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Growth Hormone Supplementation in the Elderly

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Growth Hormone Related Diseases and Therapy

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Abstract

The expected demographic age shift in the world population over the next 3–5 decades will have a significant impact on society. Interventions with the potential to prevent or delay the loss of independence and to allow the majority of the older population to sustain strength, quality of life, and functionality are of increasing interest. Age-dependent muscle loss is recognized as a contributing factor of the age-dependent decline in strength and function. Circulating growth hormone (GH) levels show a significant decline with aging. Several age-dependent changes in body composition, such as muscle loss, have been associated with the age-dependent decline in GH in humans. The potential benefits and risks of restoring the GH-IGF-axis in the older population with GH or ghrelin-mimetics are discussed in this chapter.

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References

  1. Butler RN. Population aging and health. BMJ. 1997;315(7115):1082–4.

    PubMed  CAS  Google Scholar 

  2. U.S. Census Bureau. International database. Table 094. Midyear population, by age and sex. Available at http://www.census.gov/population/www/projections/natdet-D1A.html.

  3. United Nations. Report of the Second World assembly on aging. Madrid: United Nations; 2002.

    Google Scholar 

  4. CDC. Public health and aging: trends in aging-United States and worldwide. JAMA. 2003;289:1371–3.

    Article  Google Scholar 

  5. Toogood AA, Adams JE, O’Neill PA, Shalet SM. Body composition in growth hormone deficient adults over the age of 60 years. Clin Endocrinol (Oxf). 1996;45(4):399–405.

    Article  CAS  Google Scholar 

  6. Barreto-Filho JA, Alcantara MR, Salvatori R, et al. Familial isolated growth hormone deficiency is associated with increased systolic blood pressure, central obesity, and dyslipidemia. J Clin Endocrinol Metab. 2002;87(5):2018–23.

    Article  PubMed  CAS  Google Scholar 

  7. Snel YE, Brummer RJ, Doerga ME, et al. Adipose tissue assessed by magnetic resonance imaging in growth hormone-deficient adults: the effect of growth hormone replacement and a comparison with control subjects. Am J Clin Nutr. 1995;61(6):1290–4.

    PubMed  CAS  Google Scholar 

  8. Lonn L, Kvist H, Grangard U, Bengtsson BA, Sjostrom L. CT-determined body composition changes with recombinant human growth hormone treatment to adults with growth hormone deficiency. Basic Life Sci. 1993;60:229–31.

    PubMed  CAS  Google Scholar 

  9. al-Shoumer KA, Anyaoku V, Richmond W, Johnston DG. Elevated leptin concentrations in growth hormone-deficient hypopituitary adults. Clin Endocrinol (Oxf). 1997;47(2):153–9.

    Article  CAS  Google Scholar 

  10. Johansson JO, Fowelin J, Landin K, Lager I, Bengtsson BA. Growth hormone-deficient adults are insulin-resistant. Metabolism. 1995;44(9):1126–9.

    Article  PubMed  CAS  Google Scholar 

  11. Attanasio AF, Mo D, Erfurth EM, et al. Prevalence of metabolic syndrome in adult hypopituitary growth hormone (GH)-deficient patients before and after GH replacement. J Clin Endocrinol Metab. 2010;95(1):74–81.

    Article  PubMed  CAS  Google Scholar 

  12. Abdu TA, Neary R, Elhadd TA, Akber M, Clayton RN. Coronary risk in growth hormone deficient hypopituitary adults: increased predicted risk is due largely to lipid profile abnormalities. Clin Endocrinol (Oxf). 2001;55(2):209–16.

    Article  CAS  Google Scholar 

  13. Johansson JO, Landin K, Tengborn L, Rosen T, Bengtsson BA. High fibrinogen and plasminogen activator inhibitor activity in growth hormone-deficient adults. Arterioscler Thromb. 1994;14(3):434–7.

    Article  PubMed  CAS  Google Scholar 

  14. Kvasnicka J, Marek J, Kvasnicka T, et al. Increase of adhesion molecules, fibrinogen, type-1 plasminogen activator inhibitor and orosomucoid in growth hormone (GH) deficient adults and their modulation by recombinant human GH replacement. Clin Endocrinol (Oxf). 2000;52(5):543–8.

    Article  CAS  Google Scholar 

  15. Rosen T, Bengtsson BA. Premature mortality due to cardiovascular disease in hypopituitarism. Lancet. 1990;336(8710):285–8.

