Hormonal
Oral administration of the growth hormone secretagogue capromorelin to older adults with mild functional limitations significantly increases lean body mass and improves specific measures of physical performance (tandem walk and stair climb) over 6-12 months.
For older adults (65-84) with mild physical limitations, oral capromorelin (a GH secretagogue) taken for 6-12 months can increase lean muscle mass and improve balance and stair-climbing ability. While it causes minor increases in blood sugar and insulin resistance, these were clinically minor in this study. Side effects like increased appetite and insomnia are common but generally tolerable. This is not a substitute for strength training, which was excluded in this study, but offers a pharmacological option for functional decline.
In healthy older adults at risk for functional decline, administration of the oral GHS capromorelin may improve body composition and physical function.
Why this rating
Randomized, double-masked, placebo-controlled multicenter trial with a large sample size (N=395), though terminated early based on pre-specified criteria.
Source
Effects of an Oral Growth Hormone Secretagogue in Older Adults
Heidi K. White et al. · The Journal of Clinical Endocrinology & Metabolism · 2009
DOI 10.1210/jc.2008-0632
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