Growth Hormone Baseline refers to the steady-state, trough level of circulating Growth Hormone (GH) in the plasma, typically measured during periods of minimal stimulation, such as in the fasting state or during non-deep sleep phases. This measurement provides a clinical reference point for assessing the pituitary gland’s constitutive secretory function and is essential for diagnosing conditions like adult growth hormone deficiency. A healthy baseline, alongside appropriate pulsatile release, is vital for maintaining lean mass, bone density, and optimal metabolic function.
Origin
This concept is foundational to clinical endocrinology, originating from the diagnostic necessity of distinguishing between normal and deficient GH secretion patterns. Due to GH’s highly pulsatile nature, a single baseline measurement must be interpreted cautiously or supplemented with provocative testing or measurement of its stable mediator, IGF-1. It is a core parameter in the assessment of the somatotropic axis.
Mechanism
The baseline level is maintained by the continuous, low-level secretion of GH from the anterior pituitary, which is under the dual regulatory control of Growth Hormone-Releasing Hormone (GHRH) and somatostatin from the hypothalamus. GHRH stimulates release, while somatostatin inhibits it. This constant, low-level release ensures a minimum level of GH activity throughout the day, supporting basal lipolysis and protein turnover, thereby contributing to systemic energy balance.
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