Bioimpedance phase angle is associated with serum transthyretin but not with prognostic inflammatory and nutritional index during follow-up of women submitted to bariatric surgery.

BACKGROUND & AIMS: Phase angle (PhA) has been used as a prognostic indicator in several clinical situations. However, the use of PhA as a prognostic tool in bariatric patients is less known. The aim of this study was to evaluate PhA as a prognostic index and its correlation with the prognostic inflammatory and nutritional index (PINI) during follow-up of women subjected to bariatric surgery. METHODS: Twenty female volunteers were studied. Body weight, body mass index (BMI), PhA, and biochemical components of PINI [serum C-reactive protein, alpha-1-acid glycoprotein, albumin, and transthyretin (TTR) concentrations] were evaluated at three time points: before (T0) and approximately 2-3 (T1) and 6 (T2) months after surgery. One-way repeated measures ANOVA or the Friedman test with Tukey's post hoc test was used depending on data normality. The associations between PhA and the other parameters were evaluated using Spearman's (nonparametric data) or Pearson's (parametric data) correlation coefficient. RESULTS: Phase angle reduction was accompanied by a significant decrease in body weight and BMI at T1 (P < 0.05), but not at T2 (P > 0.05). PINI indicated low-risk complications during the preoperative period and no risk during the postoperative period (T1 and T2). No significant correlation was observed between PhA and PINI (P > 0.05). Regarding its association with the biochemical components of PINI, lower PhA values were significantly correlated with lower serum TTR concentrations (r = 0.633, P < 0.001). CONCLUSIONS: Phase angle was not associated with PINI, although lower values were correlated with lower serum TTR, suggesting that PhA reduction is associated with an increased nutritional risk.

Yacon effects in immune response and nutritional status of iron and zinc in preschool children.

OBJECTIVE: The aim of this study was to evaluate the effect of yacon flour on iron and zinc nutritional status and immune response biomarkers in preschool children. METHODS: Preschool children ages 2 to 5 y were selected from two nurseries and were placed into a control group (n = 58) or a yacon group (n = 59). The yacon group received yacon flour in preparations for 18 wk at a quantity to provide 0.14 g of fructooligosaccharides/kg of body weight daily. Anthropometric parameters were measured before and after the intervention and dietary intake was measured during the intervention. To assess iron and zinc status, erythrograms, serum iron, ferritin, and plasma, and erythrocyte zinc were evaluated. Systemic immune response was assessed by the biomarkers interleukin IL-4, IL-10, IL-6, and tumor necrosis factor-alfa (TNF-α). Intestinal immune response was analyzed by secretory IgA (sIgA) levels before and after the intervention. Statistical significance was evaluated using the paired t test (α = 5%). RESULTS: Before and after the study, the children presented a high prevalence of overweight and an inadequate dietary intake of zinc and fiber. The yacon group presented with lower hemoglobin, mean corpuscular hemoglobin, and mean corpuscular hemoglobin concentration at the end of the study (P < 0.05). Erythrocyte zinc was reduced in both groups at the end of the study (P < 0.05). Yacon intake increased the serum levels of IL-4 and fecal sIgA (P < 0.05). The control group had lower serum TNF-α after the study period (P < 0.05). CONCLUSION: Yacon improved intestinal immune response but demonstrated no effect on the nutritional status of iron and zinc in preschool children.

Effects of diets supplemented with branched-chain amino acids on the performance and fatigue mechanisms of rats submitted to prolonged physical exercise.

This study aimed to determine the effects of diets chronically supplemented with branched-chain amino acids (BCAA) on the fatigue mechanisms of trained rats. Thirty-six adult Wistar rats were trained for six weeks. The training protocol consisted of bouts of swimming exercise (one hour a day, five times a week, for six weeks). The animals received a control diet (C) (n = 12), a diet supplemented with 3.57% BCAA (S1) (n = 12), or a diet supplemented with 4.76% BCAA (S2) (n = 12). On the last day of the training protocol, half the animals in each group were sacrificed after one hour of swimming (1H), and the other half after a swimming exhaustion test (EX). Swimming time until exhaustion was increased by 37% in group S1 and reduced by 43% in group S2 compared to group C. Results indicate that the S1 diet had a beneficial effect on performance by sparing glycogen in the soleus muscle (p < 0.05) and by inducing a lower concentration of plasma ammonia, whereas the S2 diet had a negative effect on performance due to hyperammonemia (p < 0.05). The hypothalamic concentration of serotonin was not significantly different between the 1H and EX conditions. In conclusion, chronic BCAA supplementation led to increased performance in rats subjected to a swimming test to exhaustion. However, this is a dose-dependent effect, since chronic ingestion of elevated quantities of BCAA led to a reduction in performance.

