Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/20080
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dc.contributor.authorTigas, S.en
dc.contributor.authorSunehag, A.en
dc.contributor.authorHaymond, M. W.en
dc.date.accessioned2015-11-24T19:04:39Z-
dc.date.available2015-11-24T19:04:39Z-
dc.identifier.issn0021-972X-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/20080-
dc.rightsDefault Licence-
dc.subject3-Hydroxybutyric Acid/blooden
dc.subjectAdaptation, Physiologicalen
dc.subjectAdulten
dc.subjectBlood Glucose/analysisen
dc.subjectC-Peptide/blooden
dc.subjectCarbon Isotopesen
dc.subject*Eatingen
dc.subject*Fastingen
dc.subjectFatty Acids/blooden
dc.subjectFemaleen
dc.subjectGlucagon/blooden
dc.subjectGlucose/administration & dosage/metabolismen
dc.subjectGlycerol/metabolismen
dc.subjectHumansen
dc.subjectInsulin/blooden
dc.subject*Lactationen
dc.subjectLactic Acid/biosynthesis/blooden
dc.subjectMilk, Human/metabolismen
dc.subjectPostpartum Perioden
dc.subjectTime Factorsen
dc.titleMetabolic adaptation to feeding and fasting during lactation in humansen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/11788664-
heal.identifier.secondaryhttp://jcem.endojournals.org/content/87/1/302.full.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2002-
heal.abstractThe aim of these studies was to determine the metabolic adaptation to fasting and feeding during lactation. Normal lactating (L) and nonlactating (NL) women (n = 6 each) were studied using infusions of [U-13C]glucose and [2-13C]glycerol during: 1) a 24-h fast, and 2) ingestion of Sustacal (protocol 1). In addition, 8 L and 6 NL women were studied during infusion of [6,6-2H2]glucose and ingestion of a glucose meal containing [1-13C]glucose (protocol 2). Protocol 1: Glucose production rate (GPR) during fasting was 33% higher in the L women (12.5 +/- 1.0 vs. 9.4 +/- 0.5 micromol x kg(-1) x min(-1); P < 0.03). Fractional gluconeogenesis (GNG), GNG rate, glucose, lactate, beta- hydroxybutyrate, FFA, insulin, and C-peptide were similar in both groups during feeding and fasting, but glycogenolysis was 50% higher in fasting L women. Protocol 2: Although GPR was slightly increased in the L group (L, 1.8 +/- 0.2 micromol x kg(-1) x min(-1); NL, 1.2 +/- 0.2 micromol x kg(-1) x min(-1); P < 0.04), no other differences were observed in splanchnic and systemic metabolism of ingested glucose between L and NL women. Insulin concentrations were lower in L women compared with controls (L, 15 +/- 3 microU/ml; NL, 28 +/- 6 microU/ml; P = 0.05). In conclusion, the increased glucose demands of lactation are met by increased GPR as a result of increased glycogenolysis but not GNG or by increased use of FFA. During feeding, lactating women handle oral carbohydrates normally but have increased insulin sensitivity.en
heal.journalNameJ Clin Endocrinol Metaben
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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