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Published on: October 11, 2018
Acute Sleep Disruption Does Not Diminish Pulsatile Growth Hormone Secretion in Pubertal Children
Madison E Calvert1, Samantha A Molsberry2, Tairmae Kangarloo3
1National Institute of Environmental Health Sciences, Clinical Research Branch, Research Triangle Park, North Carolina 27709, USA.
Insights
Disrupting slow-wave sleep (SWS) in pubertal children did not affect growth hormone (GH) secretion. This suggests SWS may not directly stimulate GH release in this age group.
Area of Science:
- Pediatric Endocrinology
- Sleep Medicine
- Neuroendocrinology
Background:
- Growth hormone (GH) secretion in children is linked to sleep onset and slow-wave sleep (SWS).
- The impact of sleep disruption on GH secretion in children remains unquantified.
Purpose of the Study:
- To investigate the effect of acute sleep disruption on GH secretion in pubertal children.
- To determine if SWS disruption influences GH pulse dynamics and basal secretion.
Main Methods:
- Fourteen healthy pubertal children underwent two overnight polysomnographic studies.
- One study involved SWS disruption using auditory stimuli; the other served as a control.
- Frequent blood sampling measured GH levels throughout sleep stages and wakefulness.
Main Results:
- Auditory stimuli reduced SWS by 40.0 ± 7.8%.
- GH pulse rates during N2 sleep were lower during SWS disruption, but overall GH secretion, pulse amplitude, frequency, and basal levels were unaffected.
- No significant differences in GH secretion were observed between disrupted and undisrupted sleep nights across sleep stages.
Conclusions:
- GH pulses in pubertal children are temporally associated with SWS.
- Acute SWS disruption via auditory stimuli did not alter overall GH secretion.
- These findings suggest SWS may not be a direct stimulus for GH secretion in pubertal children.
Context:
In children, growth hormone (GH) pulses occur after sleep onset in association with slow-wave sleep (SWS). There have been no studies in children to quantify the effect of disrupted sleep on GH secretion.
Objective:
This study aimed to investigate the effect of acute sleep disruption on GH secretion in pubertal children.
Methods:
Fourteen healthy individuals (aged 11.3-14.1 years) were randomly assigned to 2 overnight polysomnographic studies, 1 with and 1 without SWS disruption via auditory stimuli, with frequent blood sampling to measure GH.
Results:
Auditory stimuli delivered during the disrupted sleep night caused a 40.0 ± 7.8% decrease in SWS. On SWS-disrupted sleep nights, the rate of GH pulses during N2 sleep was significantly lower than during SWS (IRR = 0.56; 95% CI, 0.32-0.97). There were no differences in GH pulse rates during the various sleep stages or wakefulness in disrupted compared with undisrupted sleep nights. SWS disruption had no effect on GH pulse amplitude and frequency or basal GH secretion.
Conclusion:
In pubertal children, GH pulses were temporally associated with episodes of SWS. Acute disruption of sleep via auditory tones during SWS did not alter GH secretion. These results indicate that SWS may not be a direct stimulus of GH secretion.
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