GH deficiency in adult life is associated with a number of adverse bio
logical changes including osteopenia, reduced exercise capacity, alter
ed body composition, deleterious alterations in the lipid profile and
insulin status, and reduced quality of life. Potentially, most of thes
e changes can be reversed by GH replacement therapy, In an era of heal
th rationing, however GH replacement is unlikely to be offered to ever
y GH-deficient adult. Therefore, we have proposed a strategy aimed at
delineating which adults with GH deficiency might benefit most from GH
therapy. (C) 1996, Elsevier Science Inc.