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This version published online on June 23, 2009
Journal of Clinical Endocrinology & Metabolism , doi:10.1210/jc.2009-0407
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Submitted on February 23, 2009
Accepted on June 12, 2009

Growth Hormone Receptor Antagonist Treatment Reduces Exercise Performance in Young Males

Kazushige Goto*, Simon Doessing, Rie Harboe Nielsen, Allan Flyvbjerg, and Michael Kjaer

Institute of Sports Medicine, Bispebjerg Hospital, Copenhagen, Denmark; Faculty of Sport Sciences, Waseda University, Saitama, Japan; Medical Research Laboratories, Aarhus University Hospital, Aarhus, Denmark

* To whom correspondence should be addressed. E-mail: kgoto{at}aoni.waseda.jp.

Context: The effects of GH on exercise performance remain unclear.

Objective: To examine the effects of GH receptor (GHR) antagonist treatment on exercise performance.

Design: Subjects were treated with the GHR antagonist pegvisomant or placebo for 16 days. After the treatment period, they exercised to determine exercise performance, hormonal and metabolic responses.

Participants: 20 healthy males.

Intervention: Subjects were treated with the GHR antagonist (n=10, 10 mg/d) or placebo (n=10). After treatment period, they performed a maximal oxygen uptake (VO2max) test, and prolonged exercise test, consisting of 60 min submaximal cycling followed by exercise to fatigue at 90% of VO2max.

Main Outcome Measures: VO2max was measured before and after the treatment period. Hormonal and metabolic responses, and time to exhaustion during prolonged exercise were determined.

Results: Resting serum IGF-I concentration decreased by 20% in the GHR antagonist treated group (P < 0.05), whereas no change was observed in the placebo group. Conversely, resting serum GH concentration was significantly higher in the treatment group compared with the placebo group (P < 0.01). VO2max did not change significantly in either group after the treatment period. Time to exhaustion at 90% of VO2max was significantly shorter in the treatment group (P < 0.05). No significant differences were observed between the groups in terms of changes in serum free fatty acids, glycerol, VO2, or relative fat oxidation.

Conclusion: GH might be an important determinant of exercise capacity during prolonged exercise, but GHR antagonist did not alter fat metabolism during exercise.


Key words: pegvisomant • endurance exercise • fatigue







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