Effects of intraduodenal glucose and fructose on antropyloric motility and appetite in healthy humans

1  University of Adelaide Department of Medicine, Royal Adelaide Hospital, Adelaide 5000, Australia; and 2  Department of Internal Medicine, College of Medicine, Konkuk University, Seoul 143-130, Korea Oral fructose empties from the stomach more rapidly and may suppress food intake more than oral gl...

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Veröffentlicht in:American journal of physiology. Regulatory, integrative and comparative physiology integrative and comparative physiology, 2000-02, Vol.278 (2), p.360-R366
Hauptverfasser: Rayner, C. K, Park, H. S, Wishart, J. M, Kong, M.-F, Doran, S. M, Horowitz, M
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container_start_page 360
container_title American journal of physiology. Regulatory, integrative and comparative physiology
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creator Rayner, C. K
Park, H. S
Wishart, J. M
Kong, M.-F
Doran, S. M
Horowitz, M
description 1  University of Adelaide Department of Medicine, Royal Adelaide Hospital, Adelaide 5000, Australia; and 2  Department of Internal Medicine, College of Medicine, Konkuk University, Seoul 143-130, Korea Oral fructose empties from the stomach more rapidly and may suppress food intake more than oral glucose. The purpose of the study was to evaluate the effects of intraduodenal infusions of fructose and glucose on antropyloric motility and appetite. Ten healthy volunteers were given intraduodenal infusions of 25% fructose, 25% glucose, or 0.9% saline (2 ml/min for 90 min). Antropyloric pressures, blood glucose, and plasma insulin, gastric inhibitory peptide (GIP), and glucagon-like peptide-1 (GLP-1) were measured concurrently; a buffet meal was offered at the end of the infusion. Intraduodenal fructose and glucose suppressed antral waves ( P  
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K ; Park, H. S ; Wishart, J. M ; Kong, M.-F ; Doran, S. M ; Horowitz, M</creator><creatorcontrib>Rayner, C. K ; Park, H. S ; Wishart, J. M ; Kong, M.-F ; Doran, S. M ; Horowitz, M</creatorcontrib><description><![CDATA[1  University of Adelaide Department of Medicine, Royal Adelaide Hospital, Adelaide 5000, Australia; and 2  Department of Internal Medicine, College of Medicine, Konkuk University, Seoul 143-130, Korea Oral fructose empties from the stomach more rapidly and may suppress food intake more than oral glucose. The purpose of the study was to evaluate the effects of intraduodenal infusions of fructose and glucose on antropyloric motility and appetite. Ten healthy volunteers were given intraduodenal infusions of 25% fructose, 25% glucose, or 0.9% saline (2 ml/min for 90 min). Antropyloric pressures, blood glucose, and plasma insulin, gastric inhibitory peptide (GIP), and glucagon-like peptide-1 (GLP-1) were measured concurrently; a buffet meal was offered at the end of the infusion. Intraduodenal fructose and glucose suppressed antral waves ( P   < 0.0005 for both), stimulated isolated pyloric pressure waves ( P  < 0.05 for both), and increased basal pyloric pressure ( P  =   0.10 and P  < 0.05, respectively) compared with saline, without any significant difference between them. Intraduodenal glucose increased blood glucose ( P  < 0.0005), as well as plasma insulin ( P  < 0.0005) and GIP ( P  < 0.005) more than intraduodenal fructose, whereas there was no difference in the GLP-1 response. Intraduodenal fructose suppressed food intake compared with saline ( P  < 0.05) and glucose ( P  = 0.07). We conclude that, when infused intraduodenally at 2 kcal/min for 90 min 1 ) fructose and glucose have comparable effects on antropyloric pressures, 2 ) fructose tends to suppress food intake more than glucose, despite similar GLP-1 and less GIP release, and 3 ) GIP, rather than GLP-1, probably accounts for the greater insulin response to glucose than fructose. monosaccharides; manometry; incretins; glucagon-like peptide-1; gastric inhibitory peptide]]></description><identifier>ISSN: 0363-6119</identifier><identifier>EISSN: 1522-1490</identifier><identifier>DOI: 10.1152/ajpregu.2000.278.2.r360</identifier><identifier>PMID: 10666136</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Appetite - drug effects ; Blood Glucose - analysis ; Catheterization ; Duodenum ; Female ; Fructose - administration &amp; dosage ; Fructose - pharmacology ; Gastric Inhibitory Polypeptide - blood ; Gastrointestinal Motility - drug effects ; Glucagon - blood ; Glucagon-Like Peptide 1 ; Glucose - administration &amp; dosage ; Glucose - pharmacology ; Humans ; Insulin - blood ; Intubation, Gastrointestinal ; Male ; Peptide Fragments - blood ; Pressure ; Protein Precursors - blood ; Pylorus - drug effects ; Reference Values ; Single-Blind Method</subject><ispartof>American journal of physiology. 