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Blutwerte · Marker

IGF-1

Insulin-like Growth Factor 1 · Somatomedin C · IGF1

Hormone — GH/IGF-AchseZeitabhängig
Einheit:
ng/mL

IGF-1 quantifies the level of insulin-like growth factor 1, a hormone involved in growth and development.

Reference Ranges

Age Group

Reference
10–300ng/mL
10
100
150
300
LowNormalHigh
Reference
Optimal
Unit · ng/mL

Ranges vary by age and sex; typically higher in males and younger individuals.

Overview

Übersicht

Insulin-like Growth Factor 1 (IGF-1), also known as Somatomedin C, is a hormone primarily produced in the liver, stimulated by growth hormone (GH). It plays a crucial role in childhood growth and continues to have anabolic effects in adults. IGF-1 is involved in cellular growth, differentiation, and survival, acting through the IGF-1 receptor to mediate the effects of GH. Clinically, IGF-1 is significant in diagnosing growth hormone deficiencies or excesses, such as acromegaly or pituitary dwarfism. It is also studied in the context of malnutrition, where levels may decrease, and in conditions like non-alcoholic fatty liver disease (NAFLD), where lower levels have been observed. In the realm of athletic performance and biohacking, IGF-1 is of interest due to its role in muscle growth and repair. Some athletes and biohackers seek to optimize IGF-1 levels to enhance physical performance and recovery. However, elevated levels have been associated with increased cancer risk, and thus, careful monitoring is advised. Caveats include its variability due to age, sex, and nutritional status. IGF-1 levels can be influenced by fasting and time of day, as well as by factors like inflammation and liver function, which can confound results. Therefore, interpreting IGF-1 levels requires consideration of these variables to ensure accurate clinical assessment.

Klinische Bedeutung

Elevated IGF-1 levels may indicate conditions like acromegaly or gigantism, while reduced levels can suggest growth hormone deficiency or malnutrition. It is also associated with liver disease and metabolic disorders.

Dynamics

Trend Interpretation

Rising Values

Progressively rising IGF-1 levels may suggest excessive growth hormone activity; re-test in 4 weeks if elevated.

Falling Values

Falling IGF-1 levels could indicate declining growth hormone function or nutritional deficiencies.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Acromegaly
  • Gigantism
  • Excessive growth hormone therapy
  • Insulin resistance
  • Liver dysfunction
Cause

Low Levels

  • Growth hormone deficiency
  • Malnutrition
  • Liver disease
  • Chronic inflammation
  • Aging
Protocol

How to Optimize

Lever

Lifestyle

  • Regular exercise
  • Adequate sleep
  • Stress management
Lever

Nutrition

  • Balanced diet with adequate protein
  • Omega-3 fatty acids
  • Avoid excessive sugar intake
Lever

Supplementation

  • Zinc
  • Vitamin D
  • Creatine

Note:

Consult a healthcare provider before making significant changes, especially when considering supplementation.

Testing Guidelines

✓Fasting Not Required
🕐Time-Sensitive

IGF-1 levels can vary throughout the day; morning tests are preferred.

Testing Frequency

Annually for adults with growth concerns or metabolic disorders.

Interfering Factors

  • Recent intense exercise
  • Acute illness
  • Liver dysfunction

Related Peptides & Hormones

Growth Hormone

Directly measures

hormone

Open Research Questions

Current research suggests that while serum IGF-1 is less influenced by inflammation compared to other nutritional markers, its concentration changes are not sufficiently specific for clinical use in diagnosing malnutrition. Researchers have not yet established definitive reference ranges or optimal targets for IGF-1 in various conditions, such as NAFLD and short stature. Additionally, clinical questions remain regarding the precise role of IGF-1 in metabolic disorders and its potential as a therapeutic target.

47 Research Publications

1,461

Total Citations

22

Human/RCT

3.6

Avg. Influence

2025

Latest

Sort
Filter
#01

Nutritional Laboratory Markers in Malnutrition.