    Article  PubMed  CAS  Google Scholar 

  16. Bates AS, Van’t Hoff W, Jones PJ, Clayton RN. The effect of hypopituitarism on life expectancy. J Clin Endocrinol Metab. 1996;81(3):1169–72.

    Article  PubMed  CAS  Google Scholar 

  17. Colao A, Cuocolo A, Di Somma C, et al. Impaired cardiac performance in elderly patients with growth hormone deficiency. J Clin Endocrinol Metab. 1999;84(11):3950–5.

    Article  PubMed  CAS  Google Scholar 

  18. Attanasio AF, Bates PC, Ho KK, et al. Human growth hormone replacement in adult ­hypopituitary patients: long-term effects on body composition and lipid status–3-year results from the HypoCCS Database. J Clin Endocrinol Metab. 2002;87(4):1600–6.

    Article  PubMed  CAS  Google Scholar 

  19. Sneppen SB, Steensgaard-Hansen F, Feldt-Rasmussen U. Cardiac effects of low-dose growth hormone replacement therapy in growth hormone-deficient adults. An 18-month randomised, placebo-controlled, double-blind study. Horm Res. 2002;58(1):21–9.

    Article  PubMed  Google Scholar 

  20. 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(1):92–6.

    Article  PubMed  CAS  Google Scholar 

  21. Amato G, Carella C, Fazio S, et al. Body composition, bone metabolism, and heart structure and function in growth hormone (GH)-deficient adults before and after GH replacement therapy at low doses. J Clin Endocrinol Metab. 1993;77(6):1671–6.

    Article  PubMed  CAS  Google Scholar 

  22. Bex M, Abs R, Maiter D, Beckers A, Lamberigts G, Bouillon R. The effects of growth hormone replacement therapy on bone metabolism in adult-onset growth hormone deficiency: a 2-year open randomized controlled multicenter trial. J Bone Miner Res. 2002;17(6):1081–94.

    Article  PubMed  CAS  Google Scholar 

  23. Rosen T, Wilhelmsen L, Landin-Wilhelmsen K, Lappas G, Bengtsson BA. Increased fracture frequency in adult patients with hypopituitarism and GH deficiency. Eur J Endocrinol. 1997;137(3):240–5.

    Article  PubMed  CAS  Google Scholar 

  24. Wuster C, Abs R, Bengtsson BA, et al. The influence of growth hormone deficiency, growth hormone replacement therapy, and other aspects of hypopituitarism on fracture rate and bone mineral density. J Bone Miner Res. 2001;16(2):398–405.

    Article  PubMed  CAS  Google Scholar 

  25. Rosen T, Johannson G, Hallgren P, Caidahl K, Bosaeus I, Bengtsson BA. Beneficial effects of 12 months replacement therapy with recombinant human growth hormone to growth hormone deficient adults. J Clin Endocrinol Metab. 1994;1:55–66.

    CAS  Google Scholar 

  26. Mahajan T, Crown A, Checkley S, Farmer A, Lightman S. Atypical depression in growth hormone deficient adults, and the beneficial effects of growth hormone treatment on depression and quality of life. Eur J Endocrinol. 2004;151(3):325–32.

    Article  PubMed  CAS  Google Scholar 

  27. Barkan AL. The “quality of life-assessment of growth hormone deficiency in adults” questionnaire: can it be used to assess quality of life in hypopituitarism? J Clin Endocrinol Metab. 2001;86(5):1905–7.

    Article  PubMed  CAS  Google Scholar 

  28. Novack L. Aging, total body potassium, fat-free mass, andcell mass in males and females between ages 18 and 85 years. J Gerontol. 1972;27:438–43.

    Google Scholar 

  29. Rudman D. Growth hormone, body composition, and aging. J Am Geriatr Soc. 1985;33(11):800–7.

    PubMed  CAS  Google Scholar 

  30. Clasey JL, Weltman A, Patrie J, et al. Abdominal visceral fat and fasting insulin are important predictors of 24-hour GH release independent of age, gender, and other physiological factors. J Clin Endocrinol Metab. 2001;86(8):3845–52.

    Article  PubMed  CAS  Google Scholar 

  31. Nass R, Thorner MO. Impact of the GH-cortisol ratio on the age-dependent changes in body composition. Growth Horm IGF Res. 2002;12(3):147–61.

