Evidence map›Paper›PMID 18477661›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2008

The effects of growth hormone and/or testosterone on whole body protein kinetics and skeletal muscle gene expression in healthy elderly men: a randomized controlled trial.

Manthos G Giannoulis, Nicola Jackson, Fariba Shojaee-Moradie, K Sreekumaran Nair, Peter H Sonksen, Finbarr C Martin, A Margot Umpleby

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Anabolic-steroid therapy after geriatric proximal femur fracture: a level I evidence systematic review and meta-analysis of bone density, functional recovery, and safety.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Higher muscle protein synthesis in women than men across the lifespan, and failure of androgen administration to amend age-related decrements.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2009
    Trial
  6. Review
  7. The Metabolic Syndrome, a Human Disease.International journal of molecular sciences · 2024
    Review
  8. The Roles of Androgens in Humans: Biology, Metabolic Regulation and Health.International journal of molecular sciences · 2022
    Review
  9. Effects of blood flow restriction (BFR) with resistance exercise on musculoskeletal health in older adults: a narrative review.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2022
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Sarcopenia: designing phase IIB trials.The journal of nutrition, health & aging · 2011
    Article
  16. Evaluation of early biomarkers of muscle anabolic response to testosterone.Journal of cachexia, sarcopenia and muscle · 2011
    Article
  17. Protein metabolism in women and men: similarities and disparities.Current opinion in clinical nutrition and metabolic care · 2011
    Review
  18. Hormone treatment and muscle anabolism during aging: androgens.Clinical nutrition (Edinburgh, Scotland) · 2010
    Review
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Manthos G GiannoulisDepartment of Diabetes and Endocrinology, Division of Medicine King's College London, St. Thomas's Hospital London, London, UK.
Nicola Jackson
Fariba Shojaee-Moradie
K Sreekumaran Nair
Peter H Sonksen
Finbarr C Martin
A Margot Umpleby
King's College London · GBSt Thomas' Hospital · GBMayo Clinic · US

Funding

MECHANISM OF MUSCLE WASTING IN AGING MANR01AG009531 · NIA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI NAIR, K SREEKUMARAN · 1993 to 2014
$8.8M
NIA NIH HHS R01 AG009531NIA NIH HHS R01 AG 09531
6 · The paper itself

Abstract

contextAlterations of protein turnover may contribute to the progressive decline of muscle mass with aging.

objectiveOur objective was to examine the effects of near-physiological recombinant human GH and/or testosterone (T) administration to older men on whole body protein kinetics and muscle gene expression. DESIGN, SETTINGS, AND

participantsA 6-month randomized, double-blind, placebo-controlled trial in 21 healthy elderly men aged 65-75 yr, was performed. Participants were randomized to receive placebo GH and placebo T, rhGH and placebo T (GH), T and placebo GH (T), or rhGH and T (GHT).

interventionsThe leucine rate of appearance (index of proteolysis), nonoxidative leucine disposal rate (an index of protein synthesis), and leucine oxidation rate were measured with an infusion of l-[1-(13)C] leucine. Muscle biopsies for the measurement of gene expression were performed. Body composition and aerobic capacity (maximal oxygen capacity) were measured.

resultsSerum IGF-I levels increased significantly with GH and GHT (P < 0.001) compared with placebo. T increased significantly only in the T group (P = 0.028). Leucine rate of appearance and nonoxidative leucine disposal rate increased with GH (P = 0.015, P = 0.019) and GHT (P = 0.017, P = 0.02), but leucine oxidation did not change significantly in any treatment group. Midthigh muscle mass and maximal oxygen capacity increased (P < 0.04) with GHT only. Expression of muscle function genes did not change significantly, but the within-group comparisons revealed a significant increase of androgen receptor expression in the GHT group (P = 0.001).

conclusionThis study showed that 6-month treatment with low-dose GH alone or with T in healthy elderly men produces comparable increments in whole body protein turnover and protein synthesis.

Indexed as

AgedDouble-Blind MethodGene ExpressionHuman Growth HormoneHumansMaleMuscle, SkeletalMuscle StrengthOxygen ConsumptionProteinsTestosteroneHuman Growth HormoneProteinsTestosterone

Identifiers

PMID18477661
PMCPMC2515076
OpenAlexW2085272153

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.