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Postprandial changes of gastrointestinal hormones in patients with anorexia nervosa and bulimia nervosa.
Sedláčková, Dana ; Nedvídková, Jara (advisor) ; Smitka, Kvido (referee) ; Bílek, Radovan (referee)
Background: The present work was aimed to contribute to current research of gut-brain axis peptides ghrelin, obestatin, neuropeptide Y (NPY) and peptide YY (PYY) in women patients with anorexia nervosa (AN) and bulimia nervosa (BN). These hormones play an important role in regulation of food intake and energy homeostasis and their secretion is disturbed under conditions of eating disorders. Various types of consumed macronutrients may induce different plasma hormone responses, therefore we studied plasma levels of ghrelin, obestatin, NPY and PYY after consumption of a high-carbohydrate (HC) and high- protein (HP) breakfast within the meal tests performed under medical supervision. Methods: Plasma hormone responses to high-carbohydrate and high-protein breakfast were examined in patients with AN (total n = 14; age: 24,6 ± 1.8 years, BMI: 15,3 ± 0,7), BN (total n = 15; age: 23,2 ± 1,7 years, BMI: 20,5 ± 0,9) and healthy controls (total n = 14; age: 24,9 ± 1,4 years, BMI: 21,1 ± 0,8). Blood samples were drawn from the cubital vein using an intravenous cannula, the first blood drawn was collected before meal, and then 30, 60, 90, 120 and 150 min after breakfast consumption. Plasma hormone levels were determined by commercially available RIA kits. Results: Fasting and postprandial plasma obestatin...
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