Document Detail


Influence of ghrelin on the gastric accommodation reflex and on meal-induced satiety in man.
MedLine Citation:
PMID:  19210631     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ghrelin increases gastric tone in the fasting state and enhances gastric emptying in gastroparesis. The aims of the study were to evaluate the effect of ghrelin on postprandial gastric tone and on meal-induced satiety in health. Ten healthy volunteers underwent a barostat study on two occasions. After determination of intra-abdominal pressure (minimal distending pressure, MDP), isobaric volume measurement was performed for 90 min at MDP + 2 mmHg. After 20 min, ghrelin (40 microg) or saline was administered i.v. over 30 min in a double-blind-randomized cross-over design, followed 10 min later by a liquid meal (200 mL, 300 kcal). Stepwise isobaric distentions (+2 mmHg per 2 min) were performed 60 min after the meal. Data (mean +/- SEM) were compared using paired Student's t-test and ANOVA. Separately, a satiety drinking test (15 mL min(-1) until satiety score 5) was performed on 10 subjects twice, after treatment with placebo or ghrelin. Ghrelin infusion significantly inhibited gastric accommodation (mean volume increase adjusted means 108.0 +/- 50 vs 23.0 +/- 49 mL, P = 0.03, ANCOVA with the premeal postinfusion volume as covariate) and reduced postprandial gastric volumes (197.2 +/- 24.6 vs 353.5 +/- 50.0 mL, P = 0.01). Pressures inducing perception or discomfort during postprandial gastric distentions were not altered. During satiety testing, ghrelin did not alter nutrient volume ingested till maximal satiety (637.5 +/- 70.9 vs 637.5 +/- 56.2 mL, ns). Ghrelin administered during the meal significantly inhibits gastric accommodation in health, but this is not associated with early satiation.
Authors:
D Ang; H Nicolai; R Vos; K Mimidis; F Akyuz; S Kindt; P Vanden Berghe; D Sifrim; I Depoortere; T Peeters; J Tack
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2008-01-30
Journal Detail:
Title:  Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society     Volume:  21     ISSN:  1365-2982     ISO Abbreviation:  Neurogastroenterol. Motil.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-12     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9432572     Medline TA:  Neurogastroenterol Motil     Country:  England    
Other Details:
Languages:  eng     Pagination:  528-33, e8-9     Citation Subset:  IM    
Affiliation:
Division of Gastroenterology, Department of Pathophysiology, University of Leuven, Leuven, Belgium.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Cross-Over Studies
Double-Blind Method
Eating
Female
Gastric Emptying / drug effects*,  physiology
Ghrelin / pharmacology*
Humans
Male
Muscle Contraction / drug effects,  physiology
Postprandial Period / drug effects
Pressure
Random Allocation
Reflex / drug effects*,  physiology
Satiety Response / drug effects*,  physiology
Sensation / drug effects
Stomach* / drug effects,  physiology
Chemical
Reg. No./Substance:
0/Ghrelin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Symptom pattern and pathophysiological correlates of weight loss in tertiary-referred functional dys...
Next Document:  Increased colonic transit in rats produced by a combination of a cholinesterase inhibitor with a 5-H...