Fasting levels of growth hormone are associated with carotid intima media thickness but are not affected by fluvastatin treatment

Abstract Background Growth hormone (GH) has been linked to cardiovascular disease but the exact mechanism of this association is still unclear. We here test if the fasting levels of GH are cross-sectionally associated with carotid intima media thickness (IMT) and whether treatment with fluvastatin a...

Full description

Bibliographic Details
Main Authors: Erik Hallengren, Peter Almgren, Maria Rosvall, Gerd Östling, Margaretha Persson, Andreas Bergmann, Joachim Struck, Gunnar Engström, Bo Hedblad, Olle Melander
Format: Article
Language:English
Published: BMC 2017-05-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12872-017-0563-9
_version_ 1811305795847979008
author Erik Hallengren
Peter Almgren
Maria Rosvall
Gerd Östling
Margaretha Persson
Andreas Bergmann
Joachim Struck
Gunnar Engström
Bo Hedblad
Olle Melander
author_facet Erik Hallengren
Peter Almgren
Maria Rosvall
Gerd Östling
Margaretha Persson
Andreas Bergmann
Joachim Struck
Gunnar Engström
Bo Hedblad
Olle Melander
author_sort Erik Hallengren
collection DOAJ
description Abstract Background Growth hormone (GH) has been linked to cardiovascular disease but the exact mechanism of this association is still unclear. We here test if the fasting levels of GH are cross-sectionally associated with carotid intima media thickness (IMT) and whether treatment with fluvastatin affects the fasting level of GH. Methods We examined the association between GH and IMT in 4425 individuals (aged 46–68 years) included in the baseline examination (1991–1994) of the Malmö Diet and Cancer cardiovascular cohort (MDC-CC). From that cohort we then studied 472 individuals (aged 50-70 years) who also participated (1994–1999) in the β-Blocker Cholesterol-Lowering Asymptomatic Plaque Study (BCAPS), a randomized, double blind, placebo-controlled, single-center clinical trial. Using multivariate linear regression models we related the change in GH-levels at 12 months compared with baseline to treatment with 40 mg fluvastatin once daily. Results In MDC-CC fasting values of GH exhibited a positive cross-sectional relation to the IMT at the carotid bulb independent of traditional cardiovascular risk factors (p = 0.002). In a gender-stratified analysis the correlation were significant for males (p = 0.005), but not for females (p = 0.09). Treatment with fluvastatin was associated with a minor reduction in the fasting levels of hs-GH in males (p = 0.05) and a minor rise in the same levels among females (p = 0.05). Conclusions We here demonstrate that higher fasting levels of GH are associated with thicker IMT in the carotid bulb in males. Treatment with fluvastatin for 12 months only had a minor, and probably not clinically relevant, effect on the fasting levels of hs-GH.
first_indexed 2024-04-13T08:32:46Z
format Article
id doaj.art-e1b7a2f2aef04aaaa8310e45ab9229a9
institution Directory Open Access Journal
issn 1471-2261
language English
last_indexed 2024-04-13T08:32:46Z
publishDate 2017-05-01
publisher BMC
record_format Article
series BMC Cardiovascular Disorders
spelling doaj.art-e1b7a2f2aef04aaaa8310e45ab9229a92022-12-22T02:54:13ZengBMCBMC Cardiovascular Disorders1471-22612017-05-0117111010.1186/s12872-017-0563-9Fasting levels of growth hormone are associated with carotid intima media thickness but are not affected by fluvastatin treatmentErik Hallengren0Peter Almgren1Maria Rosvall2Gerd Östling3Margaretha Persson4Andreas Bergmann5Joachim Struck6Gunnar Engström7Bo Hedblad8Olle Melander9Department of Clinical Sciences, Lund UniversityDepartment of Clinical Sciences, Lund UniversityDepartment of Clinical Sciences, Lund UniversityDepartment of Clinical Sciences, Lund UniversityDepartment of Clinical Sciences, Lund UniversitySphingoTec GmbHSphingoTec GmbHDepartment of Clinical Sciences, Lund UniversityDepartment of Clinical Sciences, Lund UniversityDepartment of Clinical Sciences, Lund UniversityAbstract Background Growth hormone (GH) has been linked to cardiovascular disease but the exact mechanism of this association is still unclear. We here test if the fasting levels of GH are cross-sectionally associated with carotid