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Overweight/Obese Adults With Pituitary Disorders Require Lower Peak Growth Hormone Cutoff Values on Glucagon Stimulation Testing to Avoid Overdiagnosis of Growth Hormone Deficiency
Author(s) -
Laura E. Dichtel,
Kevin C.J. Yuen,
Miriam A. Bredella,
Anu V. Gerweck,
Brian M. Russell,
Ariana D. Riccio,
Michelle H. Gurel,
Patrick M. Sluss,
Beverly M. K. Biller,
Karen K. Miller
Publication year - 2014
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2014-2830
Subject(s) - overdiagnosis , medicine , growth hormone deficiency , overweight , endocrinology , body mass index , insulin tolerance test , cutoff , obesity , hypopituitarism , hormone , growth hormone , insulin resistance , insulin sensitivity , physics , quantum mechanics
Obesity is associated with diminished GH secretion, which may result in the overdiagnosis of adult GH deficiency (GHD) in overweight/obese pituitary patients. However, there are no body mass index (BMI)-specific peak GH cutoffs for the glucagon stimulation test (GST), the favored dynamic test for assessing adult GHD in the United States.

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