Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1991-3-20
|
pubmed:abstractText |
To evaluate the metabolic consequences of short-term (i.e., less than 24 hours) starvation, glucose and fat metabolism were studied in eight healthy subjects and in eight patients with stable cirrhosis after 16-hour and again after 22-hour starvation by 3-[3H]glucose and [14C]palmitate turnover and by indirect calorimetry. Although patients and controls showed significant increases in free fatty acid concentration (respectively, 48% +/- 12% and 53% +/- 17%) and turnover (55% +/- 14% and 71% +/- 21%) during short-term starvation, the values after 16- and after 22-hour starvation were higher in cirrhosis. Fat oxidation was enhanced in the patients, but did not increase during fasting in contrast to controls (increase 19% +/- 17%, P less than 0.05). Net glucose oxidation was decreased in postabsorptive cirrhotics (P less than 0.05). Although postabsorptive glucose turnover was not different from controls, starvation induced a greater decrease in glucose turnover in the patients (25% +/- 3% vs. 10% +/- 3%, P less than 0.05). This was not reflected in plasma glucose concentrations. In conclusion, the effects of starvation on glucose and fat metabolism are enhanced in cirrhosis; fasting hypoglycemia is prevented by decreased use of glucose. It remains to be established whether these changes are merely explained by defective liver function, per se.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Epinephrine,
http://linkedlifedata.com/resource/pubmed/chemical/Fatty Acids,
http://linkedlifedata.com/resource/pubmed/chemical/Glucagon,
http://linkedlifedata.com/resource/pubmed/chemical/Glucose,
http://linkedlifedata.com/resource/pubmed/chemical/Insulin,
http://linkedlifedata.com/resource/pubmed/chemical/Norepinephrine,
http://linkedlifedata.com/resource/pubmed/chemical/Palmitates
|
pubmed:status |
MEDLINE
|
pubmed:month |
Mar
|
pubmed:issn |
0016-5085
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
100
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
731-7
|
pubmed:dateRevised |
2011-11-17
|
pubmed:meshHeading |
pubmed-meshheading:1993494-Adult,
pubmed-meshheading:1993494-Aged,
pubmed-meshheading:1993494-Calorimetry, Indirect,
pubmed-meshheading:1993494-Epinephrine,
pubmed-meshheading:1993494-Fasting,
pubmed-meshheading:1993494-Fatty Acids,
pubmed-meshheading:1993494-Female,
pubmed-meshheading:1993494-Glucagon,
pubmed-meshheading:1993494-Glucose,
pubmed-meshheading:1993494-Humans,
pubmed-meshheading:1993494-Insulin,
pubmed-meshheading:1993494-Lipid Metabolism,
pubmed-meshheading:1993494-Liver Cirrhosis,
pubmed-meshheading:1993494-Male,
pubmed-meshheading:1993494-Middle Aged,
pubmed-meshheading:1993494-Norepinephrine,
pubmed-meshheading:1993494-Palmitates
|
pubmed:year |
1991
|
pubmed:articleTitle |
Glucose and fat metabolism during short-term starvation in cirrhosis.
|
pubmed:affiliation |
Department of Intensive Care, University of Amsterdam, The Netherlands.
|
pubmed:publicationType |
Journal Article
|