone in adults:a changing scene. Clin Endocrinol Oxf 1992; 37: 111–115.

    Article  PubMed  CAS  Google Scholar 

  35. Jorgensen JO. Human growth hormone replacement therapy: pharmacological and clinical aspects. Endocr Rev 1991; 12: 189–207.

    Article  PubMed  CAS  Google Scholar 

  36. Bengtsson BA. The consequences of growth hormone deficiency in adults. Acta Endocrinol 1993; 2: 2–5.

    Google Scholar 

  37. Abbasi AA, Drinka PJ, Mattson DE, Rudman D. Low circulating levels of insulin-like growth factors and testosterone in chronically institutionalized elderly men. J Am Geriatr Soc 1993; 41: 975–982.

    PubMed  CAS  Google Scholar 

  38. Cohn L, Feller AG, Draper MW, Rudman IW, Rudman D. Carpal tunnel syndrome and gynaecomastia during growth hormone treatment of elderly men with low circulating IGF-I concentrations. Clin Endocrinol Oxf 1993; 39: 417–425.

    Article  PubMed  CAS  Google Scholar 

  39. Daughaday WH. The possible autocrine paracrine and endocrine roles of insulin-like growth factors of human tumors. Endocrinology 1990; 127: 1–4.

    Article  PubMed  CAS  Google Scholar 

  40. Ezzat S, Melmed S. Clinical review 18:Are patients with acromegaly at increased risk for neoplasia? J Clin Endocrinol Metab 1991; 72: 245–249.

    Article  PubMed  CAS  Google Scholar 

  41. Brunner JE, Johnson CC, Zafar S, Peterson EL, Brunner JF, Mellinger RC. Colon cancer and polyps in acromegaly: increased risk associated with family history of colon cancer. Clin Endocrinol Oxf 1990; 32: 65–71.

    Article  PubMed  CAS  Google Scholar 

  42. Bengtsson BA, Eden S, Ernest I, Od’ en A, Sjogren B. Epidemiology and long-term survival in acromegaly: a study of 166 cases diagnosed between 1955 and 1984. Acta Med Scand 1988; 223: 327–35.

    Article  PubMed  CAS  Google Scholar 

  43. Hankinson SE, Willett WC, Colditz GA, Hunter DJ, Michaud DS, Deroo B, Rosner B, Speizer FE, Pollak M. Circulating concentrations of insulin-like growth factor-I and risk of breast cancer. Lancet 1998; 351: 1393–1396.

    Article  PubMed  CAS  Google Scholar 

  44. Chan JM, Stampfer MJ, Giovanucci E, Gan PH, Ma J, Wilkinson P, Hennekens CH, Pollak M. Plasma insulin-like growth factor-I and prostate cancer risk: a prospective study. Science 1998; 279: 563–566.

    Article  PubMed  CAS  Google Scholar 

  45. Growth Hormone Research Society. Consensus guidelines for the diagnosis and treatment of adults with growth hormone deficiency: summary statement of the Growth Hormone Research Society Workshop on Adult Growth Hormone Deficiency. J Clin Endocrinol Metab 1998; 83: 379–381.

    Article  Google Scholar 

  46. Zadik Z, Chalew SA, McCarter RJJ, Meistas M, Kowarski AA. The influence of age on the 24-hour integrated concentration of growth hormone in normal individuals. J Clin Endocrinol Metab 1985; 60: 513–516.

    Article  PubMed  CAS  Google Scholar 

  47. Ho KY, Evans WS, Blizzard RM, Veldhuis JD, Merriam GR, Samojlik E, Furlanetto R, Rogol AD, Kaiser DL, Thorner MO. Effects of sex and age on the 24-hour profile of growth hormone secretion in man:importance of endogenous estradiol concentrations. J Clin Endocrinol Metab 1987; 64: 51–58.

    Article  PubMed  CAS  Google Scholar 

  48. Burman P, Johansson AG, Siegbahn A, Vessby B, Karlsson FA. Growth hormone deficient men are more responsive to GH replacement therapy than women. J Clin Endocrinol Metab 1997; 82: 550–555.

    Article  PubMed  CAS  Google Scholar 

  49. Drake WM, Coyte D, Camacho-Hubner, Jivanji NM, Kaltsas G, Wood DF, Trainer PJ, Grossman AB, Besser GM, Monson JP. Optmizing growth hormone replacement therapy by dose titration in hypopituitary adults. J Clin Endocrinol Metab 1998; 83: 9313–9319.