Dieta rica em proteína na redução do peso corporal / High-protein diet for body weight loss

A proporção ideal dos macronutrientes em dietas de emagrecimento é atualmente bastante discutida. Existem evidências de que dietas com maior proporção de proteína aumentam a perda de peso e de gordura corporal e diminuem a perda de massa corporal magra durante o emagrecimento. Todavia, os mecanismos responsáveis por estes efeitos não estão totalmente esclarecidos. Além disso, existem poucas conclusões a respeito dos possíveis efeitos colaterais dessas dietas na função renal e no estado nutricional relativo ao cálcio. Assim, este artigo objetiva trazer informações atuais sobre os efeitos de dietas ricas em proteína na perda de peso e na composição corporal e dos mecanismos envolvidos, bem como seus efeitos na função renal e no estado nutricional relativo ao cálcio.

The ideal proportion of macronutrients in weight loss diets is currently under debate. There are evidences indicating that a higher proportion of protein during weight loss diets enhances the loss of body weight and fat mass, and reduces the loss of lean body mass. Nevertheless, the responsible mechanisms for these effects have not yet been fully elucidated. Furthermore, studies that evaluated the possible side effects of these diets on the renal function and on the nutritional state of calcium have shown inconclusive results. Therefore, this article has the objective to convey recent information about the effects of high-protein diets in the regulation of the body weight and body composition, besides its involved mechanisms, and its effects on the renal function and on the calcium nutritional status.

Efeito da suplementação crônica com leucina na composição corporal e no estado protéico de ratos submetidos à restrição alimentar e a período de recuperação nutricional / Effect of the chronic supplementation with leucine on the body composition and on protein status of rats submitted to dietary restriction followed by a period of dietary recovery

Diversos estudos demonstraram que a administração aguda de leucina é capaz de estimular a síntese protéica. Contudo, poucos estudos verificaram os efeitos crônicos dessa suplementação em parâmetros que refletem o estado nutricional protéico (ENP). O presente estudo avaliou o efeito da suplementação crônica com leucina na composição corporal e no estado protéico de ratos submetidos à restrição alimentar (RA) e a período de recuperação nutricional (RN). Foram realizados dois experimentos com 88 ratos Wistar machos e adultos que foram mantidos em gaiolas individuais, em ambiente climatizado e com cicio biológico de 12 h claro/12 h escuro. No experimento I, 28 animais foram distribuídos em dois grupos: CON (ração AIN93-M) (n =15) e LEU (ração suplementada com 0,59% de L-Ieucina) (n=13) e submetidos à RA de 50% por seis semanas. No experimento II, 60 animais foram distribuídos em dois grupos: CON (ração AIN93-M) (n=30) e LEU (ração suplementada com 0,59% de L-Ieucina) (n=30) e submetidos à RA de 50% durante uma semana. Findo o período, 15 animais de cada grupo foram sacrificados; o restante dos animais (n=15 por grupo) foi submetido a duas semanas de RN com suas respectivas rações. No período de RN, as rações foram consumidas ad libitum. Avaliou-se: a composição química da carcaça; a massa de órgãos e do músculo gastrocnêmio; os conteúdos e as concentrações de proteína, RNA e DNA no fígado e no músculo gastrocnêmio; as concentrações séricas de IGF-1, corticosterona, leptina, proteínas totais, albumina e globulina; e as concentrações plasmáticas de uréia e glicose. No experimento I, a suplementação reduziu a gordura corporal e aumentou as concentrações de proteína hepática e de RNA muscular. No experimento II, não houve alterações na massa do intestino e nos conteúdos de proteína e de RNA no fígado dos animais suplementados durante os períodos de RA e RN. A suplementação com leucina aumentou a uremia dos animais do grupo LEU; em relação ao grupo CON, após RN...