ReviewInfluence33.0
663
This study examined the role of various serum proteins as biomarkers of nutritional status in patients. Researchers found that serum IGF-1 is less influenced by inflammation and decreases during malnutrition, but its changes are not specific enough for clinical use. The study suggests that while IGF-1 may not be a reliable marker for malnutrition, other biomarkers like prealbumin could predict surgical outcomes and mortality.
View on PubMed
#02

Insulin-like Growth Factor 1 (IGF-1) as a marker of cognitive decline in normal ageing: A review.

ReviewInfluence3.0
117
Researchers conducted a review on IGF-1 as a potential biomarker for cognitive decline in aging. The study indicated that while IGF-1 levels decrease with age, routine measurement may not provide additional diagnostic value for cognitive decline. Further research is needed to clarify IGF-1's role in cognitive health.
View on PubMed
#03

Early mammary development: growth hormone and IGF-1.

ReviewInfluence4.0
84
View on PubMed
#04

GH and ageing: Pitfalls and new insights.

Review
61
This study explored the complex relationship between growth hormone (GH), IGF-1, and aging. Researchers found that alterations in GH and IGF-1 signaling are associated with longevity and age-related diseases. The findings suggest a biphasic relationship between IGF-1 levels and healthy aging.
View on PubMed
#05

The AR/miR-221/IGF-1 pathway mediates the pathogenesis of androgenetic alopecia.

HumanInfluence1.0
56
Researchers found that the AR/miR-221/IGF-1 pathway plays a crucial role in the development of androgenetic alopecia (AGA). The study demonstrated that miR-221 suppresses IGF-1 expression, which is linked to reduced hair growth in AGA patients. This suggests that miR-221 could serve as a novel biomarker and therapeutic target for AGA.
View on PubMed
#06

miRNA-486-5p: signaling targets and role in non-malignant disease.

ReviewInfluence1.0
49
Researchers reviewed the role of miR-486-5p in non-malignant diseases and its targets, including IGF-1. The study highlighted that miR-486-5p regulates pathways involved in cellular processes, suggesting its potential as a biomarker in various diseases.
View on PubMed
#07

Protein kinase C beta II suppresses colorectal cancer by regulating IGF-1 mediated cell survival.

HumanInfluence1.0
48
View on PubMed
#08

Targeting FABP4 in elderly mice rejuvenates liver metabolism and ameliorates aging-associated metabolic disorders.

Lv Jian, et al. · Metabolism: clinical and experimental · 2023

AnimalInfluence1.0
43
Researchers identified FABP4 as a reliable biomarker of aging and metabolic disorders in both humans and mice. The study showed that silencing FABP4 in elderly mice improved metabolic activities and reversed aging-related metabolic issues. This suggests that targeting FABP4 may enhance healthy aging.

Key findings

  1. 01FABP4 was identified as a reliable aging biomarker in both humans and mice.
  2. 02Silencing FABP4 in elderly mice rejuvenated their metabolic activities and improved cholesterol and fatty acid breakdown.
  3. 03Using an FABP4 inhibitor provided metabolic benefits in older mice.
View on PubMed
#09

Genetic causes of isolated short stature.

ReviewInfluence2.0
40
This study explored the genetic causes of isolated short stature, highlighting the role of the growth hormone (GH) and IGF-1 axis. Researchers found that defects in genes related to this axis are common in children with short stature, indicating the need for genetic studies to identify causes and guide treatment.
View on PubMed
#10

Insulin-like growth factor-1 and non-alcoholic fatty liver disease: a systemic review and meta-analysis.

