The Changes in Serum Ghrelin Levels and their Relationship to IGF-I, its Binding
Proteins and Leptin in Women Patients with Anorexia Nervosa
Kršek M.1, Rosická M.1, Haluzík M.1, Papežová H.2, Křížová J.1, Justová V.1, Lacinová Z.1, Jarkovská, Z.1
1III. interní klinika 1. lékařské fakulty UK a VFN, Praha, přednosta doc. MUDr. Štěpán Svačina, DrSc. 2Psychiatrická klinika 1. lékařské fakulty UK a VFN, Praha, přednosta prof. MUDr. Jiří Raboch, DrSc. |
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Summary:
Ghrelin is recently discovered peptide hormone involved in the regulation of growth hormone
secretion as well as in the regulation of food intake and energetic homeostasis. The study was
aimed to describe the changes in ghrelin serum levels in patients with anorexia nervosa and its
relationship to some other studied parameters. Sixteen women patients with anorexia nervosa
and thirteen healthy women of comparable age were examined clinically and blood samples were
taken for estimation of serum levels of ghrelin, leptin, soluble leptin receptor, IGF-I, IGFBP-1 and
IGFBP-3. Ghrelin serum levels were significantly increased in the group of patients with anorexia
nervosa (p < 0,05). In contrary, serum leptin levels were decreased in the group of patients
with anorexia nervosa (p < 0,01). Serum ghrelin levels did not correlate with any other of studied
parameters with exception of BMI. We can conclude that serum ghrelin levels are increased in
patients with anorexia nervosa and their increase fails to significantly stimulate food intake in
this group of patients.
Key words:
Ghrelin - Leptin - Nutrition - Anorexia nervosa
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