    Google Scholar 

  50. Bellantoni MF, Vittone J, Campfield AT, Bass KM, Harman SM, Blackman MR. Effects of oral vs. transermal estrogen on the growth hormone-insulin-like growth factor I axis in younger and older postmenopausal women. J Clin Endocrinol Metab 1996; 81: 2848–2853.

    Article  PubMed  CAS  Google Scholar 

  51. Harman SM, Blackman MR. Growth hormone, IGF-I, gonadal steroids, and aging. Aging Milano 1992; 4: 257–259.

    PubMed  CAS  Google Scholar 

  52. Degli Uberti EC, Ambrosio MR, Cella SG, Margutti AR, Trasformi G, Rigamonti AE, Petrone E, Muller EE. Defective hypothalamic growth hormone (GH)-releasing hormone activity may contribute to declining GH secretion with age in man. J Clin Endocrinol Metab 1997; 82: 2885–2888.

    Article  PubMed  Google Scholar 

  53. Rudman D, Shetty KR. Unanswered questions concerning the treatment of hyposomatotropism and hypogonadism in elderly men. J Am Geriatr Soc 1994; 42: 522–527.

    PubMed  CAS  Google Scholar 

  54. Rudman D, Feller AG, Nagraj HS, Gergans GA, Lalitha PY, Goldberg AF, Schlenker RA, Cohn L, Rudman IW, Mattson DE. Effects of human growth hormone in men over 60 years old. N Engl J Med 1990; 323: 1–6.

    Article  PubMed  CAS  Google Scholar 

  55. Rudman D, Feller AG, Cohn L, Shetty KR, Rudman IW, Draper MW. Effects of human growth hormone on body composition in elderly men. Horm Res 1991; 36 (suppl): 73–81.

    Article  PubMed  Google Scholar 

  56. Thompson JL, Butterfield GE, Marcus R, Hintz RL, Van LM, Ghiron L, Hoffman AR. The effects of recombinant human insulin-like growth factor-I and growth hormone on body composition in elderly women. J Clin Endocrinol Metab 1995; 80: 1845–1852.

    Article  PubMed  CAS  Google Scholar 

  57. Taaffe DR, Jin IH, Vu TH, Hoffman AR, Marcus R. Lack of effect of recombinant human growth hormone (GH) on muscle morphology and GH-insulin-like growth factor expression in resistance-trained elderly men. J Clin Endocrinol Metab 1996; 81: 421–425.

    Article  PubMed  CAS  Google Scholar 

  58. Papadakis MA, Grady D, Black D, Tierney MJ, Gooding GA, Schambelan M, Grunfeld C. Growth hormone replacement in healthy older men improves body composition but not functional ability. Ann Intern Med 1996; 124: 708–716.

    PubMed  CAS  Google Scholar 

  59. Holloway L, Butterfield G, Hintz RL, Gesundheit N, Marcus R. Effects of recombinant human growth hormone on metabolic indices, body composition, and bone turnover in healthy elderly women. J Clin Endocrinol Metab 1994; 79: 470–479.

    Article  PubMed  CAS  Google Scholar 

  60. Marcus R, Butterfield G, Holloway L, Gilliland L, Baylink DJ, Hintz RL, Sherman BM. Effects of short term administration of recombinant human growth hormone to elderly people. J Clin Endocrinol Metab 1990; 70: 519–527.

    Article  PubMed  CAS  Google Scholar 

  61. Erdtsieck RJ, Pols HA, Valk NK, Van OBM, Lamberts SW, Mulder P, Birkenhager JC. Treatment of post-menopausal osteoporosis with a combination of growth hormone and pamidronate:a placebo controlled trial. Clin Endocrinol Oxf 1995; 43: 557–565.

    Article  PubMed  CAS  Google Scholar 

  62. Kaiser FE, Silver AJ, Morley JE. The effect of recombinant human growth hormone on malnourished older individuals. J Am Geriatr Soc 1991; 39: 235–240.

    PubMed  CAS  Google Scholar 

  63. Binnerts A, Wilson JH, Lamberts SW. The effects of human growth hormone administration in elderly adults with recent weight loss. J Clin Endocrinol Metab 1988; 67: 1312–1316.

    Article  PubMed  CAS  Google Scholar 

  64. Gupta KL, Shetty KR, Agre JC, Cuisinier MC, Rudman 1W, Rudman D Human growth hormone effect on serum IGF-I and muscle function in poliomyelitis survivors. Arch Phys Med Rehabil 1994; 75: 889–894.

