Gastrointestinal Nutrient Infusion Site and Eating Behavior: Evidence for A Proximal to Distal Gradient within the Small Intestine?

Autor: Adrian A. M. Masclee, Mark van Avesaat, Freddy J. Troost, Annick M. E. Alleleyn
Přispěvatelé: Interne Geneeskunde, RS: NUTRIM - R2 - Gut-liver homeostasis
Rok vydání: 2015
Předmět:
FOOD-INTAKE
food intake
medicine.medical_treatment
satiety
Physiology
Review
Overweight
Gastroenterology
Satiety Response
Eating
0302 clinical medicine
Nutrient
Intestine
Small

Feedback
Physiological

Nutrition and Dietetics
GLUCAGON-LIKE PEPTIDE-1
Glucagon-like peptide-1
HORMONE-RELEASE
JEJUNOILEAL BYPASS
medicine.anatomical_structure
PLASMA CHOLECYSTOKININ
030211 gastroenterology & hepatology
Dietary Proteins
medicine.symptom
Signal Transduction
medicine.medical_specialty
Jejunoileal bypass
030209 endocrinology & metabolism
Biology
ILEAL FAT PERFUSION
HEALTHY-MEN
03 medical and health sciences
Therapeutic approach
Internal medicine
medicine
Dietary Carbohydrates
Animals
Humans
Obesity
intestinal brake
ANTROPYLORODUODENAL MOTILITY
Appetite Regulation
INTRADUODENAL PROTEIN
Feeding Behavior
nutrient infusion
medicine.disease
Dietary Fats
Small intestine
ENERGY-INTAKE
Gastrointestinal Motility
human activities
Food Science
Zdroj: Nutrients
Nutrients, 8(3). Multidisciplinary Digital Publishing Institute (MDPI)
ISSN: 2072-6643
Popis: The rapidly increasing prevalence of overweight and obesity demands new strategies focusing on prevention and treatment of this significant health care problem. In the search for new and effective therapeutic modalities for overweight subjects, the gastrointestinal (GI) tract is increasingly considered as an attractive target for medical and food-based strategies. The entry of nutrients into the small intestine activates so-called intestinal "brakes", negative feedback mechanisms that influence not only functions of more proximal parts of the GI tract but also satiety and food intake. Recent evidence suggests that all three macronutrients (protein, fat, and carbohydrates) are able to activate the intestinal brake, although to a different extent and by different mechanisms of action. This review provides a detailed overview of the current evidence for intestinal brake activation of the three macronutrients and their effects on GI function, satiety, and food intake. In addition, these effects appear to depend on region and length of infusion in the small intestine. A recommendation for a therapeutic approach is provided, based on the observed differences between intestinal brake activation.
Databáze: OpenAIRE