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Sökning: onr:"swepub:oai:DiVA.org:uu-159775" > Women with bulimia ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003625naa a2200397 4500
001oai:DiVA.org:uu-159775
003SwePub
008111010s2011 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:123245065
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1597752 URI
024a https://doi.org/10.3945/ajcn.111.0148372 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1232450652 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Naessen, Sabineu Karolinska Institutet4 aut
2451 0a Women with bulimia nervosa exhibit attenuated secretion of glucagon-like peptide 1, pancreatic polypeptide, and insulin in response to a meal
264 1b Elsevier BV,c 2011
338 a print2 rdacarrier
520 a Background: The eating disorder bulimia nervosa (BN) is characterized by frequent episodes of binge eating, followed regularly by inappropriate compensatory behavior, such as self-induced vomiting. Objective: The current investigation was designed to examine possible alterations in the secretion of the gastrointestinal satiety peptides glucagon-like peptide 1 (GLP-1) and pancreatic polypeptide (PP) in women with BN. Design: Twenty-one women with BN and 17 healthy control subjects of comparable age and BMI were recruited. After fasting overnight, the subjects provided blood samples during ingestion of a standardized meal and self-rated their appetite on a visual analog scale. Fasting and meal-related secretion of the incretin GLP-1 and the meal-related feedback signal PP and insulin and glucose as indicators of the metabolic homeostasis were analyzed. Results: Women with BN had significantly lower fasting and postprandial serum concentrations of GLP-1 (P < 0.01) and PP (P < 0.05) than did the control subjects. Furthermore, both the basal (P < 0.001) and peak (P < 0.05) concentrations of insulin were significantly attenuated in the bulimic subjects, whereas glucose concentrations were normal. As a consequence, the bulimic homeostasis model assessment of insulin index values were also lower (P < 0.001). Conclusions: Women with BN secrete abnormally low amounts of GLP-1 and PP, possibly because of the adaption to large meals in the form of enlarged gastric capacity and reduced muscle tone in the gastric wall. Attenuated secretion of these gastrointestinal satiety peptides may play a role in the maintenance of bulimic behavior.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Gastroenterologi0 (SwePub)302132 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Gastroenterology and Hepatology0 (SwePub)302132 hsv//eng
653 a Medical Science
653 a Medicinsk vetenskap
700a Carlström, Kjell4 aut
700a Holst, Jens J.4 aut
700a Hellström, Per M.u Uppsala universitet,Institutionen för medicinska vetenskaper,Gastroenterologi/Hellström4 aut0 (Swepub:uu)perhe742
700a Hirschberg, Angelica L.u Karolinska Institutet4 aut
710a Karolinska Institutetb Institutionen för medicinska vetenskaper4 org
773t American Journal of Clinical Nutritiond : Elsevier BVg 94:4, s. 967-972q 94:4<967-972x 0002-9165x 1938-3207
856u https://academic.oup.com/ajcn/article-pdf/94/4/967/23872981/967.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-159775
8564 8u https://doi.org/10.3945/ajcn.111.014837
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:123245065

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