Table 2.3.7.3
Results of a meta-analysis of blinded, randomized, placebo-controlled trials of growth hormone treatment on cardiovascular risk factors in GHD adults
Factors No of trials Treatments Q test Weighted mean change (GH placebo) Globla effect size (95% CL)
GH Placebo

Lean mass

19

473

474

ns

2.82 kg (2.68)

graphic

Fat Mass

13

352

345

ns

−3.05kg (3.29)

Body mass index

8

134

134

ns

−0.12 kg/m2 (1.40)

Triglycerides

11

202

203

ns

0.07mmol/l (0.36)

HDL cholesterol

13

267

261

ns

0.06 mmol/l (0.09)

LDL cholesterol

13

255

248

ns

−0.53 mmol/l (0.29)

Total cholesterol

15

310

306

ns

−0.34 mmol/l (0.31)

Diastolic Blood Pressure

10

200

201

ns

−1.80 mmHg (3.77)

Systolic Blood Pressure

9

190

191

ns

2.06 mmHg (5.34)

Insulin

11

192

194

ns

8.66 pmol/l (6.98)

Glucose

13

254

257

ns

0.22 mmol/l (0.14)

Factors No of trials Treatments Q test Weighted mean change (GH placebo) Globla effect size (95% CL)
GH Placebo

Lean mass

19

473

474

ns

2.82 kg (2.68)

graphic

Fat Mass

13

352

345

ns

−3.05kg (3.29)

Body mass index

8

134

134

ns

−0.12 kg/m2 (1.40)

Triglycerides

11

202

203

ns

0.07mmol/l (0.36)

HDL cholesterol

13

267

261

ns

0.06 mmol/l (0.09)

LDL cholesterol

13

255

248

ns

−0.53 mmol/l (0.29)

Total cholesterol

15

310

306

ns

−0.34 mmol/l (0.31)

Diastolic Blood Pressure

10

200

201

ns

−1.80 mmHg (3.77)

Systolic Blood Pressure

9

190

191

ns

2.06 mmHg (5.34)

Insulin

11

192

194

ns

8.66 pmol/l (6.98)

Glucose

13

254

257

ns

0.22 mmol/l (0.14)

HDL, high-density lipoprotein; LDL, low-density lipoprotein.

Adapted with permission, from Maison P, Griffin S, Nicoue-Beglah M, Haddad N, Balkau B, Chanson P. Impact of growth hormone (GH) treatment on cardiovascular risk factors in GH-deficient adults: a metaanalysis of blinded, randomized, placebo-controlled trials. J Clin Endocrinol Metab 2004; 89: 2192–2199.

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