Evidence map›Paper›PMID 39082900›Full record

Trial reportAmerican journal of physiology. Endocrinology and metabolism2024

Effect of ghrelin on glucose tolerance, gut hormones, appetite, and food intake after sleeve gastrectomy.

Nora Hedbäck, Marie-Louise Dichman, Morten Hindsø, Carsten Dirksen, Nils Brun Jørgensen, Kirstine Nyvold Bojsen-Møller, Viggo B Kristiansen, Jens F Rehfeld, Bolette Hartmann, Jens Juul Holst and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of physiology. Endocrinology and metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Nora HedbäckDepartment of Endocrinology, Copenhagen University Hospital, Hvidovre, Denmark.ORCID 0000-0002-0829-562X
Marie-Louise DichmanDepartment of Endocrinology, Copenhagen University Hospital, Hvidovre, Denmark.
Morten HindsøDepartment of Endocrinology, Copenhagen University Hospital, Hvidovre, Denmark.
Carsten DirksenDepartment of Endocrinology, Copenhagen University Hospital, Hvidovre, Denmark.ORCID 0000-0002-2173-6469
Nils Brun JørgensenDepartment of Endocrinology, Copenhagen University Hospital, Hvidovre, Denmark.
Kirstine Nyvold Bojsen-MøllerDepartment of Endocrinology, Copenhagen University Hospital, Hvidovre, Denmark.ORCID 0000-0003-1962-5302
Viggo B KristiansenDepartment of Surgical Gastroenterology, Copenhagen University Hospital, Hvidovre, Denmark.
Jens F RehfeldDepartment of Clinical Biochemistry, Rigshospitalet, Copenhagen, Copenhagen, Denmark.
Bolette HartmannDepartment of Biomedical Sciences, SUND, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-8509-2036
Jens Juul HolstDepartment of Biomedical Sciences, SUND, University of Copenhagen, Copenhagen, Denmark.
Maria Saur SvaneDepartment of Endocrinology, Copenhagen University Hospital, Hvidovre, Denmark.ORCID 0000-0002-7345-4471
Sten MadsbadDepartment of Endocrinology, Copenhagen University Hospital, Hvidovre, Denmark.ORCID 0000-0002-5017-1815

Funding

EC | European Research Council (ERC) 695069Hvidovre Hospital (Amager og Hvidovre Hospital)Novo Nordisk Fonden (NNF) NNF18CC0034900Novo Nordisk Fonden (NNF) NNF18OC0032330Novo Nordisk Fonden (NNF) NNF19OC0057419
6 · The paper itself

Abstract

Ghrelin is an appetite-stimulating hormone secreted from the gastric mucosa in the fasting state, and secretion decreases in response to food intake. After sleeve gastrectomy (SG), plasma concentrations of ghrelin decrease markedly. Whether this affects appetite and glucose tolerance postoperatively is unknown. We investigated the effects of ghrelin infusion on appetite and glucose tolerance in individuals with obesity before and 3 mo after SG. Twelve participants scheduled for SG were included. Before and 3 mo after surgery, a mixed-meal test followed by an ad libitum meal test was performed with concomitant infusions of acyl-ghrelin (1 pmol/kg/min) or placebo. Infusions began 60 min before meal intake to reach a steady state before the mixed-meal and were continued throughout the study day. Two additional experimental days with 0.25 pmol/kg/min and 10 pmol/kg/min of acyl-ghrelin infusions were conducted 3 mo after surgery. Both before and after SG, postprandial glucose concentrations increased dose dependently during ghrelin infusions compared with placebo. Ghrelin infusions inhibited basal and postprandial insulin secretion rates, resulting in lowered measures of β-cell function, but no effect on insulin sensitivity was seen. Ad libitum meal intake was unaffected by the administration of ghrelin. In conclusion, ghrelin infusion increases postprandial plasma glucose concentrations and impairs β-cell function before and after SG but has no effect on ad libitum meal intake. We speculate that the lower concentration of ghrelin after SG may impact glucose metabolism following this procedure.

Indexed as

AppetiteBlood GlucoseEatingGastrectomyGhrelinPostprandial PeriodAdultDouble-Blind MethodFemaleGastrointestinal HormonesGlucose Tolerance TestHumansInsulinInsulin ResistanceMaleMiddle Agedacyl-ghrelinBlood GlucoseGastrointestinal HormonesGhrelinInsulinappetitefood intakeghrelinglucose tolerancesleeve gastrectomy

Identifiers

PMID39082900
PMCPMC11427089

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.