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M</creatorcontrib><creatorcontrib>Horowitz, M</creatorcontrib><title>Effects of intraduodenal glucose and fructose on antropyloric motility and appetite in healthy humans</title><title>American journal of physiology. Regulatory, integrative and comparative physiology</title><addtitle>Am J Physiol Regul Integr Comp Physiol</addtitle><description><![CDATA[1  University of Adelaide Department of Medicine, Royal Adelaide Hospital, Adelaide 5000, Australia; and 2  Department of Internal Medicine, College of Medicine, Konkuk University, Seoul 143-130, Korea Oral fructose empties from the stomach more rapidly and may suppress food intake more than oral glucose. The purpose of the study was to evaluate the effects of intraduodenal infusions of fructose and glucose on antropyloric motility and appetite. Ten healthy volunteers were given intraduodenal infusions of 25% fructose, 25% glucose, or 0.9% saline (2 ml/min for 90 min). Antropyloric pressures, blood glucose, and plasma insulin, gastric inhibitory peptide (GIP), and glucagon-like peptide-1 (GLP-1) were measured concurrently; a buffet meal was offered at the end of the infusion. Intraduodenal fructose and glucose suppressed antral waves ( P   < 0.0005 for both), stimulated isolated pyloric pressure waves ( P  < 0.05 for both), and increased basal pyloric pressure ( P  =   0.10 and P  < 0.05, respectively) compared with saline, without any significant difference between them. Intraduodenal glucose increased blood glucose ( P  < 0.0005), as well as plasma insulin ( P  < 0.0005) and GIP ( P  < 0.005) more than intraduodenal fructose, whereas there was no difference in the GLP-1 response. Intraduodenal fructose suppressed food intake compared with saline ( P  < 0.05) and glucose ( P  = 0.07). We conclude that, when infused intraduodenally at 2 kcal/min for 90 min 1 ) fructose and glucose have comparable effects on antropyloric pressures, 2 ) fructose tends to suppress food intake more than glucose, despite similar GLP-1 and less GIP release, and 3 ) GIP, rather than GLP-1, probably accounts for the greater insulin response to glucose than fructose. monosaccharides; manometry; incretins; glucagon-like peptide-1; gastric inhibitory peptide]]></description><subject>Adult</subject><subject>Appetite - drug effects</subject><subject>Blood Glucose - analysis</subject><subject>Catheterization</subject><subject>Duodenum</subject><subject>Female</subject><subject>Fructose - administration &amp; dosage</subject><subject>Fructose - pharmacology</subject><subject>Gastric Inhibitory Polypeptide - blood</subject><subject>Gastrointestinal Motility - drug effects</subject><subject>Glucagon - blood</subject><subject>Glucagon-Like Peptide 1</subject><subject>Glucose - administration &amp; dosage</subject><subject>Glucose - pharmacology</subject><subject>Humans</subject><subject>Insulin - blood</subject><subject>Intubation, Gastrointestinal</subject><subject>Male</subject><subject>Peptide Fragments - blood</subject><subject>Pressure</subject><subject>Protein Precursors - blood</subject><subject>Pylorus - drug effects</subject><subject>Reference Values</subject><subject>Single-Blind Method</subject><issn>0363-6119</issn><issn>1522-1490</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1v1DAQhi0EotvCX4CcuCX4I7HXR1S1gFSpEipny3HGG1dOHGxHkH9fL7uovXAajeZ535EehD4S3BDS0c_6cYlwWBuKMW6o2De0iYzjV2hXrrQmrcSv0Q4zzmpOiLxAlyk9FrZlLXuLLgjmnBPGdwhurAWTUxVs5eYc9bCGAWbtq4NfTUhQ6XmobFxNPi5hLnuOYdl8iM5UU8jOu7z9pfSyQHYZSlE1gvZ53KpxnfSc3qE3VvsE78_zCv28vXm4_lbf3X_9fv3lrjYtZ7nmPXR7ZqTZC6GJxFS0EiTpOjIQOmDJLe0Jt5oKQ2BoAYPpme173HWcEiHYFfp06l1i-LVCympyyYD3eoawJiXwXgqKSQHFCTQxpBTBqiW6ScdNEayOhtXZsDoaVsWwoupHMVySH84v1n6C4UXupLQA9QkY3WH87SKoZdySCz4ctufWl4Xy__zt6v0D_Mn_gs85tQyWPQEuFKDB</recordid><startdate>20000201</startdate><enddate>20000201</enddate><creator>Rayner, C. 