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个体化胃电刺激对犬类食物渴望及胃肠肽的影响。

The effects of individualized gastric electrical stimulation on food craving and gastrointestinal peptides in dogs.

作者信息

Guo Xiaojuan, Li Yanmei, Yao Shukun, Chen Shaoxuan, Du Yuhui, Wang Zhihua

机构信息

Department of Gastroenterology, China-Japan Friendship Hospital, Beijing, China.

出版信息

Neuromodulation. 2014 Jul;17(5):483-8; discussion 488-9. doi: 10.1111/ner.12207. Epub 2014 Jun 24.

Abstract

BACKGROUND

Using an adjustable stimulator with a wide range of stimulation parameters, the aims of this study were 1) to investigate the effects of long-term gastric electrical stimulation (GES) on appetite and differential food cravings for three different foods and 2) to investigate the effects of GES on plasma gastrointestinal peptide concentrations.

METHODS

The study was performed in eight Beagle dogs implanted with one pair of serosal electrodes. They were followed during GES and sham GES sessions in a crossover design. GES was conducted using a series of individualized parameters. Food intake and food cravings were observed to evaluate the effects of long-term GES. Enzyme-linked immunosorbent assay was used to measure the plasma concentrations of gastrointestinal peptides.

RESULTS

Dogs on GES for three months ate significantly less food than those on sham GES for three months (p < 0.05). A significant change in food cravings was induced by GES. Dogs with GES ate significantly less high-fat food. However, there was no significant difference in consumption of high-carbohydrate food or balanced food between the periods of GES and sham GES. The plasma concentrations of ghrelin, peptide YY3-36, and glucagon-like peptide 1 did not differ significantly between the periods of GES and sham GES.

CONCLUSIONS

Food intake and food craving were changed significantly by adjustable GES. GES may be used for treating obesity by changing food preferences. Further clinical studies are necessary to highlight the effect of adjustable GES on eating behavior.

摘要

背景

使用具有广泛刺激参数的可调刺激器,本研究的目的是:1)研究长期胃电刺激(GES)对食欲以及对三种不同食物的差异性食物渴望的影响;2)研究GES对血浆胃肠肽浓度的影响。

方法

该研究在八只植入了一对浆膜电极的比格犬身上进行。采用交叉设计,在GES和假GES阶段对它们进行跟踪观察。使用一系列个体化参数进行GES。观察食物摄入量和食物渴望情况,以评估长期GES的效果。采用酶联免疫吸附测定法测量血浆胃肠肽浓度。

结果

接受GES三个月的犬只比接受假GES三个月的犬只进食量显著减少(p < 0.05)。GES引起了食物渴望的显著变化。接受GES的犬只高脂肪食物摄入量显著减少。然而,在GES和假GES阶段之间,高碳水化合物食物或均衡食物的摄入量没有显著差异。在GES和假GES阶段之间,胃饥饿素、肽YY3-36和胰高血糖素样肽1的血浆浓度没有显著差异。

结论

可调GES显著改变了食物摄入量和食物渴望。GES可能通过改变食物偏好来治疗肥胖症。需要进一步的临床研究来突出可调GES对饮食行为的影响。

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