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Title: Metabolic effects of fasting and very low calorie diets

Thesis/Dissertation ·
OSTI ID:5401176

To examine the mechanism of nitrogen sparing in obese subjects on very low calorie diets (VLC-PS), effects of total fasting (TF) and VLC-PS (380 Kcal/day) supplying protein without carbohydrate on metabolites, hormones, urea nitrogen excretion, and plasma (3-/sup 3/H)glucose turnover, (U-/sup 14/C)lysine flux, and (1-/sup 14/C)leucine flux and oxidation were compared. Subjects with a wide range of relative obesity were studied during a control period and after one week of TF. Urea excretion and lysine flux decreased in all subjects, while 3-methylhistidine excretion was unchanged. Glucagon:insulin ratio and cortisol increased, while triiodothyronine (T/sub 3/) decreased and would be expected to be nitrogen-sparing. In a separate study, groups of obese women were studied during a control period and during 14 days of TF or VLC-PS supplying either 80 g (80G) or 40 g (40G) high-quality protein. Increases in branched chain amino acids, ..beta..-hydroxybutyrate, and glucagon:insulin ratio and decrease in T/sub 3/ did not differ among groups. Glucose production decreased to the same extent in all groups. Serum and urinary urea nitrogen were maintained at control values throughout the diet in 80G but decreased to the same extent in TF and 40G. Nitrogen balance estimated from urea nitrogen appearance was negative in all groups.

Research Organization:
California Univ., Los Angeles (USA)
OSTI ID:
5401176
Resource Relation:
Other Information: Thesis (Ph. D.)
Country of Publication:
United States
Language:
English