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Growth hormone's link to starvation may be clue to increasing life span, researchers find 6-27-08

Researchers at UT Southwestern Medical Center have determined that starvation blocks the effects of growth hormone via a mechanism that may have implications in treating diabetes and extending life span.

"It's been well-established that growth is blunted during starvation. But our work shows that this is not just from running out of energy. It's much more sophisticated than that," said Dr. Steven Kliewer, professor of molecular biology and senior author of a study available online and appearing in today's issue of the journal Cell Metabolism.

Using genetically altered mice, the researchers found that during fasting, the actions of growth hormone are blocked by a fat-burning hormone called FGF21.

"It's something that we hadn't anticipated," said Dr. Kliewer.

Growth hormone has many functions in the growth and reproduction of cells, such as controlling the length of developing arm and leg bones in children.

Growth hormone has several other functions, however, even in adults. It promotes the breakdown of fats, stimulates creation of protein and increases levels of IGF-1 (insulin-like growth factor-1), a hormone that promotes growth. Too much growth hormone can cause insulin resistance, resulting in diabetes, and lead to other disorders.

In the current study, mice that were genetically altered to produce excess FGF21 grew to be much smaller than ordinary mice, even though they ate more and had more fat in proportion to their size.

Paradoxically, and to the researchers' surprise, the altered, smaller mice produced much greater amounts of growth hormone than normal.

Why didn't the altered mice grow larger than normal in response? The researchers found that FGF21 does not block the production of growth hormone; rather, it works to prevent growth hormone from activating the genes it normally controls.

Interfering with the actions of growth hormone has been shown to increase life span in mice, Dr. Kliewer said.

"In addition, intermittent fasting – which increases FGF21 concentrations – also extends life span in mice. This raises the intriguing possibility that FGF21 might be a longevity factor," Dr. Kliewer said.

"This is something that we're beginning to test in the lab," he said. "But our genetically engineered mice have all the classic hallmarks of extended life span: growth hormone resistance, low concentrations of IGF-1, increased insulin sensitivity and small size."

FGF21 is already being tested in human clinical trials for treatment of obesity and diabetes in adults, but the new findings linking FGF21 to interference with growth hormone might indicate that caution is needed before using it in children or teens, Dr. Kliewer said.

Comment:

If you are using IGF-1, homeopathic human growth hormone or secretagogues; they work best when used at times the body naturally secretes human growth hormone. These times are when (unfortunately) 1 hour after onset of deep sleep and during moderate exercise. Here is further information for athletes:

What many athletes and coaches have failed to understand, however, is that athletes can employ specific training regimens and dietary strategies to optimise their natural secretion of human growth hormone (hGH), so inducing those very adaptations to training that others are cheating to achieve.

Human growth hormone is produced in the anterior portion of the pituitary gland, a pea-sized organ suspended just below the brain, which produces no fewer than nine different hormones. Between them these hormones regulate a number of essential physiological functions, including water and energy balance, reproductive activity and the workings of many other glands in the body.

As its name suggests, growth hormone has largely been associated with the function of growth. For centuries scientists believed that puberty was a cut-off point, with human growth hormone (hGH) playing no part in growth or any other function after that. Recent evidence suggests, however, that human growth hormone (hGH) is involved in many physiological processes throughout life, including the turnover of muscle, bone and collagen, the regulation of fat metabolism and the maintenance of a healthier body composition in later life.

A relatively recent discovery is the existence of growth hormone deficiency in adults (GHDA), which has shed further light on the function of this busy little hormone. People with GHDA have a relatively low muscle mass and high body fat, creating a tendency to obesity, an increased risk of heart disease and a greatly reduced exercise capacity. Treatment of this condition usually requires regular injections of growth hormone.

In general, human growth hormone (hGH) secretion follows a circadian rhythm and is secreted in 6-12 discrete pulses per day, with the largest pulse secreted about an hour after the onset of night-time sleep (around midnight for most people). The release and inhibition of human growth hormone (hGH) are governed by two hypothalamic hormones: growth hormone releasing hormone (GHRH)) and somatostatin. Growth hormone secretion can be triggered by a number of natural stimuli, the most powerful of which are sleep and exercise.

The fact that exercise acts as a major stimulus for the natural secretion of human growth hormone (hGH) is well known, but there is still little evidence to suggest how this might happen. Various researchers have suggested that it could be triggered by exercise-induced increases in adrenaline, nitric oxide, blood lactate, acidity or nerve activity, either individually or together.

