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Am J Clin Nutr (January 21, 2009). doi:10.3945/ajcn.2008.27011
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© 2009 American Society for Clinical Nutrition

Morning ghrelin concentrations are not affected by short-term overfeeding and do not predict ad libitum food intake in humans1,2,3

Susanne B Votruba, Henriette Kirchner, Matthias Tschöp, Arline D Salbe and Jonathan Krakoff

1 From the National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ (SBV and JK); the Obesity Research Centre/Genome Research Institute, University of Cincinnati, Cincinnati, OH (HK and MT); and the Kronos Longevity Research Institute, Phoenix, AZ (ADS).

2 Supported by the Intramural Research Program of the National Institutes of Health, NIDDK.

3 Reprints not available. Address correspondence to SB Votruba, Obesity & Diabetes Clinical Research Section, NIDDK/NIH/DHHS, 4212 North 16th Street, Phoenix, AZ 85016. E-mail: votrubas{at}mail.nih.gov.

ABSTRACT

Background: Ghrelin has a short-term orexigenic effect, but may also be a marker of food intake over time. We previously found an inverse association between ghrelin concentrations and food intake.

Objective: The objective was to determine whether the fasting plasma ghrelin concentration is related to food intake and whether the previous day's intake predicts the suppression of ghrelin.

Design: Sixty-nine nondiabetic adults (40 men) aged 33 ± 9 y were studied as inpatients at a Clinical Research Center. After 6 d of consuming a maintenance diet, the subjects self-selected their food from our vending machine system for 3 d. Total plasma ghrelin concentrations were measured every morning during the vending machine period.

Results: The fasting ghrelin concentration was negatively correlated with body mass index (r = –0.31, P = 0.016) and weight (r = –0.26, P = 0.044). Mean morning ghrelin concentrations remained constant (149 ± 59, 152 ± 60, 148 ± 61, and 145 ± 59 pg/mL on days 1, 2, 3, and 4, respectively) even though the subjects overate while using the vending machines (160 ± 42% of weight-maintenance needs). No associations were found between daily ghrelin concentrations and subsequent food intake on any day (day 1: r = –0.04, P = 0.76; day 2: r = –0.01, P = 0.95; day 3: r = –0.11, P = 0.38). Suppression of total ghrelin concentrations was not associated with the previous day's intake or with subsequent food intake.

Conclusion: Morning plasma ghrelin concentrations do not affect acute increases in food intake. This trial was registered at clinicaltrials.gov as NCT00342732.

Received for publication September 23, 2008. Accepted for publication December 9, 2008.







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