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印度尼西亚肥胖和非肥胖女性的肽YY和胃饥饿素水平、饥饿与饱腹感程度以及随意摄入量

Profiles of peptide YY and ghrelin, levels of hunger and satiety, and ad libitum intake in obese and non-obese Indonesian women.

作者信息

Witjaksono Fiastuti, Simadibrata Marcellus, Lukito Widjaja, Wijaya Andi, Nurwidya Fariz

机构信息

Department of Nutrition, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.;Jl. Salemba Raya No. 6,Jakarta 10430, Indonesia.

Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.;Jl. Salemba Raya No. 6,Jakarta 10430, Indonesia.

出版信息

Rom J Intern Med. 2019 Mar 1;57(1):15-22. doi: 10.2478/rjim-2018-0027.

Abstract

INTRODUCTION

The current study aimed to assess profiles of peptide YY and ghrelin, visual analog scales (VAS) for hunger and satiety, and ad libitum intake in obese and non-obese women.

METHODS

This open-label non-randomized interventional study involved obese (BMI ≥ 25-35 kg/m2) and non-obese (BMI 18.5-23.0 kg/m2) women subjects. Levels of peptide YY and ghrelin were determined by radioimmunoassay and enzyme-linked immunosorbent assay (ELISA), respectively, while the degrees of hunger and satiety were measured using visual analog scale (VAS) questionnaires. The results were compared in fasting condition and in 15, 60, 120, and 180 minutes after breakfast with balance composition formulation. This study also compared the ad libitum intake within 4 hours after breakfast.

RESULTS

As compared to the non-obese group, the obese group have significantly lower levels of peptide YY in fasting, and in 15, 60, 120, and 180 minutes post-prandial, and smaller AUC (Area Under the Curve) of fasting peptide YY. Furthermore, the obese group showed significantly higher ad libitum intake. The obese group also have lower levels of ghrelin and lower VAS for hunger and higher in VAS for satiety as compared to the non-obese group.

CONCLUSIONS

There were significant differences in peptide YY level, 4 hours after breakfast ad libitum intake, ghrelin level, and VAS for hunger and satiety, between obese group and non-obese one.

摘要

引言

本研究旨在评估肥胖和非肥胖女性体内的肽YY和胃饥饿素水平、饥饿与饱腹感的视觉模拟量表(VAS)以及随意摄入量。

方法

本开放标签非随机干预研究纳入了肥胖(BMI≥25 - 35 kg/m²)和非肥胖(BMI 18.5 - 23.0 kg/m²)女性受试者。肽YY和胃饥饿素水平分别通过放射免疫分析法和酶联免疫吸附测定法(ELISA)测定,而饥饿和饱腹感程度则使用视觉模拟量表(VAS)问卷进行测量。在空腹状态以及早餐后15、60、120和180分钟时比较结果,早餐采用均衡成分配方。本研究还比较了早餐后4小时内的随意摄入量。

结果

与非肥胖组相比,肥胖组在空腹、餐后15、60、120和180分钟时的肽YY水平显著较低,空腹肽YY的曲线下面积(AUC)较小。此外,肥胖组的随意摄入量显著更高。与非肥胖组相比,肥胖组的胃饥饿素水平也较低,饥饿视觉模拟量表得分较低,饱腹感视觉模拟量表得分较高。

结论

肥胖组与非肥胖组在肽YY水平、早餐后4小时随意摄入量、胃饥饿素水平以及饥饿与饱腹感视觉模拟量表方面存在显著差异。

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