Today there is little doubt that optimising secretion of natural human growth hormone (hGH) is beneficial to sportsmen and women, with none of the many risks associated with hormone abuse, including joint pain, arthritis, abnormal heart growth, muscle weakness, increased blood fats, impaired glucose regulation, diabetes, impotence and, of course, the consequences of breaking the law!

Diet, exercise and sleep patterns all play a role in human growth hormone (hGH) secretion. Since the largest human growth hormone (hGH) surge in a normal day tends to occur around one hour after the onset of night-time sleep, it is vital for athletes to get plenty of it. If the quality of sleep is inadequate there will be a reduction in the volume of human growth hormone (hGH) secreted, with negative consequences for health and fitness. Important preconditions for good quality sleep and optimal human growth hormone (hGH) secretion during sleep include a dark room and a balanced diet containing adequate protein(1). Of course, an adequate quantity of sleep is also required for good health generally, and for most people this means around eight hours.

As far as diet is concerned, athletes are normally advised to ensure it is high in carbohydrate, which generally involves consuming foods with a higher glycemic index (ie more sugary) immediately after exercise and the more starchy varieties of carbohydrates at most other times. As far as fluid intake is concerned, the standard advice is to drink carbohydrate-electrolyte (sports) drinks before, during and after exercise.

High-carb diets may be appropriate in many situations but, since hyperglycemia (elevated blood carbohydrate) tends to switch off human growth hormone (hGH) secretion, this strategy may not be appropriate where optimal adaptation is the priority. Fat taken before exercise has also been found to reduce human growth hormone (hGH) secretion (2).

It is hard to argue against the use of carbohydrate immediately after training in the few days leading up to a competition, when it is important to ensure that carbohydrate stores in the muscles are fully repleted. However, this is not the best strategy for maintaining the release of human growth hormone (hGH) after exercise, particularly if the carbs have a high glycemic index, as these (sugary) foods stimulate insulin secretion which, in turn, contributes to a reduction in human growth hormone (hGH) (3).

It is also important to drink plenty of water during training, as dehydration has been shown to significantly reduce the exercise-induced human growth hormone (hGH) response (4).

As far as supplementation before exercise is concerned, it has been shown that ingestion of 1.5g of arginine will increase human growth hormone (hGH) secretion by blocking release of the hGH-inhibitor somatostatin, although some studies have suggested this causes gastric disturbance(5). However, 2g of glutamine will lead to elevation of human growth hormone (hGH) 90 minutes later without side effects (6). It may also be a good idea to ingest some amino acids after exercise, as this has been shown to enhance human growth hormone (hGH) secretion too (7).

In terms of training, research has shown that to achieve an elevation of human growth hormone (hGH) above baseline you need to spend at least 10 minutes training at above lactate threshold intensity (8) This results in the biggest volume of human growth hormone (hGH) secreted in response to a single exercise bout, with levels of the hormone declining gradually over a period of an hour. It is also known that multiple daily sessions can give rise to optimal human growth hormone (hGH) secretion over a 24-hour period.

One study investigating the effects of three exercise sessions a day with either 1.5 or three-hour recovery periods between them found that the longer recoveries led to the greatest volume of 24-hour human growth hormone (hGH) secretion (9). Another showed an even larger human growth hormone (hGH) peak in response to sprints on an exercise bike (10).

In the light of the above-mentioned research and current recommendations for both diet and exercise, it might be a good idea to think about ‘periodising’ diet in a similar way to training. During periods of training, when we are trying to increase muscle mass, minimize body fat and maximize the adaptive response to training, it would seem logical to adopt an hGH-enhancing approach, reverting to a high-carb diet before and during competition.
Exercise and dietary strategies

In summary, then, exercise above lactate threshold induces the secretion of human growth hormone (hGH), promoting the use of fat as fuel. This, in turn, spares muscle carbohydrate, keeps body fat down and muscle mass high and enhances adaptation to specific exercise stimuli. The benefits are clear, but simply switching to high intensity work for the whole year is not the answer; rather, a periodised program, where the number of sprints or higher intensity workouts alters according to the competitive program, is the best way forward.

A suggested exercise and dietary strategy for optimizing human growth hormone (hGH) secretion is as follows:

* Exercise – three sessions per week, each involving at least 10 minutes’ work above lactate threshold or a number of sprints, with a 1:3 work-rest ratio;
* Before exercise – no fat for 60 minutes before, 2g glutamine 60-90 minutes before;
* During exercise – plenty of plain water (ie 200 ml every 10-15 minutes if training in 18-21°C);
* After exercise – avoid sugar for two hours post exercise but take 25g protein immediately afterwards in the form of either a protein shake, protein bar, lean meat or eggs (although you should limit your consumption of eggs to avoid too much cholesterol).