In healthy young adults, the 24-hour profile of plasma growth hormone (GH)
levels consists of stable low levels abruptly interrupted by bursts of secr
etion. In normal women, daytime GH secretory pulses are frequent. However,
in normal men, a sleep-onset-associated pulse is generally the major or eve
n the only daily episode of active secretion. Extensive evidence indicates
the existence of a consistent relationship between slow-wave (SW) sleep and
increased GH secretion. There is a linear relationship between the amount
of SW sleep (measured by either visual scoring or spectral analysis of the
EEG) and the amount of concomitant GH secretion. During ageing, SW sleep an
d GH secretion decrease exponentially and with the same chronology. Pharmac
ological stimulation of SW sleep results in increased GH release, and compo
unds that increase SW sleep may therefore represent a novel class of GH sec
retagogues, (C) 2000 Harcourt Publishers Ltd.