Key result
Long-term growth hormone replacement in adult growth hormone deficiency reduced the calculated risk of cardiovascular disease by age 75 compared with matched controls (13.53% vs 16.81%; P=0.0001).
Why the study?
Adult growth hormone deficiency is associated with increased cardiovascular disease risk, and long-term growth hormone treatment could potentially improve cardiovascular outcomes.
Does long-term growth hormone replacement therapy reduce the calculated risk of cardiovascular disease in adults with growth hormone deficiency?
Observational
Yes
Does long-term growth hormone replacement therapy reduce the calculated risk of cardiovascular disease in adults with growth hormone deficiency?
Long-term growth hormone replacement therapy in adults with growth hormone deficiency is associated with a gradual decrease in calculated cardiovascular risk over a 10-year period.
Answers are grounded in this paper and cite their sources.
Supports CV risk reduction with long-term GH replacement in GHD; leaves open causal confirmation in RCTs.
Adult growth hormone deficiency (AGHD) is associated with an increased risk of cardiovascular (CV) disease. Long-term growth hormone (GH) treatment could improve CV outcomes. The objective of this study was to evaluate CV disease risk in patients with AGHD who received GH replacement therapy for up to 10 years as part of NordiNet® IOS (NCT00960128) and the ANSWER Program (NCT01009905). The studies were observational, non-interventional and multicentre, monitoring long-term effectiveness and safety of GH treatment. NordiNet® IOS involved 23 countries (469 sites) across Europe and the Middle East. The ANSWER Program was conducted in the USA (207 sites). This analysis included patients aged 18-75 years who were GH naïve at study entry, who had ≤10 years of GH treatment data and who could be assessed for CV risk for at least 1 follow-up year. The main outcome measure was risk of CV disease by age 75 years, as calculated with the Multinational Cardiovascular Risk Consortium model (Brunner score) using non-high-density lipoprotein cholesterol adjusted for age, sex and CV risk factors. The results of this analysis showed that CV risk decreased gradually over the 10-year period for GH-treated patients. The risk was lower for patients treated for 2 and 7 years vs age- and sex-matched control groups (not yet started treatment) (14.51% vs 16.15%; P = 0.0105 and 13.53% vs 16.81%; P = 0.0001, respectively). This suggests that GH treatment in people with AGHD may reduce the risk of CV disease by age 75 years compared with matched controls.
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Höybye et al. (2022) conducted an observational in Adult growth hormone deficiency (AGHD). Growth hormone (GH) replacement therapy vs. Age- and sex-matched control groups (not yet started treatment) was evaluated on Risk of CV disease by age 75 years (Brunner score) (p=0.0001). Long-term growth hormone replacement in adult growth hormone deficiency reduced the calculated risk of cardiovascular disease by age 75 compared with matched controls (13.53% vs 16.81%; P=0.0001).
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