Insulin-like Growth Factor 1 (IGF-1)

Endocrinology

Normal Reference Ranges

Adult

Varies by age (typically 100 - 300) ng/mL

Pediatric

Varies by age and Tanner stage ng/mL

Clinical Significance

Primary mediator of growth hormone (GH) action. Stable surrogate marker for GH secretion, as GH levels fluctuate widely throughout the day.

Causes of High

  • Acromegaly (adults)
  • Gigantism (children)
  • Pregnancy

Causes of Low

  • Growth hormone deficiency
  • Malnutrition / anorexia nervosa
  • Hypothyroidism
  • Severe liver disease