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Clinical Endocrinology
Article . 2011 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
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Growth hormone is positively associated with surrogate markers of bone turnover during puberty

Authors: Madhusmita Misra; Melissa Russell; Anne Breggia; Nara Mendes; Anne Klibanski;

Growth hormone is positively associated with surrogate markers of bone turnover during puberty

Abstract

SummaryBackground  Puberty is characterized by increases in growth hormone (GH) and insulin‐like growth factor‐1 (IGF‐1) and the pubertal growth spurt. Bone formation and resorption also increase, consistent with increased bone metabolism.Objective  To determine the relationship between pubertal bone metabolism, GH and IGF‐1. We hypothesized that bone turnover peaks at the time of greatest pubertal GH secretion.Design and Subjects  Subjects included 86 girls and boys, 9–17 years‐old (BMI 10th–90th percentiles). Because higher endogenous GH secretion is associated with a higher nadir following oral glucose, we used the GH nadir following a 2‐h OGTT as indicative of GH status. Fasting serum IGF‐1, aminoterminal propeptide of type 1 procollagen (P1NP) and carboxy‐terminal collagen crosslinks (CTX) were obtained. Subjects were grouped per expected timing of peak growth. Group 1: Tanner 1 girls and Tanner 1–2 boys (period preceding peak growth), Group 2: Tanner 2–3 girls and Tanner 3–4 boys (period of peak growth) and Group 3: Tanner 4–5 girls and Tanner 5 boys (period following peak growth).Results  GH peaked at mid‐puberty (Group 2) and IGF‐1 in late puberty (Group 3). P1NP and CTX were highest in mid‐puberty compared with early and late puberty (P = 0·0009 and 0·006 in girls and P = 0·005 and 0·04 in boys). GH, but not IGF‐1, correlated with P1NP (r = 0·46 in both genders, P ≤ 0·008) and CTX (r = 0·37 and 0·38, P = 0·04 and 0·02 in girls and boys, respectively). Similarly, on regression modelling, GH (but not IGF‐1) predicted both bone turnover markers in both genders.Conclusion  GH is strongly associated with pubertal bone metabolism, independent of systemic IGF‐1 in girls and boys.

Related Organizations
Keywords

Male, Adolescent, Human Growth Hormone, Puberty, Bone and Bones, Collagen Type I, Peptide Fragments, Humans, Female, Insulin-Like Growth Factor I, Child, Peptides, Biomarkers, Procollagen

  • BIP!
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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    18
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
18
Top 10%
Average
Top 10%
bronze