intima media thickness (IMT) and whether treatment with fluvastatin affects the fasting level of GH. Methods We examined the association between GH and IMT in 4425 individuals (aged 46–68 years) included in the baseline examination (1991–1994) of the Malmö Diet and Cancer cardiovascular cohort (MDC-CC). From that cohort we then studied 472 individuals (aged 50-70 years) who also participated (1994–1999) in the β-Blocker Cholesterol-Lowering Asymptomatic Plaque Study (BCAPS), a randomized, double blind, placebo-controlled, single-center clinical trial. Using multivariate linear regression models we related the change in GH-levels at 12 months compared with baseline to treatment with 40 mg fluvastatin once daily. Results In MDC-CC fasting values of GH exhibited a positive cross-sectional relation to the IMT at the carotid bulb independent of traditional cardiovascular risk factors (p = 0.002). In a gender-stratified analysis the correlation were significant for males (p = 0.005), but not for females (p = 0.09). Treatment with fluvastatin was associated with a minor reduction in the fasting levels of hs-GH in males (p = 0.05) and a minor rise in the same levels among females (p = 0.05). Conclusions We here demonstrate that higher fasting levels of GH are associated with thicker IMT in the carotid bulb in males. Treatment with fluvastatin for 12 months only had a minor, and probably not clinically relevant, effect on the fasting levels of hs-GH.http://link.springer.com/article/10.1186/s12872-017-0563-9Growth hormoneStatinsImtLipidsCardiovascular disease
spellingShingle Erik Hallengren
Peter Almgren
Maria Rosvall
Gerd Östling
Margaretha Persson
Andreas Bergmann
Joachim Struck
Gunnar Engström
Bo Hedblad
Olle Melander
Fasting levels of growth hormone are associated with carotid intima media thickness but are not affected by fluvastatin treatment
BMC Cardiovascular Disorders
Growth hormone
Statins
Imt
Lipids
Cardiovascular disease
title Fasting levels of growth hormone are associated with carotid intima media thickness but are not affected by fluvastatin treatment
title_full Fasting levels of growth hormone are associated with carotid intima media thickness but are not affected by fluvastatin treatment
title_fullStr Fasting levels of growth hormone are associated with carotid intima media thickness but are not affected by fluvastatin treatment
title_full_unstemmed Fasting levels of growth hormone are associated with carotid intima media thickness but are not affected by fluvastatin treatment
title_short Fasting levels of growth hormone are associated with carotid intima media thickness but are not affected by fluvastatin treatment
title_sort fasting levels of growth hormone are associated with carotid intima media thickness but are not affected by fluvastatin treatment
topic Growth hormone
Statins
Imt
Lipids
Cardiovascular disease
url http://link.springer.com/article/10.1186/s12872-017-0563-9
work_keys_str_mv AT erikhallengren fastinglevelsofgrowthhormoneareassociatedwithcarotidintimamediathicknessbutarenotaffectedbyfluvastatintreatment
AT peteralmgren fastinglevelsofgrowthhormoneareassociatedwithcarotidintimamediathicknessbutarenotaffectedbyfluvastatintreatment
AT mariarosvall fastinglevelsofgrowthhormoneareassociatedwithcarotidintimamediathicknessbutarenotaffectedbyfluvastatintreatment
AT gerdostling fastinglevelsofgrowthhormoneareassociatedwithcarotidintimamediathicknessbutarenotaffectedbyfluvastatintreatment
AT margarethapersson fastinglevelsofgrowthhormoneareassociatedwithcarotidintimamediathicknessbutarenotaffectedbyfluvastatintreatment
AT andreasbergmann fastinglevelsofgrowthhormoneareassociatedwithcarotidintimamediathicknessbutarenotaffectedbyfluvastatintreatment
AT joachimstruck fastinglevelsofgrowthhormoneareassociatedwithcarotidintimamediathicknessbutarenotaffectedbyfluvastatintreatment
AT gunnarengstrom fastinglevelsofgrowthhormoneareassociatedwithcarotidintimamediathicknessbutarenotaffectedbyfluvastatintreatment
AT bohedblad fastinglevelsofgrowthhormoneareassociatedwithcarotidintimamediathicknessbutarenotaffectedbyfluvastatintreatment
AT ollemelander fastinglevelsofgrowthhormoneareassociatedwithcarotidintimamediathicknessbutarenotaffectedbyfluvastatintreatment