    Article  PubMed  CAS  Google Scholar 

  65. Weksler ME. Hormone replacement therapy for men:has the time come? Geriatrics 1995;50:52–54. 61a. Martin FC, Yeo A-L, Sonksen PH. Growth hormone secretion in the elderly: ageing and the somatopause. Balliere’s Clin Endocrinol Metab 1997; 11: 223–250.

    Google Scholar 

  66. Borst SE, Millard WJ, Lowenthal DT. Growth hormone. exercise. and aging: the future of therapy for the frail elderly. J Am Geriatr Soc 1994; 42: 528–535.

    PubMed  CAS  Google Scholar 

  67. Bennett RM, Clark SC, Walczyk J. A randomized. double-blind. placebo-controlled study of growth hormone in the treatment of fibromyalgia. Am J Medicine 1998; 104: 227–231.

    Article  CAS  Google Scholar 

  68. Horber FF, Haymond MW. Human growth hormone prevents the protein catabolic side effects of prednisone in humans. J Clin Invest 1990; 86: 265–272.

    Article  PubMed  CAS  Google Scholar 

  69. Gore DC, Honeycutt D, Jahoor F, Wolfe RR, Herndon DN. Effect of exogenous growth hormone on whole-body and isolated-limb protein kinetics in burned patients. Arch Surg 1991; 126: 38–43.

    Article  PubMed  CAS  Google Scholar 

  70. Maxwell H, Rees L. Recombinant human growth hormone treatment in infants with chronic renal failure. Arch Dis Child 1996; 74: 40–43.

    Article  PubMed  CAS  Google Scholar 

  71. Jenkins RC, Ross RJ. Growth hormone therapy for protein catabolism. Quart J Med 1996; 89: 813–819.

    Article  CAS  Google Scholar 

  72. Mulligan K, Grunfeld C, Hellerstein MK, Neese RA, Schambelan M. Anabolic effects of recombinant human growth hormone in patients with wasting associated with the human immunodeficiency virus. J Clin Endocrinol Metab 1993; 77: 956–962.

    Article  PubMed  CAS  Google Scholar 

  73. Schambelan M, Mulligan K, Grunfeld C, Daar ES, LaMarca A, Kotler DP, Wang J, Bozzette SA, Breitmeyer JB. Recombinant human growth hormone in patients with HIV-associated wasting. A randomized, placebo-controlled trial. Ann Int Med 1996; 125: 873–832.

    PubMed  CAS  Google Scholar 

  74. Lee PD, Pivarnik JM, Bukar JK, et al. A randomized, placebo-controlled trial of combined insulin-like growth factor I and low dose growth hormone therapy for wasting associated with human immunodeficiency virus. J Clin Endocrinol Metab 1996; 81: 2968–2975.

    Article  PubMed  CAS  Google Scholar 

  75. Thorner M, Rochiccioli P, Colle M, Lanes R, Grunt J, Galazka A, Landy H, Eengrand P, Shah S. Once daily subcutaneous growth hormone-releasing hormone therapy accelerates growth in growth hormone-deficient children during the first year of therapy. J Clin Endocrinol Metab 1996; 81: 1189–1196.

    Article  PubMed  CAS  Google Scholar 

  76. Borges JL, Blizzard RM, Evans WS, Furlanetto R, Rogol AD, Kaiser DL, Rivier J. Vale W, Thorner MO. Stimulation of growth hormone and somatomedin C in idiopathic GH-deficient subjects by intermittent pulsatile administration of human pancreatic tumor GH-releasing factor. J Clin Endocrinol Metab 1984; 59: 1–6.

    Article  PubMed  CAS  Google Scholar 

  77. Corpas E, Harman SM, Pineyro MA, Roberson R, Blackman MR. Growth hormone (GH)-releasing hormone-(1–29) twice daily reverses the decreased GH and insulin-like growth factor-I levels in old men. J Clin Endocrinol Metab 1992; 75: 530–535.

    Article  PubMed  CAS  Google Scholar 

  78. Vittone J, Blackman MR, Busby-Whitehead J, Tsiao C, Stewart KJ, et al. Effects of single nightly injections of growth hormone-releasing hormone GHRH 1–29) in healthy elderly men. Metabolism 1997; 46: 89–96.

    Article  PubMed  CAS  Google Scholar 

  79. Khorram O, Laughlin GA, Yen SSC. Endocrine and metabolic effects of long-term administration of [N1e27] growth hormone-releasing hormone (1–29)NH2 in age-advanced men and women. J Clin Endocrinol Metab 1997; 82: 1472–1479.