    Article  PubMed  CAS  Google Scholar 

  32. Finkelstein JW, Roffwarg HP, Boyar RM, Kream J, Hellman L. Age-related change in the twenty-four-hour spontaneous secretion of growth hormone. J Clin Endocrinol Metab. 1972;35(5):665–70.

    Article  PubMed  CAS  Google Scholar 

  33. Zadik Z, Chalew SA, McCarter Jr RJ, 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(3):513–6.

    Article  PubMed  CAS  Google Scholar 

  34. Haarbo J, Marslew U, Gotfredsen A, Christiansen C. Postmenopausal hormone replacement therapy prevents central distribution of body fat after menopause. Metab Clin Exp. 1991;40(12):1323–6.

    PubMed  CAS  Google Scholar 

  35. Ashwell M, Cole TJ, Dixon AK. Obesity: new insight into the anthropometric classification of fat distribution shown by computed tomography. Br Med J (Clin Res Ed). 1985;290(6483):1692–4.

    Article  CAS  Google Scholar 

  36. DeNino WF, Tchernof A, Dionne IJ, et al. Contribution of abdominal adiposity to age-related differences in insulin sensitivity and plasma lipids in healthy nonobese women. Diabetes Care. 2001;24(5):925–32.

    Article  PubMed  CAS  Google Scholar 

  37. Enzi G, Gasparo M, Biondetti P, Fiore D, Semissa M, Zurlo F. Subcutaneous and visceral fat distribution according to sex, age and overweight, evaluated by computed tomography. Am J Clin Nutr. 1986;44:739–46.

    PubMed  CAS  Google Scholar 

  38. Shimokata H, Tobin J, Muller D, Elahi D, Coon P, Andres R. Studies in the distribution of body fat. I. Effects of age, sex, and obesity. J Gerontol. 1989;44:67–73.

    Google Scholar 

  39. Borkan GA, Hults DE, Gerzof SG, Robbins AH, Silbert CK. Age changes in body composition revealed by computed tomography. J Gerontol. 1983;38(6):673–7.

    PubMed  CAS  Google Scholar 

  40. Marcus R. Skeletal aging-understanding the functional and structural basis of osteoporosis. Trends Endocrinol Metab. 1991;2:53–8.

    Article  PubMed  CAS  Google Scholar 

  41. Hannan M, Felson D, Anderson J. Bone mineral density in elderly men and women: results from the Framingham Osteoporosis Study. J Bone Miner Res. 1992;7:547–53.

    Article  PubMed  CAS  Google Scholar 

  42. Stiegler C, Leb G. One year of replacement therapy in adults with growth hormone deficiency. J Clin Endocrinol Metab. 1994;1(Suppl A):37–42.

    Google Scholar 

  43. de Boer H, Blok GJ, van Lingen A, Teule GJ, Lips P, van der Veen EA. Consequences of childhood-onset growth hormone deficiency for adult bone mass. J Bone Miner Res. 1994;9(8):1319–26.

    Article  PubMed  Google Scholar 

  44. Thompson JL, Butterfield GE, Marcus R, et al. 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(6):1845–52.

    Article  PubMed  CAS  Google Scholar 

  45. Forbes G, Reina J. Adult lean body mass declines with age: some longitudinal observations. Metabolism. 1970;19:653–63.

    Article  PubMed  CAS  Google Scholar 

  46. Janssen I, Heymsfield SB, Wang ZM, Ross R. Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr. J Appl Physiol. 2000;89(1):81–8.

    PubMed  CAS  Google Scholar 

  47. Tseng BS, Marsh DR, Hamilton MT, Booth FW. Strength and aerobic training attenuate muscle wasting and improve resistance to the development of disability with aging. J Gerontol A Biol Sci Med Sci. 1995;50 Spec No:113–9.

    PubMed  CAS  Google Scholar 

  48. Bemben MG, Massey BH, Bemben DA, Misner JE, Boileau RA. Isometric muscle force production as a function of age in healthy 20- to 74-yr-old men. Med Sci Sports Exerc. 1991;23(11):1302–10.

    PubMed  CAS  Google Scholar 

  49. Clement FJ. Longitudinal and cross-sectional assessments of age changes in physical strength as related to sex, social class, and mental ability. J Gerontol. 1974;29(4):423–9.

    PubMed  CAS  Google Scholar 

  50. Hurley BF. Age, gender, and muscular strength. J Gerontol A Biol Sci Med Sci. 1995;50 Spec No:41–4.

    PubMed  CAS  Google Scholar 

  51. Kehayias JJ, Fiatarone MA, Zhuang H, Roubenoff R. Total body potassium and body fat: relevance to aging. Am J Clin Nutr. 1997;66(4):904–10.

