Research Article

Effects of Growth Hormone Replacement Therapy on Bone Mineral Density in Growth Hormone Deficient Adults: A Meta-Analysis

Table 2

BMD measurements and outcomes.

ReferencesDXA scanner manufacturerBMD sitesCVa of BMD measurementsBaseline BMD
(mean ± SD)
Posttreatment BMD (mean ± SD)BMD scalesSerum IGF1 changes

Hansen et al., 1996 [13]Hologic Inc.Spine
FN
TB
0.6%
1.4%
1.6%




g/cm2Increased

Johannsson et al., 1996 [14]GE-LunarSpine
FN
TB
0.5%
1.6%
0.4%




g/cm2Increased from to 3 μg/L

Rodríguez-Arnao et al., 1998 [15]Hologic Inc.Spine
FN
TB
1.0%
1.8%
NAb




g/cm2Increased significantly with 31% of the total patients showing IGF1 levels above the age-corrected limit of normal

Cuneo et al., 1998 [16]GE-LunarTB<3.8% g/cm2Increased from 100 to μg/L

Biller et al., 2000 [17]Hologic Inc.Spine
FN
TB
NA
NA
NA




g/cm2NA

Koranyi et al., 2001 (1) [18]GE-LunarFN
TB
NA
NA


g/cm2Increased from to μg/L

Koranyi et al., 2001 (2) [18]
GE-LunarFN
TB
NA
NA


g/cm2Increased from to μg/L

Lanzi et al., 2003 [19]Hologic Inc.Spine
FN
0.5%
NA


t-scoreIncreased from to μg/L

Underwood et al., 2003 (1) [20]GE-LunarSpineNA z-scoreIGF1 SDS increased from to

Underwood et al., 2003 (2) [20]GE-LunarSpineNA z-scoreIGF1 SDS increased from to

Hubina et al., 2004 (1) [21]Hologic Inc.Spine
FN
0.35%
NA


t-scoreIGF1 SDS increased from to

Hubina et al., 2004 (2) [21]Hologic Inc.Spine
FN
0.35%
NA


t-scoreIGF1 SDS increased from to

Bravenboer et al., 2005 [22]NorlandSpine
FN
2.4%
2.3%


g/cm2Increased from to  nM

Arwert et al., 2005 [23]Hologic Inc.Spine
FN
NA
2.1%


g/cm2Increased from to  nM

Boguszewski et al., 2005 [24]GE-LunarSpine
FN
1.2%
1.5%


g/cm2Increased from to μg/L

Benedini et al., 2006 [25]Hologic Inc.SpineNA g/cm2Increased from to μg/L

Snyder et al., 2007 [26]Hologic Inc.Spine
FN
0.37–0.51%

g/cm2IGF1 SDS increased from to

Gotherstrom et al., 2007 [27]GE-LunarSpine
FN
TB
0.5%
0.6%
0.4%




g/cm2Increased from to μg/L

Rota et al., 2008 [28]Hologic Inc.Spine
FN
1.0%
1.5%


z-scoreIncreased in men and in women

Fideleff et al., 2008 [10]GE-LunarSpine
FN
TB
NA
NA
NA




z-scoreIGF1 SDS increased from to

Conway et al., 2009 [29]Hologic Inc.Spine
TB
NA
NA


g/cm2Increased from to μg/L

Van den Heijkant et al., 2011 [11]Hologic Inc.Spine
FN
TB
NA
NA
NA




g/cm2NA

Elbornsson et al., 2012 [30]GE-LunarSpine
FN
TB
<1.5%



g/cm2Increased from to μg/L

Coefficient of variation; bnot available.