GH1 and hyperinsulinemic hypoglycemia, familial, 4: A low adherence to this diet (a score ≤5.0 with the PREDIMED score), hence a worst body composition and cardiometabolic profile, is associated with a blunted GH peak response and/or IGF-I deficiency and an alteration of the somatotropic axis is present in people that consumed high quantities of sugars and total fats, and a low amount of proteins.