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Growth Hormone Secretory Capacity Is Associated with Cardiac Morphology and Function in Overweight and Obese
Elena Gangitano1, Giuseppe Barbaro1, Martina Susi1
1Department of Experimental Medicine, Sapienza University of Rome, 00161 Rome, Italy.
Insights
Obesity is linked to heart problems. In obese patients with growth hormone deficiency (GHD), impaired GH secretion worsens body composition, metabolic health, and cardiac function, increasing cardiovascular risk.
Area of Science:
- Endocrinology
- Cardiology
- Metabolic Health
Background:
- Obesity is a major risk factor for cardiovascular disease.
- Adults with growth hormone deficiency (GHD) exhibit altered heart structure and function.
- Understanding the link between GH secretion and metabolic/cardiac health in obesity is crucial.
Purpose of the Study:
- To investigate the relationship between GH secretory capacity and metabolic/cardiovascular parameters in overweight/obese adults.
- To assess how GH deficiency impacts body composition and cardiac echocardiography findings.
- To determine if GH secretion influences metabolic phenotype and cardiovascular risk factors.
Main Methods:
- 353 overweight/obese patients were studied (2009-2019).
- Growth hormone (GH) secretory capacity was assessed using the GHRH + arginine test.
- Body composition (DEXA), cardiac echocardiography, and metabolic parameters were evaluated.
Main Results:
- 144 patients had GHD, 209 had normal GH secretion.
- GHD patients showed increased visceral adipose tissue, higher prevalence of metabolic syndrome, and poorer cardiac parameters (epicardial fat, E/A ratio, ventricular mass).
- GH secretory capacity linearly correlated with fasting glycemia, triglycerides, and blood pressure.
Conclusions:
- GH secretory capacity is significantly related to metabolic phenotype, body composition, cardiovascular risk factors, and cardiac morphology in obese individuals.
- Reduced GH secretion in obese patients is a key determinant of metabolic health and cardiovascular risk.
- These findings highlight the importance of assessing GH status in obese patients with cardiovascular concerns.
Abstract:
Obesity is associated with increased cardiovascular morbidity. Adult patients with growth hormone deficiency (GHD) show morpho-functional cardiological alterations. A total of 353 overweight/obese patients are enrolled in the period between 2009 and 2019 to assess the relationships between GH secretory capacity and the metabolic phenotype, cardiovascular risk factors, body composition and cardiac echocardiographic parameters. All patients underwent GHRH + arginine test to evaluate GH secretory capacity, DEXA for body composition assessment and transthoracic echocardiography. Blood samples are also collected for the evaluation of metabolic parameters. In total, 144 patients had GH deficiency and 209 patients had normal GH secretion. In comparing the two groups, we found significant differences in body fat distribution with predominantly visceral adipose tissue accumulation in GHD patients. Metabolic syndrome is more prevalent in the GHD group. In particular, fasting glycemia, triglycerides and systolic and diastolic blood pressure are found to be linearly correlated with GH secretory capacity. Epicardial fat thickness, E/A ratio and indexed ventricular mass are worse in the GHD group. In the population studied, metabolic phenotype, body composition, cardiovascular risk factors and cardiac morphology are found to be related to the GH secretory capacity. GH secretion in the obese patient seems to be an important determinant of metabolic health.
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