    PubMed  CAS  Google Scholar 

  52. Lexell J, Downham D, Sjostrom M. Distribution of different fibre types in human skeletal muscles. Fibre type arrangement in m. vastus lateralis from three groups of healthy men between 15 and 83 years. J Neurol Sci. 1986;72(2–3):211–22.

    Article  PubMed  CAS  Google Scholar 

  53. Doherty TJ. Invited review: aging and sarcopenia. J Appl Physiol. 2003;95(4):1717–27.

    PubMed  CAS  Google Scholar 

  54. Nass R, Johannsson G, Christiansen JS, Kopchick JJ, Thorner MO. The aging population–is there a role for endocrine interventions? Growth Horm IGF Res. 2009;19(2):89–100.

    Article  PubMed  CAS  Google Scholar 

  55. Walston J, Hadley EC, Ferrucci L, et al. Research agenda for frailty in older adults: toward a better understanding of physiology andetiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J Am Geriatr Soc. 2006;54(6):991–1001.

    Article  PubMed  Google Scholar 

  56. Baumgartner RN, Koehler KM, Gallagher D, et al. Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol. 1998;147(8):755–63.

    PubMed  CAS  Google Scholar 

  57. Janssen I, Heymsfield SB, Ross R. Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc. 2002;50(5):889–96.

    Article  PubMed  Google Scholar 

  58. Melton LJ 3rd, Khosla S, Crowson CS, O’Connor MK, O’Fallon WM, Riggs BL. Epidemio­logy of sarcopenia. J Am Geriatr Soc. 2000;48(6):625–30.

    PubMed  Google Scholar 

  59. Society AG, Society G, Of AA, and On Falls Prevention OSP. Guideline for the prevention of falls in older persons. J Am Geriatr Soc. 2001;49:664–672.

    Article  Google Scholar 

  60. Tinetti ME. Clinical practice. Preventing falls in elderly persons. N Engl J Med. 2003;-348(1):42–9.

    Article  PubMed  Google Scholar 

  61. Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clin Geriatr Med. 2002;18(2):141–58.

    Article  PubMed  Google Scholar 

  62. Tinetti ME, Baker DI, McAvay G, et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med. 1994;331(13):821–7.

    Article  PubMed  CAS  Google Scholar 

  63. Masud T, Morris RO. Epidemiology of falls. Age ageing. 2001;30 Suppl 4:3–7.

    PubMed  Google Scholar 

  64. Josephson KR, Fabacher DA, Rubenstein LZ. Home safety and fall prevention. Clin Geriatr Med. 1991;7(4):707–31.

    PubMed  CAS  Google Scholar 

  65. Brown WF. A method for estimating the number of motor units in thenar muscles and the changes in motor unit count with ageing. J Neurol Neurosurg Psychiatry. 1972;35(6):845–52.

    Article  PubMed  CAS  Google Scholar 

  66. Young VR. Amino acids and proteins in relation to the nutrition of elderly people. Age Ageing. 1990;19(4):S10–24.

    PubMed  CAS  Google Scholar 

  67. Westerterp KR. Daily physical activity and ageing. Curr Opin Clin Nutr Metab Care. 2000;3(6):485–8.

    Article  PubMed  CAS  Google Scholar 

  68. Roubenoff R, Harris TB, Abad LW, Wilson PW, Dallal GE, Dinarello CA. Monocyte cytokine production in an elderly population: effect of age and inflammation. J Gerontol A Biol Sci Med Sci. 1998;53(1):M20–6.

    Article  PubMed  CAS  Google Scholar 

  69. Argiles JM, Busquets S, Felipe A, Lopez-Soriano FJ. Molecular mechanisms involved in muscle wasting in cancer and ageing: cachexia versus sarcopenia. Int J Biochem Cell Biol. 2005;37(5):1084–104.

    Article  PubMed  CAS  Google Scholar 

  70. Henderson JT, Mullen BJ, Roder JC. Physiological effects of CNTF-induced wasting. Cytokine. 1996;8(10):784–93.

    Article  PubMed  CAS  Google Scholar 

  71. Delbono O. Molecular mechanisms and therapeutics of the deficit in specific force in ageing skeletal muscle. Biogerontology. 2002;3(5):265–70.