Effects of leucine and phenylalanine supplementation during intermittent periods of food restriction and refeeding in adult rats.

Although many studies have shown that amino acid ingestion acutely stimulates protein anabolism, only few studies have investigated whether long-term supplementation promotes changes in body composition. We therefore tested the hypothesis that l-leucine (LEU) and l-phenylalanine (PHE) supplementation might have a positive impact on the body composition of rats submitted to intermittent periods of food restriction and refeeding (weight cycling or WC). The WC protocol comprised three cycles, each consisting of 1 week of 50% food restriction followed by 2 weeks of ad libitum ingestion. The groups submitted to WC ingested the control diet (WC-CON) or the diet supplemented with LEU+PHE (WC-AA). A pair-fed group receiving the control diet (PF-CON) was used as a reference for the effects of WC. Although food intake was the same in all groups, higher body weight and energy efficiency were observed in the WC-AA group compared to the PF-CON and WC-CON groups although not significantly in relation to the latter. These results were the consequence of a significant increase of lean body mass and body protein content in the WC-AA group compared to the PF-CON and WC-CON groups. The WC-CON and WC-AA groups presented 36.1% and 18.9% more body fat, respectively, than the PF-CON group but this difference was not significant. Neither fasting insulin nor glucose concentration nor postprandial insulin secretion was significantly affected by the supplemented diet. In conclusion, supplementation with LEU+PHE improved the body composition profile of rats submitted to WC, mainly by increasing lean body mass and body protein content.

Effects of leucine supplementation on the body composition and protein status of rats submitted to food restriction.

OBJECTIVE: Acute administration of leucine has been shown to stimulate certain protein synthesis related anabolic processes. However, the effect of chronic leucine administration in a catabolic situation caused by food restriction (FR) has not been established. We therefore evaluated the effect of chronic leucine supplementation on the body composition and some indicators of protein nutritional status of rats submitted to FR. METHODS: Adult male Wistar rats were submitted to 50% FR for 6 weeks. The control group received the AIN-93M diet and the leucine group received the same diet supplemented with 5.91 g L-leucine/kg ration. We then determined carcass chemical composition, serum leptin, albumin and total protein concentrations, and protein, DNA and RNA concentrations in gastrocnemius muscle and liver. RESULTS: No difference in final body weight was observed between groups. However, the leucine group presented a lower amount of body fat (P < 0.05). Leptin concentration showed a directly proportional correlation with the amount of body fat (r = 0.88, P < 0.05), but no significant difference in serum leptin concentration was observed between groups (P = 0.08). Regarding protein nutritional status, liver protein concentration was higher in the leucine group (P < 0.05). In the gastrocnemius muscle, a higher RNA concentration (P < 0.05) and a tendency towards higher DNA concentration (P = 0.06) were observed in the leucine group. CONCLUSION: The results indicate that low-dose leucine supplementation increases body fat loss and improves liver protein status and the capacity of muscle protein synthesis in rats submitted to FR.

Effect of alanyl-glutamine supplementation on plasma and tissue glutamine concentrations in rats submitted to exhaustive exercise.

