Physiology · Hypothalamo-Pituitary Axis and Neuroendocrine Integration

Growth hormone secretion exhibits a distinct diurnal pattern. The major peak in GH secretion normally occurs during which stage of sleep?

  • A REM sleep
  • B Stage N1 (light sleep)
  • C Stage N3 (slow-wave sleep)
  • D Sleep onset regardless of stage
Correct answer: C. Stage N3 (slow-wave sleep)

Explanation

The major peak in GH secretion occurs during slow-wave sleep (stage N3, formerly stages 3 and 4), typically within the first 1-2 hours of sleep. This peak is mediated by GHRH release and coincides with the nadir in cortisol. GH secretion is minimal during REM sleep and wakefulness in normal adults.

Reference: Ganong's Review of Medical Physiology, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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