Leptin levels in the acute stage of ulcerative colitis

Background and Aims:  Leptin, a recently discovered protein, acts as a hormonal feedback signal in regulating adipose tissue mass via hypothalamic mechanisms. Inflammatory bowel disease is often associated with anorexia and weight loss. The aim of the present study was to investigate serum leptin le...

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Veröffentlicht in:Journal of gastroenterology and hepatology 2004-04, Vol.19 (4), p.429-432
Hauptverfasser: TUZUN, AHMET, UYGUN, AHMET, YESILOVA, ZEKI, OZEL, A MELIH, ERDIL, AHMET, YAMAN, HALIL, BAGCI, SAIT, GULSEN, MUSTAFA, KARAEREN, NECMETTIN, DAGALP, KEMAL
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container_issue 4
container_start_page 429
container_title Journal of gastroenterology and hepatology
container_volume 19
creator TUZUN, AHMET
UYGUN, AHMET
YESILOVA, ZEKI
OZEL, A MELIH
ERDIL, AHMET
YAMAN, HALIL
BAGCI, SAIT
GULSEN, MUSTAFA
KARAEREN, NECMETTIN
DAGALP, KEMAL
description Background and Aims:  Leptin, a recently discovered protein, acts as a hormonal feedback signal in regulating adipose tissue mass via hypothalamic mechanisms. Inflammatory bowel disease is often associated with anorexia and weight loss. The aim of the present study was to investigate serum leptin levels during the time course of the acute phase of ulcerative colitis (UC) and to evaluate whether leptin leads to anorexia and bodyweight loss in these patients. Methods:  Serum leptin levels of 29 male patients with acute UC and 17 healthy controls with similar age, sex and body mass index (BMI) were measured. Erythrocyte sedimentation rate (ESR), BMI, serum albumin and C‐reactive protein concentrations, and white blood cell counts were determined. Results:  A significant increase in serum leptin levels was found in patients with acute UC when compared with controls (5.89 ± 2.06 ng/mL and 3.64 ± 1.69 ng/mL, respectively; p = 0.001). There was no correlation between leptin levels and BMI. Conclusions:  Our findings in the acute stage of UC suggest that increased serum leptin levels may contribute to anorexia and weight loss. However, an inappropriate increase in leptin levels is independent of body mass in acute UC, and we believe that other factors may be involved in inflammation‐induced increases in leptin levels.
doi_str_mv 10.1111/j.1440-1746.2003.03300.x
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Inflammatory bowel disease is often associated with anorexia and weight loss. The aim of the present study was to investigate serum leptin levels during the time course of the acute phase of ulcerative colitis (UC) and to evaluate whether leptin leads to anorexia and bodyweight loss in these patients. Methods:  Serum leptin levels of 29 male patients with acute UC and 17 healthy controls with similar age, sex and body mass index (BMI) were measured. Erythrocyte sedimentation rate (ESR), BMI, serum albumin and C‐reactive protein concentrations, and white blood cell counts were determined. Results:  A significant increase in serum leptin levels was found in patients with acute UC when compared with controls (5.89 ± 2.06 ng/mL and 3.64 ± 1.69 ng/mL, respectively; p = 0.001). There was no correlation between leptin levels and BMI. Conclusions:  Our findings in the acute stage of UC suggest that increased serum leptin levels may contribute to anorexia and weight loss. However, an inappropriate increase in leptin levels is independent of body mass in acute UC, and we believe that other factors may be involved in inflammation‐induced increases in leptin levels.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/j.1440-1746.2003.03300.x</identifier><identifier>PMID: 15012781</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Pty</publisher><subject>Acute Disease ; Adult ; anorexia ; Biological and medical sciences ; Body Mass Index ; Case-Control Studies ; Colitis, Ulcerative - blood ; Colitis, Ulcerative - pathology ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; leptin ; Leptin - blood ; Male ; Medical sciences ; Middle Aged ; Other diseases. Semiology ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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Inflammatory bowel disease is often associated with anorexia and weight loss. The aim of the present study was to investigate serum leptin levels during the time course of the acute phase of ulcerative colitis (UC) and to evaluate whether leptin leads to anorexia and bodyweight loss in these patients. Methods:  Serum leptin levels of 29 male patients with acute UC and 17 healthy controls with similar age, sex and body mass index (BMI) were measured. Erythrocyte sedimentation rate (ESR), BMI, serum albumin and C‐reactive protein concentrations, and white blood cell counts were determined. Results:  A significant increase in serum leptin levels was found in patients with acute UC when compared with controls (5.89 ± 2.06 ng/mL and 3.64 ± 1.69 ng/mL, respectively; p = 0.001). There was no correlation between leptin levels and BMI. Conclusions:  Our findings in the acute stage of UC suggest that increased serum leptin levels may contribute to anorexia and weight loss. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>leptin</topic><topic>Leptin - blood</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. 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subjects Acute Disease
Adult
anorexia
Biological and medical sciences
Body Mass Index
Case-Control Studies
Colitis, Ulcerative - blood
Colitis, Ulcerative - pathology
Gastroenterology. Liver. Pancreas. Abdomen
Humans
leptin
Leptin - blood
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
ulcerative colitis
weight loss
title Leptin levels in the acute stage of ulcerative colitis
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