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Visa fullständig version : Pre-, post- prandial appetite hormone levels in normal weight and severely obese wome


Apos78
2009-08-12, 07:16
Appetite is affected by many factors including the hormones leptin, ghrelin and adiponectin. Ghrelin stimulates hunger, leptin promotes satiety, and adiponectin affects insulin response. This study was designed to test whether the pre- and postprandial response of key appetite hormones differs in normal weight (NW) and severely obese (SO) women.

Methods
Twenty three women ages 25-50 were recruited for this study including 10 NW (BMI = 23.1 +/- 1.3 kg/m2) and 13 SO (BMI = 44.5 +/- 7.1 kg/m2). The study was conducted in a hospital-based clinical research centre. Following a 12-hour fast, participants had a baseline blood draw, consumed a moderately high carbohydrate meal (60% carbohydrate, 20% protein, 20% fat) based on body weight. Postprandially, participants had six blood samples drawn at 0, 15, 30, 60, 90, and 120 minutes. Primary measures included pre- and post-prandial total ghrelin, leptin, adiponectin and insulin. A repeated measures general linear model was used to evaluate the hormone changes by group and time (significance p < 0.05).

Results
There were significant differences between the NW and the SO for all hormones in the preprandial fasting state. The postprandial responses between the SO versus NW revealed: higher leptin (p< 0.0001), lower adiponectin (p=0.04), trend for lower ghrelin (p=0.06) and insulin was not different (p= 0.26). Postprandial responses over time between the SO versus NW: higher leptin (p<0.001), lower ghrelin and adiponectin (p=0.004, p=0.015, respectively), and trend for higher insulin (p=0.06).

Conclusions
This study indicates that significant differences in both pre- and selected post- prandial levels of leptin, ghrelin, adiponectin and insulin exist between NW and SO women. Improving our understanding of the biochemical mechanisms accounting for these differences in appetite hormones among individuals with varying body size and adiposity should aid in the development of future therapies to prevent and treat obesity.



http://www.nutritionandmetabolism.com/content/pdf/1743-7075-6-32.pdf

Är inte jättebevandrad i detalj vad gäller aptitreglering. Dock ett intressant ämnesområde.

mikaelj
2009-08-12, 11:16
Jag läser allt oftare att dålig leptinkänslighet anges vara orsaken till övervikt hos många.

Eddie Vedder
2009-08-12, 12:23
Jag läser allt oftare att dålig leptinkänslighet anges vara orsaken till övervikt hos många.

Ja ju sämre känslighet för leptin desto svårare att undvika övervikt i alla fall. Därom råder nog inga tvivel. Tydligast är ju extermexempel där man föds med leptinresistens. De barnen blir utan undantag riktigt feta och riktigt tidigt. Där har man dock sett att leptintillförsel fungerar.

Annars har det ju visat sig ineffektivt att tillföra leptin eftersom feta redan har mer leptin än smala men har en ökad tolerans för hormonet.

mikaelj
2009-08-12, 12:41
Annars har det ju visat sig ineffektivt att tillföra leptin eftersom feta redan har mer leptin än smala men har en ökad tolerans för hormonet.

Mm, likheten mellan typ 1/2-diabetes och leptinbrist/-resistens är slående.

Det är verkligen många av kroppens system som sätts ur spel hos den överviktige. :-/