ࡱ> 7 bjbjUU Np7|7|l    $@ |h h h h g g g ^``````$[ {xg E "g g g h ag zh  ^g ^> h |\ `ī%; l0,yl Quality of Life Assessment in Adults with Somatotropin (Growth Hormone) Deficiency: Response to Treatment with Symbiotropin an Effervescent Growth Hormone Secretagogue. MARK LADLEY, MD. JOHN SORTINO, MD. USA Context Adults with growth hormone (GH) deficiency (GHD) often have a plethora of physical and psychological complaints, collectively referred to as low quality of life (QoL). There is a characteristic cluster syndrome in adult Somatotropin (GH) deficiency related to: decreased mood, reporting lower openness, less assertiveness, less energy, greater emotional liability, more difficulty with sexual relationships and a greater sense of social isolation. Evidence suggests that the severity of these psychological distresses correlate positively, with the duration of AGHD. Consistently, QoL studies have shown that adults with GHD are both psychologically and physically less healthy--than are their age-matched peers and that GH therapy results in both substantial and sustained benefits. The possibility that Somatotropin is involved in cognitive deficits has been recognized in many clinical trials. Recent findings from a 6-year follow-up of nearly 500 patients, found that impaired cognitive function is a risk factor for all-cause mortality in middle-aged adults, much as it is in elderly adults. More recent epidemiological data suggests that adults with GHD, have reduced life expectancy. Objective To investigate the relationship between the administration of the effervescent growth hormone secretagogue, Symbiotropin and changes in QoL via two standardized tests of analysis. Design, Setting and Participants This was a prospective, open treatment design of twenty-five patients, of which sixteen were female (64%) and nine (36%) were male. The mean age was 59 years, with a range from 41 to 78. All patients had baseline scores that were indicative of severely reduced QoL, due to Somatotropin deficiency. Main Outcome Measures Does the oral administration of effervescent growth hormone secretagogue (GHS) Symbiotropin significantly improve the baseline Quality of Life (QoL) in patients with AGHD? Results A. Within this group of 25 patients, regardless of gender or age, results for both sexes and both age groups were statistically significant in demonstrating an overall marked improvement in QoL (P= .001). The degree of improvement in the womens overall QoL, was greater than men. B. The monitored patient variables improved well-being (P = .002), increased energy (P = .011), increase in exercise endurance (P = .034), improved flexibility (P = .045) were all statistically significant. Of note were three additional variables, improved mental focus, increased strength and improved sleeping patterns, which were not statistically significant (P =.052; P = .076; P = .072; respectively), but had Effect Sizes of (.86; .77; .79; respectively) that were highly substantial, that will summon further clinical investigations. C. There were no patient adverse effects, or patients who asked to be removed from the study. Conclusions In as early as three months, the oral administration of the effervescent GHS, Symbiotropin, resulted in a statistically significant improvement in: increased well-being, increased energy, increase in exercise endurance, improved flexibility and an overall marked improvement in QoL, in both men and women, irrespective of their chronological age or gender. Additionally, women demonstrated a statistically significant greater improvement in overall QoL, than did men. Improved mental focus, increased strength and improved sleeping patterns were not statistically significant, but they demonstrated practical significance based on substantial Effect Sizes.    References: Truncated 1. McKenna, SP et al. The QoL-AGHDA: an instrument for the assessment of quality of life in adults with growth hormone deficiency. Qual. Life Res. 8 (1999), pp. 373383. 2. Jorgensen J, Pedersen SA, Thuesen L, et al. 1989. Beneficial effects of growth hormone treatment in GH- deficient adults. Lancet. 1:12211225. 3. Burman P, et al. Quality of life in adults with growth hormone (GH) deficiency: response to treatment with recombinant human GH in a placebo-controlled 21-month trial. J Clin Endo Metab. 1995; 80:3585-90. 4. Bengtsson B-, et al. 1999. The effects of treatment and the individual responsiveness to growth hormone (GH) replacement therapy in 665 GH-deficient adults. KIMS Study Group and the KIMS International Board. J Clin Endocrinol Metab 84:39293935. 5. McKenna SP, Koppeschaar HPF, et al. The impact of replacement GH on the quality of life of patients: Results of a clinical trial in the Netherlands. Endocrinology and Metabolism 1997; 4 (Suppl B): 167. 6. Rosen T, Bengtsson B-. 1990. Premature mortality due to cardiovascular disease in hypopituitarism. Lancet . 336:285288. 7. Bates AS, et al. 1996. The effect of hyopituitarism on life expectancy. J Clin Endo Metab. 81:11691172. Shahi M, Beshyah S, et al. Myocardial dysfunction in treated adult hypopituitarism: a possible explanation for increased cardiovascular mortality. Br Heart J 67:9296. 8. Markussis V, Beshyah S et al. Detection of premature atherosclerosis by high resolution ultrasonography in symptom-free hypopituitary adults. Lancet. 1992, 340, 1188-92. 9. Capaldo B, et al. Increased arterial intimi-media thickness in childhood onset growth hormone deficiency. J. Clin. Endocrinol. Metab. 1997, 82, 1378-81. 10. Bluet-Pajot MT, et al. Growth hormone secretagogues and hypothalamic networks. Endocrine 2001 Feb;14(1):1-8. 11. Muller EE, et al. GH-related and extra-endocrine actions of GH secretagogues in aging. Neurobiol Aging 2002 Sep-Oct;23(5):907-19. 12. Burman, P et al. Growth hormone affects brain neurotransmitters and thyroxine. Clin. Endocrinol. 44 (1996), pp. 319324. 13. Shuto Y, Shibasaki T, et al. Hypothalamic growth hormone secretagogue receptor regulates growth hormone secretion, feeding, and adiposity. J Clin Invest 2002 Jun;109. 14. Verhelst, Johan, et al. Long-Term Growth Hormone Replacement in Hypopituitary Adults. Drugs 2002. 62 (16): 2399-2412. 15. Sesmilo G, Miller K, Hayde D, Klibanski A.. Inflammatory Cardiovascular Risk Factors in Women with Hypopituitarism. J of Endocrinol & Metab. 86 (12) 5774-81. 16. Blow Birgitta, et al. Hypopituitary Females Have a High Incidence of Cardiovascular Morbidity and an Increased Prevalence of Cardiovascular Risk Factors. J of Clin Endocrinol & Metab. 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Mark Ladley\Desktop\NutraCeutics\Pro-hGh 3month Study Review\Plastics.Sem.SynopsisF.doc)LgM#^`CJOJQJo(^`CJOJQJo(opp^p`CJOJQJo(@ @ ^@ `CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(PP^P`CJOJQJo()Lg伜npYy=&.Z d⢨\>qno@p&? @@UnknownGz Times New Roman5Symbol3& z ArialI& ??Arial Unicode MS?5 z Courier New;Wingdings"qhvfvfvf .!8202Q%J Neurosci Res 2002 Feb 1;67(3):285-9  #O From: "Mark Ladley MD" To: "MP3" Subject: Assement of AoL Date: Sat, 1 Feb 2003 18:51:18 -0800 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1106 Oh+'0 ( D P \ ht|&J Neurosci Res 2002 Feb 1;67(3):285-9t  Ne NeNeNeNormals rm5rmMicrosoft Word 9.0 @P@B;@"p;@';՜.+,0  hp|   r.  &J Neurosci Res 2002 Feb 1;67(3):285-9 Title  !"#$%&'()*+,-./012345678:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F %;Data 91Tablel WordDocumentNpSummaryInformation(DocumentSummaryInformation8CompObjjObjectPool %; %;  FMicrosoft Word Document MSWordDocWord.Document.89q