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Insulin – like Growth Factor (IGF -1)

Unit Test
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Details

Primarily produced in the liver in response to growth hormone (GH) stimulation

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🧪 What is IGF-1 (Insulin-like Growth Factor 1)?

IGF-1 is a hormone similar in molecular structure to insulin. It is primarily produced in the liver in response to growth hormone (GH) stimulation. IGF-1 promotes:

  • Cellular growth and development
  • Muscle and bone growth
  • Tissue repair

It reflects the average daily secretion of growth hormone, as GH is secreted in pulses and is harder to assess directly.

❓ Why is the IGF-1 Test Done?

To:

  • Evaluate growth disorders in children (short stature, delayed growth, gigantism)
  • Assess pituitary function and growth hormone activity
  • Diagnose and monitor acromegaly or gigantism
  • Help diagnose GH deficiency in adults and children
  • Monitor GH therapy response

📊 Normal Ranges (Approximate)

Age Group

IGF-1 Reference Range (ng/mL)

Children (5–15 years)

100 – 600

Adults (20–40 years)

117 – 329

Adults (40–60 years)

90 – 250

Elderly (>60 years)

71 – 190

Values may vary by lab and sex; highest during puberty and decline with age.

📈 Interpretation of Results

Result

Interpretation

High IGF-1

Suggests excess GH – likely acromegaly (adults) or gigantism (children)

Low IGF-1

Indicates GH deficiency, pituitary dysfunction, malnutrition, hypothyroidism, or liver disease

Normal IGF-1 with abnormal symptoms

May require GH stimulation/suppression tests for confirmation

🧠 Associated Organs & Conditions

Organ/System

Conditions

Pituitary gland

Acromegaly, GH deficiency, pituitary adenoma

Liver

IGF-1 production affected in liver cirrhosis, hepatitis

Endocrine system

Hypopituitarism, hypothyroidism

Musculoskeletal system

Affects growth, muscle mass, bone density

🔄 Related / Follow-Up Tests

  • Growth Hormone (GH) – Baseline and stimulation/suppression tests
  • Oral Glucose Tolerance Test (OGTT) – GH suppression test for acromegaly
  • MRI of the pituitary – If tumor is suspected
  • Thyroid panel – Hypothyroidism may affect IGF-1
  • Liver function tests – IGF-1 is synthesized in the liver
  • Insulin and glucose levels – IGF-1 may affect insulin sensitivity

✅ Fasting Required?

Test

Fasting Requirement

IGF-1

Yes, fasting is recommended to reduce variability due to nutritional status

📝 Summary Table

Parameter

Description

What

Protein hormone regulated by GH; reflects average GH activity

Why

Diagnose or monitor growth disorders, GH excess/deficiency, pituitary function

Normal Range

Varies with age; peak in adolescence, declines with age

High Result

Suggests acromegaly/gigantism, GH excess

Low Result

GH deficiency, malnutrition, liver disease, hypothyroidism

Follow-up Tests

GH test, OGTT, MRI pituitary, LFT, TSH

Associated Organs

Pituitary, liver, endocrine glands

Fasting Required

✅ Yes

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