Weight loss-independent changes in human growth hormone during water-only fasting: a secondary evaluation of a randomized controlled trial

IntroductionWater-only fasting for one day or more may provide health benefits independent of weight loss. Human growth hormone (HGH) may play a key role in multiple fasting-triggered mechanisms. Whether HGH changes during fasting are independent of weight loss and how basal HGH and HGH change relat...

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Main Authors: Benjamin D. Horne, Jeffrey L. Anderson, Heidi T. May, Tami L. Bair, Viet T. Le, Leslie Iverson, Kirk U. Knowlton, Joseph B. Muhlestein
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2024.1401780/full
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author Benjamin D. Horne
Benjamin D. Horne
Benjamin D. Horne
Jeffrey L. Anderson
Jeffrey L. Anderson
Heidi T. May
Tami L. Bair
Viet T. Le
Viet T. Le
Leslie Iverson
Kirk U. Knowlton
Kirk U. Knowlton
Joseph B. Muhlestein
Joseph B. Muhlestein
author_facet Benjamin D. Horne
Benjamin D. Horne
Benjamin D. Horne
Jeffrey L. Anderson
Jeffrey L. Anderson
Heidi T. May
Tami L. Bair
Viet T. Le
Viet T. Le
Leslie Iverson
Kirk U. Knowlton
Kirk U. Knowlton
Joseph B. Muhlestein
Joseph B. Muhlestein
author_sort Benjamin D. Horne
collection DOAJ
description IntroductionWater-only fasting for one day or more may provide health benefits independent of weight loss. Human growth hormone (HGH) may play a key role in multiple fasting-triggered mechanisms. Whether HGH changes during fasting are independent of weight loss and how basal HGH and HGH change relate to other fasting-induced changes are unknown.MethodsApparently healthy individuals (N=30) were randomized by Latin square to begin two days with either 24-hour water-only fasting or a control of 24-hour ad libitum eating. On day 2, subjects were crossed over to control (if day 1 was fasting) or fasting (if they ate on day 1). HGH, weight, and other parameters were measured at baseline and at the end of the first and second days.ResultsBaseline HGH had median 0.50 ng/mL for females (n=20) and 0.04 ng/mL for males (n=10), and correlated inversely with weight, glucose, insulin, and triglycerides and positively with changes in insulin and HOMA-IR. The 24-hour fasting-induced HGH change was uncorrelated with weight loss (r= 0.01, p=0.98), but correlated with changes in glucose, HGB, and IGF-1. The percent increase in HGH was greater (p<0.001) for lower (females ≤0.15 ng/mL, males ≤0.05 ng/mL) vs. higher baseline HGH (median: 1,225% vs. 50.3%, respectively). Subjects with lower baseline HGH had a trend to greater reduction of HOMA-IR (median: -6.15 vs. -1.35 for lower vs. higher HGH, respectively, p=0.08).ConclusionsFasting increased HGH and the HGH changes were independent of weight loss. Basal HGH and fasting-induced HGH changes correlated inversely with cardiometabolic risk factors.Clinical Trial Registration: clinicaltrials.gov, identifier NCT01059760.
