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Endocrine Abstracts (2023) 90 P708 | DOI: 10.1530/endoabs.90.P708

1Universidade Federal de Sergipe, Aracaju, Brazil; 2University Hospital Hamburg-Eppendorf, Hamburg, Germany; 3The Johns Hopkins University School of Medicine Baltimore, Department of Medicine, Maryland, United States


Mice with isolated GH deficiency (IGHD) due to GHRH receptor mutations live longer than their normal siblings with an extended healthspan, i.e., the period of life free from disabilities. Human IGHD individuals due to a mutation in the GHRH receptor gene from Itabaianinha, Brazil, has a normal lifespan with an extended healthspan (1). Our hypothesis is that their aging is accompanied by a delayed cognitive decline. Accordingly, we used the Literacy Independent Cognitive Assessment (LICA) in 15 IGHD individuals over 50 years of age and 15 controls matched by age, sex, years of education, and percentage of illiteracy. All individuals were negative for HIV and syphilis serology, and exhibited normal serum levels of folate, vitamin B12 and TSH. IGHD subjects had a higher total LICA score than the control group, without reaching statistical significance. However, they showed better attention (P=0.013) and executive function (P=0.034). MANCOVA revealed that group had a significant effect on attention (partial eta squared of 0.216, power of 0.749, P=0.011), and on the executive function (partial eta squared of 0.154, power of 0.570, P=0.035), translating into superior cognitive performance in the IGHD group. In conclusion, untreated lifetime IGHD is associated with superior cognitive performance in senescence.

Table 1 Comparison of LICA domains and total LICA score in 15 IGHD and 15 controls. Scores below 186.0 and 154.5 define dementia in literacy and illiteracy, respectively. Continuous variables compared by Student’s t test and illiteracy and sex by Fisher’s exact test.
ParametersIGHDControls95% CIP
Age (years)66.0 (8)66.4 (6.5)-5.8 to 5.00.881
Sex, male (n%)6 (40)6 (40)-0.3 to -0.31
Weight (kg)46.5 (15.1)66.6 (10.3)-29.7 to -10.4<0.0001
Height (m)1.2 (0.1)1.6 (0.1)-0.4 to -0.3<0.0001
Head circunference (cm)50.7 (2.8)54.7 (2.2)-5.9 to -2.1<0.0001
Illiteracy (n%)5(33.3)5(33.3)-0.3 to 0.31
Education years6.4 (5.5)4.7 (4.1)-1.9 to 5.30.332
Memory89.2 (19.3)83.6(11.9)-6.5 to 17.60.347
Visuospatial construction28.0 (2.8)26.2 (3.5)-0.6 to 4.20.134
Language39.4 (3.8)39.4 (3.9)-2.9 to 2.91
Executive function38.3 (4.8)35.1 (2.5)0.3 to 6.10.034
Attention9.5 (1.4)8.3 (1.1)0.3 to 2.10.013
Calculation11.5 (0.5)11.7 (0.5)-0.5 to 0.20.373
Total Score215.8 (22.7)204.2 (18.1)-3.7 to 28.00.130

1. Aguiar-Oliveira MH & Bartke A. Endocr Rev. 2019;40(2):575-601

Volume 90

25th European Congress of Endocrinology

Istanbul, Turkey
13 May 2023 - 16 May 2023

European Society of Endocrinology 

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