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M ; Horowitz, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-6be583c9c877a1902749e91551d12d096f2b16fa27c1ed4e0ecb3fbb055621773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Appetite - drug effects</topic><topic>Blood Glucose - analysis</topic><topic>Catheterization</topic><topic>Duodenum</topic><topic>Female</topic><topic>Fructose - administration &amp; dosage</topic><topic>Fructose - pharmacology</topic><topic>Gastric Inhibitory Polypeptide - blood</topic><topic>Gastrointestinal Motility - drug effects</topic><topic>Glucagon - blood</topic><topic>Glucagon-Like Peptide 1</topic><topic>Glucose - administration &amp; dosage</topic><topic>Glucose - pharmacology</topic><topic>Humans</topic><topic>Insulin - blood</topic><topic>Intubation, Gastrointestinal</topic><topic>Male</topic><topic>Peptide Fragments - blood</topic><topic>Pressure</topic><topic>Protein Precursors - blood</topic><topic>Pylorus - drug effects</topic><topic>Reference Values</topic><topic>Single-Blind Method</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rayner, C. K</creatorcontrib><creatorcontrib>Park, H. S</creatorcontrib><creatorcontrib>Wishart, J. M</creatorcontrib><creatorcontrib>Kong, M.-F</creatorcontrib><creatorcontrib>Doran, S. M</creatorcontrib><creatorcontrib>Horowitz, M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of physiology. Regulatory, integrative and comparative physiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rayner, C. K</au><au>Park, H. S</au><au>Wishart, J. M</au><au>Kong, M.-F</au><au>Doran, S. M</au><au>Horowitz, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of intraduodenal glucose and fructose on antropyloric motility and appetite in healthy humans</atitle><jtitle>American journal of physiology. Regulatory, integrative and comparative physiology</jtitle><addtitle>Am J Physiol Regul Integr Comp Physiol</addtitle><date>2000-02-01</date><risdate>2000</risdate><volume>278</volume><issue>2</issue><spage>360</spage><epage>R366</epage><pages>360-R366</pages><issn>0363-6119</issn><eissn>1522-1490</eissn><abstract><![CDATA[1  University of Adelaide Department of Medicine, Royal Adelaide Hospital, Adelaide 5000, Australia; and 2  Department of Internal Medicine, College of Medicine, Konkuk University, Seoul 143-130, Korea Oral fructose empties from the stomach more rapidly and may suppress food intake more than oral glucose. The purpose of the study was to evaluate the effects of intraduodenal infusions of fructose and glucose on antropyloric motility and appetite. Ten healthy volunteers were given intraduodenal infusions of 25% fructose, 25% glucose, or 0.9% saline (2 ml/min for 90 min). Antropyloric pressures, blood glucose, and plasma insulin, gastric inhibitory peptide (GIP), and glucagon-like peptide-1 (GLP-1) were measured concurrently; a buffet meal was offered at the end of the infusion. Intraduodenal fructose and glucose suppressed antral waves ( P   < 0.0005 for both), stimulated isolated pyloric pressure waves ( P  < 0.05 for both), and increased basal pyloric pressure ( P  =   0.10 and P  < 0.05, respectively) compared with saline, without any significant difference between them. Intraduodenal glucose increased blood glucose ( P  < 0.0005), as well as plasma insulin ( P  < 0.0005) and GIP ( P  < 0.005) more than intraduodenal fructose, whereas there was no difference in the GLP-1 response. Intraduodenal fructose suppressed food intake compared with saline ( P  < 0.05) and glucose ( P  = 0.07). We conclude that, when infused intraduodenally at 2 kcal/min for 90 min 1 ) fructose and glucose have comparable effects on antropyloric pressures, 2 ) fructose tends to suppress food intake more than glucose, despite similar GLP-1 and less GIP release, and 3 ) GIP, rather than GLP-1, probably accounts for the greater insulin response to glucose than fructose. monosaccharides; manometry; incretins; glucagon-like peptide-1; gastric inhibitory peptide]]></abstract><cop>United States</cop><pmid>10666136</pmid><doi>10.1152/ajpregu.2000.278.2.r360</doi></addata></record>
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subjects Adult
Appetite - drug effects
Blood Glucose - analysis
Catheterization
Duodenum
Female
Fructose - administration & dosage
Fructose - pharmacology
Gastric Inhibitory Polypeptide - blood
Gastrointestinal Motility - drug effects
Glucagon - blood
Glucagon-Like Peptide 1
Glucose - administration & dosage
Glucose - pharmacology
Humans
Insulin - blood
Intubation, Gastrointestinal
Male
Peptide Fragments - blood
Pressure
Protein Precursors - blood
Pylorus - drug effects
Reference Values
Single-Blind Method
title Effects of intraduodenal glucose and fructose on antropyloric motility and appetite in healthy humans
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