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spelling doaj-art-878b9ce0a20e49b98b6a9eac1a862ab32025-02-07T08:03:40ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-02-011510.3389/fendo.2024.14017801401780Weight loss-independent changes in human growth hormone during water-only fasting: a secondary evaluation of a randomized controlled trialBenjamin D. Horne0Benjamin D. Horne1Benjamin D. Horne2Jeffrey L. Anderson3Jeffrey L. Anderson4Heidi T. May5Tami L. Bair6Viet T. Le7Viet T. Le8Leslie Iverson9Kirk U. Knowlton10Kirk U. Knowlton11Joseph B. Muhlestein12Joseph B. Muhlestein13Cardiovascular Department, Intermountain Medical Center Heart Institute, Salt Lake City, UT, United StatesDivision of Cardiovascular Medicine, Department of Medicine, Stanford University, Stanford, CA, United StatesCardiovascular Institute, Stanford University School of Medicine, Stanford, CA, United StatesCardiovascular Department, Intermountain Medical Center Heart Institute, Salt Lake City, UT, United StatesCardiology Division, Department of Internal Medicine, University of Utah, Salt Lake City, UT, United StatesCardiovascular Department, Intermountain Medical Center Heart Institute, Salt Lake City, UT, United StatesCardiovascular Department, Intermountain Medical Center Heart Institute, Salt Lake City, UT, United StatesCardiovascular Department, Intermountain Medical Center Heart Institute, Salt Lake City, UT, United StatesPhysician Assistant Department, Rocky Mountain University of Health Professions, Provo, UT, United StatesCardiovascular Department, Intermountain Medical Center Heart Institute, Salt Lake City, UT, United StatesCardiovascular Department, Intermountain Medical Center Heart Institute, Salt Lake City, UT, United StatesCardiology Division, Department of Internal Medicine, University of Utah, Salt Lake City, UT, United StatesCardiovascular Department, Intermountain Medical Center Heart Institute, Salt Lake City, UT, United StatesCardiology Division, Department of Internal Medicine, University of Utah, Salt Lake City, UT, United StatesIntroductionWater-only fasting for one day or more may provide health benefits independent of weight loss. Human growth hormone (HGH) may play a key role in multiple fasting-triggered mechanisms. Whether HGH changes during fasting are independent of weight loss and how basal HGH and HGH change relate to other fasting-induced changes are unknown.MethodsApparently healthy individuals (N=30) were randomized by Latin square to begin two days with either 24-hour water-only fasting or a control of 24-hour ad libitum eating. On day 2, subjects were crossed over to control (if day 1 was fasting) or fasting (if they ate on day 1). HGH, weight, and other parameters were measured at baseline and at the end of the first and second days.ResultsBaseline HGH had median 0.50 ng/mL for females (n=20) and 0.04 ng/mL for males (n=10), and correlated inversely with weight, glucose, insulin, and triglycerides and positively with changes in insulin and HOMA-IR. The 24-hour fasting-induced HGH change was uncorrelated with weight loss (r= 0.01, p=0.98), but correlated with changes in glucose, HGB, and IGF-1. The percent increase in HGH was greater (p<0.001) for lower (females ≤0.15 ng/mL, males ≤0.05 ng/mL) vs. higher baseline HGH (median: 1,225% vs. 50.3%, respectively). Subjects with lower baseline HGH had a trend to greater reduction of HOMA-IR (median: -6.15 vs. -1.35 for lower vs. higher HGH, respectively, p=0.08).ConclusionsFasting increased HGH and the HGH changes were independent of weight loss. Basal HGH and fasting-induced HGH changes correlated inversely with cardiometabolic risk factors.Clinical Trial Registration: clinicaltrials.gov, identifier NCT01059760.https://www.frontiersin.org/articles/10.3389/fendo.2024.1401780/fullintermittent fastingprolonged fastingextended fastingperiodic fastingweight-loss
spellingShingle Benjamin D. Horne
Benjamin D. Horne
Benjamin D. Horne
Jeffrey L. Anderson
Jeffrey L. Anderson
Heidi T. May
Tami L. Bair
Viet T. Le
Viet T. Le
Leslie Iverson
Kirk U. Knowlton
Kirk U. Knowlton
Joseph B. Muhlestein
Joseph B. Muhlestein
Weight loss-independent changes in human growth hormone during water-only fasting: a secondary evaluation of a randomized controlled trial
Frontiers in Endocrinology
intermittent fasting
prolonged fasting
extended fasting
periodic fasting
weight-loss
title Weight loss-independent changes in human growth hormone during water-only fasting: a secondary evaluation of a randomized controlled trial
title_full Weight loss-independent changes in human growth hormone during water-only fasting: a secondary evaluation of a randomized controlled trial
title_fullStr Weight loss-independent changes in human growth hormone during water-only fasting: a secondary evaluation of a randomized controlled trial
title_full_unstemmed Weight loss-independent changes in human growth hormone during water-only fasting: a secondary evaluation of a randomized controlled trial
title_short Weight loss-independent changes in human growth hormone during water-only fasting: a secondary evaluation of a randomized controlled trial
title_sort weight loss independent changes in human growth hormone during water only fasting a secondary evaluation of a randomized controlled trial
topic intermittent fasting
prolonged fasting
extended fasting
periodic fasting
weight-loss
url https://www.frontiersin.org/articles/10.3389/fendo.2024.1401780/full
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