Glucagon-like peptide 1 increases the period of postprandial satiety and slows gastric emptying in obese men

Am J Clin Nutr. 1998 Sep;68(3):525-30. doi: 10.1093/ajcn/68.3.525.

Abstract

The gut peptide glucagon-like peptide 1(7-36) amide (GLP-1) is released into the circulation after food intake. GLP-1 has been shown to have an incretin effect and inhibits gastrointestinal motility in humans. In rats, intracerebral administration of GLP-1 results in reduced food intake. Obese humans have been found to have an attenuated plasma GLP-1 response to a mixed meal. To approximate the physiologic state, GLP-1 or saline was administered intravenously and randomly at the beginning of a test meal served on a universal eating monitor to 6 obese subjects to test our hypothesis that GLP-1 influences termination of food intake (and thus food intake during a meal) and feelings of satiety in humans. As a marker for gastric emptying, 1.5 g acetaminophen was given at the start of the meal. Blood samples for analysis of acetaminophen, insulin, glucose, glucagon, and C-peptide were obtained. Hunger, fullness, and food choice were assessed with visual analogue scales and food-choice questionnaires. GLP-1 infusion resulted in a prolonged period of reduced feelings of hunger, desire to eat, and prospective consumption after the meal. The rate of gastric emptying was slower during infusion of GLP-1. Postprandial blood glucose concentrations were reduced during the GLP-1 infusion, but the amount of energy consumed, eating rate, and plasma concentrations of insulin, glucagon, and C-peptide were unchanged. GLP-1 given exogenously at the start of a meal did not seem to affect meal termination or the amount of food eaten. However, postprandial feelings of hunger decreased, suggesting that exogenous GLP-1 may influence feelings of hunger and satiety in humans.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Glucose / drug effects
  • C-Peptide / blood
  • Double-Blind Method
  • Gastric Emptying / drug effects*
  • Glucagon / administration & dosage
  • Glucagon / blood
  • Glucagon / pharmacology*
  • Glucagon-Like Peptide 1
  • Humans
  • Hunger / drug effects
  • Infusions, Intravenous
  • Insulin / blood
  • Male
  • Obesity / metabolism*
  • Obesity / physiopathology
  • Pain Measurement
  • Peptide Fragments / administration & dosage
  • Peptide Fragments / pharmacology*
  • Postprandial Period
  • Protein Precursors / administration & dosage
  • Protein Precursors / pharmacology*
  • Radioimmunoassay
  • Satiation / drug effects*

Substances

  • Blood Glucose
  • C-Peptide
  • Insulin
  • Peptide Fragments
  • Protein Precursors
  • Glucagon-Like Peptide 1
  • Glucagon