No document available.
Keywords :
Adult; Aged; Blood Glucose/analysis; Fatty Acids, Nonesterified/blood; Female; Glucose Intolerance/complications/metabolism; Humans; Insulin/blood; Insulin Resistance; Liver/metabolism; Liver Glycogen/biosynthesis; Male; Middle Aged; Obesity/complications/metabolism; Postprandial Period; Time Factors; Uridine Diphosphate Glucose/metabolism/pharmacokinetics
Abstract :
[en] BACKGROUND: Obese patients are frequently characterized by insulin resistance and decreased insulin-mediated glycogen synthesis in skeletal muscle. Whether they also have impaired postprandial hepatic glycogen synthesis remains unknown. AIM: To determine whether postprandial hepatic glycogen synthesis is decreased in obese patients compared to lean subjects. METHODS: Lean and obese subjects with impaired glucose tolerance were studied over 4h after ingestion of a glucose load. Hepatic uridine diphosphoglucose kinetics were assessed using 13C-galactose infusion, with monitoring of urinary acetaminophen-glucuronide isotopic enrichment to estimate hepatic glycogen kinetics. RESULTS: Estimated net hepatic glycogen synthesis amounted to 18.6 and 22.6% of the ingested load in lean and obese subjects, respectively. CONCLUSION: Postprandial hepatic glycogen metabolism is not impaired in non-diabetic obese subjects.
Scopus citations®
without self-citations
4