Document Detail


Different thermic effects of leptin in adolescent females with varying body fat content.
MedLine Citation:
PMID:  20452104     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND & AIMS: Investigating the effect of leptin on energy expenditure in undernutrition might lead to a better understanding of the role of leptin in regulating body weight in humans.
METHODS: 73 underweight female adolescents with anorexia nervosa (AN) were compared with 23 healthy normal weight (nwC), and 9 overweight girls (OW); 37 AN were followed during 7 months of weight recovery. Resting energy expenditure (REE, by indirect calorimetry), body composition (fat mass, FM; lean tissue mass, LTM; by Dual-Energy X-Ray Absorptiometry) and plasma hormones of leptin and 3,5,3'-Triiodothyronine (T(3)) were measured.
RESULTS: In underweight, leptin, T(3) and REE adjusted for lean tissue mass (REE(LTM)) were decreased; in OW, FM and leptin were increased at unchanged T(3) and REE(LTM). There was a significant positive relation between FM and leptin at low and normal (AN, r(2) = 0.26; nwC, r(2) = 0.51, p < 0.001), but not at high adiposity. Leptin and REE(LTM) were positively associated in underweight (r(2) = 0.14, p = 0.001) but not in normal or overweight subjects. T(3) was linearly related to REE(LTM) over the whole range of adiposity (r(2) = 0.42, p < 0.001). With weight gain in AN (5.0 ± 3.5 kg) the relationship between leptin and REE(LTM) changed toward the conditions seen in normal weight controls.
CONCLUSIONS: At low adiposity the interrelated fall of leptin and REE reflect an adaptive mechanism to preserve body weight. High leptin production associated with excessive adiposity was without effect on metabolic adaptation.
Authors:
Verena K Haas; Kevin J Gaskin; Michael R Kohn; Simon D Clarke; Manfred J Müller
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-07
Journal Detail:
Title:  Clinical nutrition (Edinburgh, Scotland)     Volume:  29     ISSN:  1532-1983     ISO Abbreviation:  Clin Nutr     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-11     Completed Date:  2011-01-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309603     Medline TA:  Clin Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  639-45     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
Affiliation:
Department of Adolescent Medicine, The Children's Hospital at Westmead, University of Sydney, Australia. verena.haas@charite.de
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MeSH Terms
Descriptor/Qualifier:
Absorptiometry, Photon
Adipose Tissue / metabolism*
Adiposity
Adolescent
Anorexia Nervosa / metabolism
Body Composition*
Body Mass Index
Calorimetry, Indirect
Case-Control Studies
Energy Metabolism
Female
Humans
Leptin / blood*,  metabolism
Linear Models
Overweight / metabolism*
Rest
Thinness / metabolism*
Triiodothyronine / blood,  metabolism
Weight Gain
Chemical
Reg. No./Substance:
0/Leptin; 6893-02-3/Triiodothyronine

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