    Article  PubMed  CAS  Google Scholar 

  72. Labrie F, Belanger A, Luu-The V, et al. DHEA and the intracrine formation of androgens and estrogens in peripheral target tissues: its role during aging. Steroids. 1998;63(5–6):322–8.

    Article  PubMed  CAS  Google Scholar 

  73. Marcus R, Butterfield G, Holloway L, et al. Effects of short termadministration of recombinant human growth hormone to elderly people. J Clin Endocrinol Metab. 1990;70:519–27.

    Article  PubMed  CAS  Google Scholar 

  74. Rudman D, Feller A, Nagraj H, et al. Effects of human growth hormone in men over 60 years old. N Engl J Med. 1990;323:1–6.

    Article  PubMed  CAS  Google Scholar 

  75. Papadakis MA, Grady D, Black D, et al. Growth hormone replacement in healthy older men improves body composition but not functional ability. Ann Intern Med. 1996;124(8):708–16.

    PubMed  CAS  Google Scholar 

  76. Taaffe DR, Pruitt L, Reim J, et al. Effect of recombinant human growth hormone on the muscle strength response to resistance exercise in elderly men. J Clin Endocrinol Metab. 1994;79(5):1361–6.

    Article  PubMed  CAS  Google Scholar 

  77. Taaffe DR, Thompson JL, Butterfield GE, Hoffman AR, Marcus R. Recombinant human growth hormone, but not insulin-like growth factor-I, enhances central fat loss in postmenopausal women undergoing a diet and exercise program. Horm Metab Res. 2001;33(3):156–62.

    Article  PubMed  CAS  Google Scholar 

  78. Muenzer T, Harman S, Hees P, et al. Effects of GH and/or sex steroid administration on abdominal subcutaneous and visceral fat in healthy aged women and men. J Clin Endocrinol Metab. 2001;86:3604–10.

    Article  Google Scholar 

  79. Kaiser FE, Silver AJ, Morley JE. The effect of recombinant human growth hormone on malnourished older individuals. J Am Geriatr Soc. 1991;39(3):235–40.

    PubMed  CAS  Google Scholar 

  80. Lange KH, Isaksson F, Rasmussen MH, Juul A, Bulow J, Kjaer M. GH administration and discontinuation in healthy elderly men: effects on body composition, GH-related serum markers, resting heart rate and resting oxygen uptake. Clin Endocrinol (Oxf). 2001;55(1):77–86.

    Article  CAS  Google Scholar 

  81. Liu H, Bravata DM, Olkin I, et al. Systematic review: the safety and efficacy of growth hormone in the healthy elderly. Ann Intern Med. 2007;146(2):104–15.

    PubMed  Google Scholar 

  82. Snyder PJ, Peachey H, Hannoush P, et al. Effect of testosterone treatment on body composition and muscle strength in men over 65 years of age. J Clin Endocrinol Metab. 1999;84(8):2647–53.

    Article  PubMed  CAS  Google Scholar 

  83. Blackman MR, Sorkin JD, Munzer T, et al. Growth hormone and sex steroid administration in healthy aged women and men: a randomized controlled trial. JAMA. 2002;288(18):2282–92.

    Article  PubMed  CAS  Google Scholar 

  84. Giannoulis MG, Sonksen PH, Umpleby M, et al. The effects of growth hormone and/or testosterone in healthy elderly men: a randomized controlled trial. J Clin Endocrinol Metab. 2006;91(2):477–84.

    Article  PubMed  CAS  Google Scholar 

  85. Monson JP. Long-term experience with GH replacement therapy: efficacy and safety. Eur J Endocrinol. 2003;148 Suppl 2:S9–14.

    Article  PubMed  CAS  Google Scholar 

  86. Jenkins PJ, Mukherjee A, Shalet SM. Does growth hormone cause cancer? Clin Endocrinol (Oxf). 2006;64(2):115–21.

    Article  CAS  Google Scholar 

  87. Orme SM, McNally RJ, Cartwright RA, Belchetz PE. Mortality and cancer incidence in acromegaly: a retrospective cohort study. United Kingdom Acromegaly Study Group. J Clin Endocrinol Metab. 1998;83(8):2730–4.

    Article  PubMed  CAS  Google Scholar 

  88. GHR Society Consensus. Critical evaluation of the safety of recombinant human growth hormone administration: Statement from the Growth Hormone Research Society. J Clin Endocrinol Metab. 2001;86:1868–70.

