Evidence map›Paper›PMID 38819617›Full record

ArticlePituitary2024

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

Olivia Tausendfreund, Martin Bidlingmaier, Sebastian Martini, Hannah Reif, Michaela Rippl, Katharina Schilbach, Ralf Schmidmaier, Michael Drey

Abstract read
In one paragraph

Article in Pituitary, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

8 authors.

Olivia TausendfreundDepartment of Medicine IV, University Hospital, LMU Munich, München, Germany. o.tausendfreund@med.uni-muenchen.de.
Martin BidlingmaierDepartment of Medicine IV, University Hospital, LMU Munich, München, Germany.
Sebastian MartiniDepartment of Medicine IV, University Hospital, LMU Munich, München, Germany.
Hannah ReifDepartment of Medicine IV, University Hospital, LMU Munich, München, Germany.
Michaela RipplDepartment of Medicine IV, University Hospital, LMU Munich, München, Germany.
Katharina SchilbachDepartment of Medicine IV, University Hospital, LMU Munich, München, Germany.
Ralf SchmidmaierDepartment of Medicine IV, University Hospital, LMU Munich, München, Germany.
Michael DreyDepartment of Medicine IV, University Hospital, LMU Munich, München, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt is unclear whether the age-related decline in the somatotropic axis stems from a reduced growth hormone (GH) production in the pituitary gland, or from a peripheral origin akin to an acquired GH resistance. With the help of a GHRH/arginine test, high-aged multimorbid hospitalized patients with IGF-I deficiency are to be tested to determine whether there is primarily a pituitary GH deficiency in the sense of a somatopause.

methodsSeventeen multimorbid patients (eleven men and six women) with a mean age of 82 years, with IGF-I concentrations below two standard deviations of 30-year-old men and women were identified. Patients suffered from a variety of common age-related stable diseases including coronary artery disease, chronic liver or kidney disease, chronic heart failure as well as acute conditions e.g., urosepsis or endocarditis. To assess the somatotropic axis they underwent a GHRH/arginine test. Results were evaluated using descriptive statistics.

resultsIn average, the peak concentration of GH after stimulation was 14.8 µg/L with a range from 2.76 to 47.4 µg/L. Taking into account both, gender and BMI (with a mean of 26.5 kg/m²) for each participant, the pituitary gland was adequately stimulated in 16 out of the 17 patients. No patient reported common side effects related to the GHRH/arginine test.

conclusionThe 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.

Indexed as

Insulin-Like Growth Factor IPituitary GlandAgedAged, 80 and overFemaleGrowth Hormone-Releasing HormoneHospitalizationHuman Growth HormoneHumansMaleSomatotrophsGrowth Hormone-Releasing HormoneHuman Growth HormoneInsulin-Like Growth Factor IAgingGHIGF-IPituitary glandSomatopauseSomatotropic axis

Identifiers

PMID38819617
PMCPMC11513707

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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.