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Type: Journal article
Title: The droplet size of intraduodenal fat emulsions influences antropyloroduodenal motility, hormone release, and appetite in healthy males
Author: Seimon, R.
Wooster, T.
Otto, B.
Golding, M.
Day, L.
Little, T.
Horowitz, M.
Clifton, P.
Feinle-Bisset, C.
Citation: American Journal of Clinical Nutrition, 2009; 89(6):1729-1736
Publisher: Amer Soc Clinical Nutrition
Issue Date: 2009
ISSN: 0002-9165
Statement of
Radhika V. Seimon, Timothy Wooster, Bärbel Otto, Matthew Golding, Li Day, Tanya J. Little, Michael Horowitz, Peter M. Clifton and Christine Feinle-Bisset
Abstract: <h4>Background</h4>The presence of fat in the small intestine modulates gastrointestinal motility, stimulates plasma cholecystokinin and peptide YY release, and suppresses appetite and energy intake. These effects are dependent on the lipolysis of fat.<h4>Objective</h4>Our aim was to evaluate the hypothesis that increasing the droplet size of a fat emulsion would attenuate these effects.<h4>Design</h4>Ten healthy, lean males were studied on 4 separate occasions in single-blind randomized order. Antropyloroduodenal pressures, plasma triglycerides, cholecystokinin, peptide YY, and appetite were measured during 120-min intraduodenal infusions of fat emulsions comprising 3 different droplet sizes: 1) 0.26 microm (LE-0.26), 2) 30 microm (LE-30), and 3) 170 microm (LE-170) in addition to saline (control). Energy intake at a buffet lunch was quantified immediately after the infusions.<h4>Results</h4>Increasing the droplet size of the lipid emulsion was associated with diminished suppression of antral (r = 0.75, P < 0.01) and duodenal (r = 0.80, P < 0.01) pressure waves and with stimulation of isolated (r = -0.72, P < 0.01) and basal (r = -0.83, P < 0.01) pyloric pressures. Increasing the droplet size was also associated with attenuation of the stimulation of plasma triglycerides (r = -0.73, P < 0.001), cholecystokinin (r = -0.73, P < 0.001), and peptide YY (r = -0.83, P < 0.001) as well as with reductions in the suppression of hunger (r = 0.75, P < 0.01) and energy intake (r = 0.66, P < 0.001).<h4>Conclusions</h4>The acute effects of intraduodenal fat emulsions on gastrointestinal function and appetite are dependent on fat droplet size. These observations have implications for the design of functional foods to maximize effects on those gut functions that are involved in the suppression of appetite.
Keywords: Duodenum; Pylorus; Humans; Nausea; Cholecystokinin; Peptide YY; Fats; Dietary Fats; Triglycerides; Emulsions; Area Under Curve; Single-Blind Method; Manometry; Hunger; Appetite; Satiation; Energy Intake; Gastrointestinal Motility; Particle Size; Pressure; Male
Description: © 2009 American Society for Clinical Nutrition
RMID: 0020090754
DOI: 10.3945/ajcn.2009.27518
Appears in Collections:Medicine publications

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