    Article  PubMed  CAS  Google Scholar 

  80. Merriam GR, Barsness S, Drolet G, Galt S, Hastings R, Moe KE, Schwartz RS, Vitiello MV. IGF-I variability during GHRH treatment: effect of diet control. GH Research Society, abstract 1148, 1998.

    Google Scholar 

  81. Steiger A, Guldner J, Hemmeter U, Rothe B, Wiedemann K, Holsboer F. Effects of growth hormone-releasing hormone and somatostatin on sleep EEG and nocturnal hormone secretion in male controls. Neuroendocrinology 1992; 56: 566–573.

    Article  PubMed  CAS  Google Scholar 

  82. Kerkhofs M, Cauter Ev, Onderbergen Av, Caufriez A, Thonier MO, Copinschi G. Sleep-promoting effects of growth hormone-releasing hormone in normal men. Am J Physiol 1993; 264: E594 - E598.

    PubMed  CAS  Google Scholar 

  83. Chapman IM, Bach MA, van Cauter E, Farmer M, Krupa D, Taylor AM, Schilling AM, Cole KY, Skiles EH, Pezzoli SS. Stimulation of the growth hormone (GH)-insulin-like growth factor I axis by daily oral administration of a GH secretagogue MK-677) in healthy elderly subjects. J Clin Endocrinol Metab 1996; 81: 4249–4257.

    Article  PubMed  CAS  Google Scholar 

  84. Mericq VG, Salazar T, Avila A, Iniguez G, Bowers CY, Cassorla FG, Merriam GR. Effects of eight months treatment with graded doses of growth hormone-releasing peptide in growth hormone-deficient children. J Clin Endocrinol Metab 1998; 83: 2355–2360.

    Article  PubMed  CAS  Google Scholar 

  85. Pasqualini T, Ferraris J, Fainstein-Day P, Eymann AA, Moyano-Caturelly S, Ruiz S, Ramirez J, Gutman R. Growth acceleration in children with chronic renal failure treated with growth hormone-releasing hormone (GHRH). Medicina (Buenos Aires) 1996; 58: 241–246.

    Google Scholar 

  86. Kelijman M, Frohman LA. Enhanced growth hormone GH) responsiveness to GH-releasing hormone after dietary manipulation in obese and nonobese subjects. J Clin Endocrinol Metab 1988; 66: 489–494.

    Article  PubMed  CAS  Google Scholar 

  87. Cassorla F, Mericq V, Garcia H, Cristiano AM, Avila A, Boric A, Iniguez G, Merriam GR. The effects of (31-adrenergic blockade on the growth response to growth hormone (GH)-releasing hormone therapy in GH-deficient children. J Clin Endocrinol Metab 1995; 80: 2997–3001.

    Article  PubMed  CAS  Google Scholar 

  88. Liu L, Merriam GR, Sherins RJ. Chronic sex steroid exposure increases mean plasma GH concentration and pulse amplitude in men with isolated hypogonadotropic hypogonadism. J Clin Endocrinol Metab 1987; 64: 651–656.

    Article  PubMed  CAS  Google Scholar 

  89. Moe KE, Prinz PN, Larsen LH, Vitiello MV, Reed SO, Merriam GR. Growth hormone in postmenopausal women after long-term estrogen replacement therapy. J Gerontol Biol Sci 1998;53A:in press.

    Google Scholar 

  90. Guidice LC. Insulin-like growth factors and ovarian follicular development. Endocrine Reviews 1992; 13: 641–669.

    Google Scholar 

  91. Vitiello MV, Wilkinson CW, Merriam GR, Moe KE, Prinz PN, Ralph DD, Colasurdo EA, Schwartz RS. Successful six-month endurance training does not alter insulin-like growth factor-I in healthy older men and women. J Gerontol Med Sci 1997; 52A: 149–154.

    Article  Google Scholar 

  92. Hodes RJ. Frailty and disability: can growth hormone or other trophic agents make a difference? J Am Geriatr Soc 1994; 42: 1208–1211.

    PubMed  CAS  Google Scholar 

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Cummings, D.E., Merriam, G.R. (1999). Growth Hormone and Growth Hormone Secretagogues in Adults. In: Meikle, A.W. (eds) Hormone Replacement Therapy. Contemporary Endocrinology, vol 13. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-700-0_4

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