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This version published online on May 30, 2006
Journal of Clinical Endocrinology & Metabolism, doi:10.1210/jc.2006-0609
A more recent version of this article appeared on August 1, 2006
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*Compound via MeSH
*Substance via MeSH
Medline Plus Health Information
*Dietary Proteins
*Hormones
Hazardous Substances DB
*GLUTEN

Submitted on March 20, 2006
Accepted on May 18, 2006

Appetite regulatory hormone responses to various dietary proteins differ by BMI status despite similar reductions in ad libitum energy intake

Jane Bowen BSc Hons, BND*, Manny Noakes PhD, and Peter M Clifton MD, PhD

Commonweath Scientific and industrial Research Organisation (CSIRO), Human Nutrition, Adelaide, Australia, Department of Physiology, University of Adelaide, Adelaide, Australia

* To whom correspondence should be addressed. E-mail: jane.bowen{at}csiro.au.

Context: Although dietary protein produces higher acute satiety relative to carbohydrate, the influence of protein source and body mass index (BMI) has not been clearly described.

Objective: To assess post prandial responses to different protein sources compared with glucose in males with normal and high BMI.

Design: Randomized cross-over study of four preloads followed by blood sampling (+15, 30, 45, 60, 90, 120, 180min) and buffet meal.

Setting: Outpatient clinic

Participants: 72 men, BMI range 20.6 - 39.9 kg/m2

Interventions: Liquid preloads (1.1MJ; 450ml) containing 50 g of whey, soy, gluten or glucose.

Main Outcome Measures: Fasting and post prandial plasma glucose, insulin, ghrelin, glucagon-like peptide-1 (GLP-1) and cholecystokinin (n = 38), ad libitum energy intake and appetite ratings.

Results: Energy intake was 10% lower after all protein preloads compared with the glucose treatment (P < 0.05), independent of BMI status and protein type. All protein loads prolonged the post prandial suppression of ghrelin (P < 0.01) and elevation of GLP-1 (P < 0.01) and cholecystokinin (P < 0.05). Fasting GLP-1 concentrations (overweight 17.5 ± 1.3; lean 14.7 ± 0.1 pg/mL; (5.2 ± 0.4 and 4.4 ± 0.1pmol/L respectively), P < 0.001) and post prandial responses (P = 0.038) were higher in overweight subjects.

Conclusions: Whey, soy and gluten similarly tend to reduce ad libitum food intake 3 h later in lean and overweight males relative to glucose. Post prandial ghrelin, GLP-1, insulin and cholecystokinin may contribute to this higher satiety after protein consumption. GLP-1 concentrations are increased in overweight subjects which may affect satiety responses in this group.




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