Obesity

Dose-related Effects of Calcium to Enhance the Effects of L-tryptophan on Gut Hormones and Energy Intake in Obesity

J Clin Endocrinol MetabPublished Randomised crossover trial

Authors' conclusion

Intraduodenal calcium enhances the effect of intraduodenal Trp to stimulate CCK, GLP-1, and PYY and suppress energy intake in males with obesity.

Study context

Population
Males with obesity without T2D (mean ± SD age 27 ± 8 years; BMI 30 ± 2 kg/m²; HbA1c 5.3 ± 0.2%)crossover
Participants
15 males
Comparison
Intraduodenal calcium 0, 500 or 1000 mg, each combined with Trp
Methodological detailsdouble-blind, cross-over
  • Double-blind
  • Cross-over

Primary result

As reported in the abstract

Gut hormones, pyloric pressures and energy intake
Calcium 1000 mg alone stimulated GLP-1, PYY and pyloric pressures
all P < .05
Calcium 1000 mg enhanced the effects of Trp to stimulate CCK, GLP-1 and PYY
all P < .05
Greater suppression of energy intake with calcium 1000 mg + Trp
P = .01

Further findings

Relation to calcium dose

Energy intake inversely related to calcium dose
R = −0.64; P = .001
Plasma CCK directly related to calcium dose
R = 0.44; P = .05
Plasma GLP-1 directly related to calcium dose
R = 0.60; P = .01
Plasma PYY directly related to calcium dose
R = 0.83; P = .01

Original publication

Dose-related Effects of Calcium to Enhance the Effects of L-tryptophan on Gut Hormones and Energy Intake in Obesity. J Clin Endocrinol Metab. Published 9 January 2025. doi:10.1210/clinem/dgaf008

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