Document Detail


Ghrelin--an indicator for fat oxidation in obese children and adolescents during a weight reduction program.
MedLine Citation:
PMID:  17663297     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to investigate the effect of short-term energy restriction combined with physical activity on changes in substrate oxidation and changes in plasma concentrations of ghrelin. We designed a longitudinal intervention study of 4.2 MJ (= 1,000 kcal) daily with exercise. Eighteen obese children and adolescents (age: 13.1 +/- 1.6 years, 13 girls, 5 boys, 17 White, 1 Black) participated. We measured body mass index (BMI), plasma ghrelin, resting energy expenditure (REE), VCO2, VO2 and respiratory quotient (RQ) at baseline and after 10 days. There was a significant decrease of BMI during the 10 day program (28.6 +/- 4.3 vs 27.5 +/- 4.2; p < 0.001). Ghrelin and RQ showed a tendency to increase, but the difference did not reach significance (ghrelin: 83.4 +/- 37.1 vs 99.5 +/- 41.2, p = 0067; RQ: 0.83 +/- 0.06 vs 0.85 +/- 0.08, p = 0.433). The changes in RQ were significantly and independently correlated with the changes in plasma ghrelin (p = 0.029). The increase in RQ suggests a shift from fat oxidation towards carbohydrate oxidation. Ghrelin reflects the same sensitivity as RQ to changes in energy balance. Therefore, ghrelin seems to be a sensitive indicator for changes in substrate oxidation.
Authors:
Hildegard Nitsche; Marianne Nitsche; Karl Sudi; Matthias Tschop; Heinz Zotter; Gudrun Weinhand; Elke Froehlich-Reiterer; Siegfried Gallistl; Martina Pirker; Martin Borkenstein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric endocrinology & metabolism : JPEM     Volume:  20     ISSN:  0334-018X     ISO Abbreviation:  J. Pediatr. Endocrinol. Metab.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-07-31     Completed Date:  2007-08-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9508900     Medline TA:  J Pediatr Endocrinol Metab     Country:  England    
Other Details:
Languages:  eng     Pagination:  719-23     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Graz, Austria. hildegard.nitsche@meduni-graz.at
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Biological Markers / blood*
Body Mass Index
Child
Dietary Fats / pharmacokinetics*
Energy Metabolism / physiology
Female
Ghrelin
Humans
Longitudinal Studies
Male
Motor Activity
Obesity / blood*,  diet therapy*,  epidemiology
Oxygen Consumption / physiology
Peptide Hormones / blood*
Physical Fitness
Regression Analysis
Sensitivity and Specificity
Weight Loss / physiology*
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Dietary Fats; 0/Ghrelin; 0/Peptide Hormones

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