Fat-derived fuels during a 24-hour fast in children

We examined the availability of fat-derived fuels in 23 normal children aged 1.9 to 16.7 years who fasted for 24 h. We found a rapid and progressive rise in the blood concentrations of free fatty acids (FFA) and ketones. There was a highly significant negative correlation between the concentrations...

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Veröffentlicht in:European journal of pediatrics 1982-03, Vol.138 (2), p.141
Hauptverfasser: Wolfsdorf, J I, Sadeghi-Nejad, A, Senior, B
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container_title European journal of pediatrics
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creator Wolfsdorf, J I
Sadeghi-Nejad, A
Senior, B
description We examined the availability of fat-derived fuels in 23 normal children aged 1.9 to 16.7 years who fasted for 24 h. We found a rapid and progressive rise in the blood concentrations of free fatty acids (FFA) and ketones. There was a highly significant negative correlation between the concentrations of beta-hydroxybutyrate (beta OHB) and glucose and also between beta OHB and age. With time, the ratio of beta OHB to acetoacetate (AcAc) progressively increased. We briefly review the vital role of ketones in the adaptation to fasting and point out that qualitative tests of ketones can be misleading. Our results indicate that quantitative determinations are essential in the evaluation of suspected disorders of fuel metabolism and that the results must be interpreted according to the age of the child, the duration of fasting, and the concomitant concentrations of glucose.
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subjects Acetoacetates - blood
Adolescent
Age Factors
Blood Glucose - analysis
Child
Child, Preschool
Fasting
Fatty Acids, Nonesterified - blood
Female
Humans
Hydroxybutyrates - blood
Infant
Ketones - blood
Lipid Metabolism
Male
title Fat-derived fuels during a 24-hour fast in children
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