Paolisso G, Rizzo M R, Mazziotti G, Rotondi M, Tagliamonte M R, Varricchio G, Carella C, Varricchio M
Department of Geriatric Medicine and Metabolic Diseases, II University of Naples, Naples, Italy.
Eur J Clin Invest. 1999 Jun;29(6):490-5. doi: 10.1046/j.1365-2362.1999.00488.x.
Changes in plasma leptin concentration and food intake occur during the menstrual cycle; because leptin regulates food intake, one could hypothesize that changes in plasma leptin concentration and in food intake are associated throughout the menstrual cycle. However, no data have ever been provided to support such a relationship. The aim of our study was to investigate, during the different phases of the menstrual cycle, (a) the changes in plasma leptin concentration and, if such changes were demonstrated, (b) the potential relationship between the changes in plasma leptin concentration and food intake.
The study was designed as an observational study. The plasma leptin concentration was determined in 16 healthy, young women during different phases of the menstrual cycle. At the same time, the basal metabolic rate (BMR), respiratory quotient (RQ) and food intake (FI) were also determined.
The plasma leptin concentration increased throughout the menstrual cycle (P < 0.01 for trend) and was significantly correlated with plasma progesterone concentration (r = 0.55, P < 0.007, for follicular phase, r = 0.58, P < 0.02, for the periovulatory period and r = 0.57, P < 0.02, for the luteal phase). No significant differences in BMR and fasting RQ throughout the different phases of the menstrual cycle were found. In contrast, FI significantly declined in the periovulatory phase. No significant correlations between BMR, RQ and FI values and fasting plasma leptin concentration at all menstrual phases were found.
Changes in plasma leptin concentration and in food intake were found at different phases of the menstrual cycle. Nevertheless, no correlation among those parameters at any phase of the menstrual cycle was observed.
月经周期中血浆瘦素浓度和食物摄入量会发生变化;由于瘦素调节食物摄入,因此可以推测血浆瘦素浓度变化与食物摄入量变化在整个月经周期中存在关联。然而,从未有数据支持这种关系。我们研究的目的是在月经周期的不同阶段调查:(a)血浆瘦素浓度的变化,如果证实存在此类变化,(b)血浆瘦素浓度变化与食物摄入量之间的潜在关系。
本研究设计为观察性研究。在16名健康年轻女性的月经周期不同阶段测定血浆瘦素浓度。同时,还测定基础代谢率(BMR)、呼吸商(RQ)和食物摄入量(FI)。
血浆瘦素浓度在整个月经周期中升高(趋势P < 0.01),并且与血浆孕酮浓度显著相关(卵泡期r = 0.55,P < 0.007;排卵期r = 0.58,P < 0.02;黄体期r = 0.57,P < 0.02)。在月经周期的不同阶段,BMR和空腹RQ未发现显著差异。相反,排卵期的FI显著下降。在所有月经阶段,未发现BMR、RQ和FI值与空腹血浆瘦素浓度之间存在显著相关性。
在月经周期的不同阶段发现了血浆瘦素浓度和食物摄入量的变化。然而,在月经周期的任何阶段,这些参数之间均未观察到相关性。