Reproductive endocrinology

Metabolic effects of an essential amino acid supplement in adolescents with polycystic ovary syndrome (PCOS) and obesity

Obesity (Silver Spring)Published Randomised controlled trial

Authors' conclusion

Similar to studies in older adults, short-term EAA supplementation in adolescents resulted in significantly lower liver fat, AST, and plasma lipids and thus may prove to be an effective treatment in this population. Additional research is needed to elucidate the mechanisms for these effects.

Study context

Population
Adolescents with PCOS and obesity (BMI 37.3 ± 6.5 kg/m², age 15.6 ± 1.3 years)crossover
Participants
21 adolescents
Comparison
Essential amino acid (EAA) supplementation vs placebo
Primary endpoint
Hepatic steatosis (liver fat)
Follow-up
After each 28-day phase
Methodological detailsdouble-blind, crossover, placebo-controlled
  • Double-blind
  • Crossover
  • Placebo-controlled

Primary result

Hepatic steatosis · 28 days

Absolute difference

−0.8 %

P = 0.013

As reported in the abstract

Further findings

OutcomeP value
Body weightNo differenceP = 0.673

Plasma AST

Plasma AST lower
−8%, p = 0.004

Plasma triacylglycerol (TG)

Plasma TG reduced
−9%, p = 0.015

VLDL-TG

VLDL-TG reduced
−21%, p = 0.031

VLDL-TG palmitate from lipogenesis and insulin sensitivity

VLDL-TG palmitate derived from lipogenesis and insulin sensitivity not different between phases
P > 0.400 for both

Reported dietary intake during EAA phase

Fewer carbohydrates consumed during EAA phase
P = 0.038
Fewer total sugars consumed during EAA phase
P = 0.046

Original publication

Metabolic effects of an essential amino acid supplement in adolescents with PCOS and obesity. Obesity (Silver Spring). Published 4 March 2024. doi:10.1002/oby.23988

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