Meta-AnalysisInfluence1.0
39
This meta-analysis evaluated the relationship between IGF-1 levels and non-alcoholic fatty liver disease (NAFLD). Researchers found that IGF-1 levels were significantly lower in NAFLD patients compared to healthy controls, suggesting that IGF-1 could serve as a potential biomarker for NAFLD. However, significant variability among studies was noted.
View on PubMed

Clinical Trials (11)

11

Total Trials

1,356

Total Enrolled

Leptin, IGF1 and the Refeeding Index

NCT01227850COMPLETED
Sponsor

King's College Hospital NHS Trust

Enrollment

35

Refeeding Syndrome

KETOgenic Diet Therapy in Patients With ACROmegaly

NCT06949891RECRUITING
Sponsor

Erasmus Medical Center

Enrollment

60

Started

2023

Primary outcome

IGF-1

Acromegaly Due to Pituitary AdenomaKetogenic DietMediterranean Diet

Effect of a HIIT Program on Quality of Life, Executive Functions, and IGF-1 Response in Sedentary Young University Women

Sponsor

University of Seville

Enrollment

75

Started

2022

Primary outcome

Biochemical determinants

Insulin Growth Factor I DeficiencyIGF1 DeficiencyExecutive Function Disorder

Effect of an Amino-Acid-Based Blend on Human Growth Hormone (hGH) and Fibromyalgia (FM) Symptoms

Sponsor

Pekarovics, Susan, MD

Enrollment

100

Started

2020

Primary outcome

Change in IGF-1

Fibromyalgia

Safety, Tolerability, and Efficacy of IONIS-GHR-LRx in Participants With Acromegaly Being Treated With Long-acting Somatostatin Receptor Ligands

NCT03548415Phase 2COMPLETED
Sponsor

Ionis Pharmaceuticals, Inc.

Enrollment

43

Started

2018

Primary outcome

Percent Change in Serum Insulin-like Growth Factor-1 (IGF-1) From Baseline to 28 Days After Last Dose

Acromegaly

Using IGF-1 for Nutritional Monitoring

NCT03277014COMPLETED
Sponsor

Wang Xinying

Enrollment

197

Started

2013

Primary outcome

Nutrition indicators

Nutritional Supplement

Efficacy and Safety of Pasireotide Long Acting Release (LAR) Versus Octreotide LAR or Lanreotide Autogel (ATG) in Patients With Inadequately Controlled Acromegaly

NCT01137682Phase 3COMPLETED
Sponsor

Novartis Pharmaceuticals

Enrollment

198

Started

2010

Primary outcome

Percentage of Participants With a Reduction of Mean GH Levels to < 2.5 µg/L and Normalization of Sex- and Age-adjusted IGF-1.

Acromegaly

Predictive Markers in Chinese Growth Hormone Deficiency (GHD) Children Treated With Saizen®

NCT01187550Phase 4COMPLETED
Sponsor

Merck KGaA, Darmstadt, Germany

Enrollment

214

Started

2007

Primary outcome

Change From Baseline in Serum Insulin Like Growth Factor-1 Standard Deviation Score (IGF-1 SDS) Levels at Week 4

Dwarfism, Pituitary

A Study To Evaluate The Dose Response And Safety Of PHA-794428 In Adults With Growth Hormone Deficiency

NCT00308464Phase 2TERMINATED
Sponsor

Pfizer

Enrollment

136

Started

2006

Primary outcome

Responder status at visits 9 (week 4) and 14 (week 7), where responder is defined as a patient who has achieved an IGF-1 level above the mid-point of the age-related normal range.

Growth Hormone Deficiency

Study to Define Optimal IGF-1 Monitoring in Children Treated With NutropinAq

NCT00234533Phase 3COMPLETED
Sponsor

Ipsen

Enrollment

251

Started

2004

Primary outcome

Insulin-Like Growth Factor I (IGF-I) Levels Measured Using the Timed Capillary Blood Spot Samples

Turner SyndromeRenal Insufficiency, ChronicPituitary DiseasesDwarfism

Energy Restriction and Hormones in Premenopausal Women

NCT05107804COMPLETED
Sponsor

Penn State University

Enrollment

47

Started

2001

Primary outcome

Change in estrogen and IGF-1

Menstruation DisturbancesLuteal Phase Defect

Publication Trend

Research publications about IGF-1 over time

9total
1
'04
1
'06
1
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2
'23
1
'25
1
'26

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