OBJECTIVE: We investigated the effect of supplementation with L-glutamine and L-alanyl-L-glutamine (DIP) on the plasma and tissue glutamine concentrations of exercise-trained rats immediately and 3 hours after a single exercise session until exhaustion. METHODS: Thirty-six male rats were divided into six groups, and then subdivided into groups submitted only to the exhaustion test: control (CON-EXA, n = 6), glutamine (GLN-EXA, n = 6) and DIP-EXA (n = 6), or to the exhaustion test followed by a recovery period lasting 3 hours: control (CON-REC, n = 6), glutamine (GLN-REC, n = 6) and DIP-REC (n = 6). The training protocol consisted of bouts of swimming exercise (60 min x day(-1)) for 6 weeks. During the last 21 days, before sacrifice, the glutamine and DIP groups received a daily dose of 1 g x kg(-1) of glutamine and 1.5 g x kg(-1) of DIP, respectively. The GLN-REC and DIP-REC groups were also supplemented immediately after the exhaustion test. Concentrations of glutamine, glutamate, glucose and ammonia in plasma and of glutamine, protein and glycogen in liver and muscle were evaluated. RESULTS: The time to exhaustion did not differ between groups. A higher concentration of glutamine in the gastrocnemius and soleus muscles was observed for the DIP-EXA group compared to the CON-EXA and GLN-EXA groups (P < 0.05). The DIP-REC group presented a higher plasma and liver glutamine concentration than the CON-REC group (P < 0.05). Muscle glutamine and protein concentration was higher in both the GLN-REC and DIP-REC groups compared to the CON-REC group (P < 0.05). CONCLUSIONS: Chronic supplementation with DIP promoted a higher muscle glutamine concentration than chronic supplementation with glutamine immediately after exercise. However, no significant difference in plasma or tissue glutamine concentrations was observed between acute supplementation with glutamine and DIP during the post-exhaustive exercise recovery period.

Aspectos atuais da regulação do peso corporal: ação da leptina no desequilíbrio energético / Recent aspects of body weight regulation: leptin's action on the enrgetic misbalance

A obesidade já é considerada epidemia global, com taxas de insucesso em seu tratamento a longo prazo de mais de 90 por cento. A descoberta da leptina, um peptídeo sintetizado principalmente pelos adipócitos, abriu novas fronteiras no estudo do tratamento da obesidade. Constatou-se que a leptina, por meio do controle de sua concentração na circulação, poderia ser um sinalizador do estado energético e do tamanho das reservas de gordura, ao atuar em um circuito de retroalimentação, cuja função é de manter o peso corporal estável, independentemente de variações diárias no consumo de energia. Porém, esse circuito apresenta falhas na maioria dos indivíduos que se tornam obesos (baixa responsividade pela alta concentração de leptina que esses indivíduos apresentam), o que levou à hipótese da ®resistência à leptina¼...

Influência do exercício físico na composição química da massa corporal magra de ratos submetidos à restrição alimentar / Influence of physical exercise on chemical lean body mass composition of rats submitted to food restriction

A combinação de uma dieta para redução de peso corporal com exercício físico (EF) pode resultar em menor diminuição de massa magra (MM), quando comparada ao uso da dieta como única estratégia de emagrecimento. Contudo, pouco se conhece sobre a influência dessa combinação na composição química da MM. Diante disso, o presente estudo teve como objetivo verificar o efeito do EF na composição química da MM de ratos submetidos à restrião alimentar (RA). Trinta e seis ratos Wistar (315 ± 15 g) foram divididos em 6 grupos: sedentário, com dieta ad libitum (S); treinado, com dieta ad libitum (T); S, com RA de 25 por cento (RA25 por cento); S, com RA de 50 por cento (RA50 por cento); T, com RA 25 por cento (T + RA25 por cento) e T, com RA 50 por cento (T + RA50 por cento)...

Efeito da suplementação com L-alanil-L-glutamina sobre a resposta de hipersensibilidade do tipo tardio em ratos submetidos ao treinamento intenso / Effect of L-glutamine and L-alanyl-L-glutamine supplementation on the response to delayed-type hypersensitivity test (DTH) in rats submitted to intense training

O treinamento intenso e o exercício exaustivo podem ocasionar imunossupressão em atletas por meio da diminuição da concentração plasmática de glutamina. O presente estudo verificou inicialmente o efeito da suplementação com L-glutamina e L-alanil-L-glutamina sobre a resposta ao teste de hipersensibilidade do tipo tardio (HTT) em ratos submetidos ao treinamento intenso em natação durante seis semanas. Posteriormente, foi avaliado o efeito dessas intervenções nutricionais sobre a contagem total e porcentual de leucócitos e concentração sérica de anticorpos IgG anti-albumina de soro bovino, em animais submetidos ao teste de exaustão e recuperados durante o período de 3 horas...