Rapid suppression of growth hormone concentration by overeating: potential mediation by hyperinsulinemia

AS Cornford, AL Barkan… - The Journal of Clinical …, 2011 - academic.oup.com
AS Cornford, AL Barkan, JF Horowitz
The Journal of Clinical Endocrinology & Metabolism, 2011academic.oup.com
Context: The very low GH concentration in obesity is commonly attributed to high body fat
mass; however, the influence of overeating on GH secretion is not clear. Objective: The aim
of the study was to examine the effects of 2 wk of overeating on changes in GH secretion.
Setting: Subjects were admitted to the hospital and stayed within the Michigan Clinical
Research Unit throughout the entire 2-wk overeating period. Participants: We studied seven
healthy, nonobese men (body mass index, 24±1 kg/m2; age, 25±1 yr). Intervention: Subjects …
Context
The very low GH concentration in obesity is commonly attributed to high body fat mass; however, the influence of overeating on GH secretion is not clear.
Objective
The aim of the study was to examine the effects of 2 wk of overeating on changes in GH secretion.
Setting
Subjects were admitted to the hospital and stayed within the Michigan Clinical Research Unit throughout the entire 2-wk overeating period.
Participants
We studied seven healthy, nonobese men (body mass index, 24 ± 1 kg/m2; age, 25 ± 1 yr).
Intervention
Subjects ate standardized meals containing 70 kcal/kg fat free mass/d (∼4000 kcal/d) for 2 wk.
Main Outcome Measures
Twenty-four-hour plasma concentrations of GH (every 20 min) and insulin (every 2 h) were measured before overeating (baseline), on d 3, and after 2 wk of overeating.
Results
Compared with baseline, average 24-h plasma GH concentration declined nearly 80% by d 3 of overeating (1.30 ± 0.18 vs. 0.36 ± 0.09 ng/ml; P = 0.01). This marked suppression of GH secretion occurred in the absence of an increase in body weight (77.0 ± 2.2 vs. 76.4 ± 2.4 kg). At the same time, average 24-h insulin concentration doubled (16.6 ± 2.1 vs. 31.7 ± 5.8 μU/ml; P = 0.009). After 2 wk, body weight significantly increased (79.0 ± 2.1 kg; P < 0.001), and body fat increased by more than 10% (P = 0.002). However, this did not induce a further suppression in plasma GH concentration (0.33 ± 0.08 ng/ml).
Conclusion
Only a few days of overeating markedly suppressed GH secretion before any measurable weight gain and was accompanied by chronic hyperinsulinemia. Increased body weight and body fat by 2 wk of overeating did not further suppress GH secretion.
Oxford University Press