    Article  Google Scholar 

  89. Chipman JJ, Attanasio AF, Birkett MA, Bates PC, Webb S, Lamberts SW. The safety profile of GH replacement therapy in adults. Clin Endocrinol (Oxf). 1997;46(4):473–81.

    Article  CAS  Google Scholar 

  90. Hwu CM, Kwok CF, Lai TY, et al. Growth hormone (GH) replacement reduces total body fat and normalizes insulin sensitivity in GH-deficient adults: a report of one-year clinical experience. J Clin Endocrinol Metab. 1997;82(10):3285–92.

    Article  PubMed  CAS  Google Scholar 

  91. Svensson J, Fowelin J, Landin K, Bengtsson BA, Johansson JO. Effects of seven years of GH-replacement therapy on insulin sensitivity in GH-deficient adults. J Clin Endocrinol Metab. 2002;87(5):2121–7.

    Article  PubMed  CAS  Google Scholar 

  92. Bartke A. Long-lived Klotho mice: new insights into the roles of IGF-1 and insulin in aging. Trends Endocrinol Metab. 2006;17(2):33–5.

    Article  PubMed  CAS  Google Scholar 

  93. Berryman DE, Christiansen JS, Johannsson G, Thorner MO, Kopchick JJ. Role of the GH/IGF-1 axis in life span and health span: lessons from animal models. Growth Horm IGF Res. 2008;18(6):455–71.

    Article  PubMed  CAS  Google Scholar 

  94. Nass R, Thorner MO. Life extension versus improving quality of life. Best Pract Res Clin Endocrinol Metab. 2004;18(3):381–91.

    Article  PubMed  CAS  Google Scholar 

  95. Besson A, Salemi S, Gallati S, et al. Reduced longevity in untreated patients with isolated growth hormone deficiency. J Clin Endocrinol Metab. 2003;88(8):3664–7.

    Article  PubMed  CAS  Google Scholar 

  96. Smith RG. Development of growth hormone secretagogues. Endocr Rev. 2005;26(3):346–60.

    Article  PubMed  CAS  Google Scholar 

  97. Tong J, Pfluger PT, Tschop MH. Gastric O-acyl transferase activates hunger signal to the brain. Proc Natl Acad Sci U S A. 2008;105(17):6213–4.

    Article  PubMed  CAS  Google Scholar 

  98. Ghigo E, Arvat E, Aimaretti G, Broglio F, Giordano R, Camanni F. Diagnostic and therapeutic uses of growth hormone-releasing substances in adult and elderly subjects. Baillières Clin Endocrinol Metab. 1998;12(2):341–58.

    Article  PubMed  CAS  Google Scholar 

  99. Ghigo E, Arvat E, Gianotti L, et al. Hypothalamic growth hormone-insulin-like growth factor-I axis across the human life span. J Pediatr Endocrinol Metab. 2000;13 Suppl 6:1493–502.

    PubMed  Google Scholar 

  100. Rahim A, O’Neill PA, Shalet SM. Growth hormone status during long-term hexarelin therapy. J Clin Endocrinol Metab. 1998;83(5):1644–9.

    Article  PubMed  CAS  Google Scholar 

  101. Nass R, Pezzoli SS, Oliveri MC, et al. Effects of an oral ghrelin mimetic on body composition and clinical outcomes in healthy older adults: a randomized trial. Ann Intern Med. 2008;149(9):601–11.

    PubMed  Google Scholar 

  102. White HK, Petrie CD, Landschulz W, et al. Effects of an oral growth hormone secretagogue in older adults. J Clin Endocrinol Metab. 2009;94(4):1198–206.

    Article  PubMed  CAS  Google Scholar 

  103. Murphy MG, Weiss S, McClung M, et al. Effect of alendronate and MK-677 (a growth hormone secretagogue), individually and in combination, on markers of bone turnover and bone mineral density in postmenopausal osteoporotic women. J Clin Endocrinol Metab. 2001;86(3):1116–25.

    Article  PubMed  CAS  Google Scholar 

  104. Bach MA, Rockwood K, Zetterberg C, et al. The effects of MK-0677, an oral growth hormone secretagogue, in patients with hip fracture. J Am Geriatr Soc. 2004;52(4):516–23.

    Article  PubMed  Google Scholar 

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Nass, R., Park, J. (2011). Growth Hormone Supplementation in the Elderly. In: Ho, K. (eds) Growth Hormone Related Diseases and Therapy. Contemporary Endocrinology. Humana Press. https://doi.org/10.1007/978-1-60761-317-6_19

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