Pituitary & hypothalamus

The somatotroph pituitary gland function in high-aged multimorbid hospitalized patients with IGF-I deficiency

PituitaryPublished Descriptive study

Authors' conclusion

The somatotroph pituitary gland retains its secretory capacity in the advanced aged. Therefore, age does not seem to be the driving pacemaker for the functional decline of the somatotropic axis within the aged population.

Study context

Population
High-aged multimorbid hospitalized patients with IGF-I concentrations below two standard deviations of 30-year-old men and women (mean age 82 years), with stable age-related diseases (e.g., coronary artery disease, chronic liver or kidney disease, chronic heart failure) and acute conditions (e.g., urosepsis, endocarditis)11 men · 6 women
Participants
17 participants
Outcome
Pituitary GH response (peak GH) to GHRH/arginine stimulation

Main finding

As reported in the abstract

Peak GH concentration after GHRH/arginine stimulation

Average peak growth hormone (GH) concentration after stimulation

14.8 µg/L

range 2.76 to 47.4 µg/L

Pituitary gland adequately stimulated, accounting for gender and BMI

16 out of the 17 patients

Further findings

Mean BMI
26.5 kg/m²

Safety

OutcomeValues
Side effects of GHRH/arginine testGHRH/arginine test 0 events

Side effects of GHRH/arginine test

No patient reported common side effects related to the test

Original publication

The somatotroph pituitary gland function in high-aged multimorbid hospitalized patients with IGF-I deficiency. Pituitary. Published 31 May 2024. doi:10.1007/s11102-024-01406-y

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