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Parallel Measurement of Circadian Clock Gene Expression and Hormone Secretion in Human Primary Cell Cultures
Published on: November 11, 2016
Endocrine and chronobiological effects of fasting in women
S L Berga1, T L Loucks, J L Cameron
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA. sberga@mail.magee.edu
Objective:
To determine whether fasting in women would suppress GnRH/LH drive in a high- versus low-gonadal steroid milieu.
Design:
Case-control study.
Setting:
Academic clinical research center.
Patient(S):
Eleven eumenorrheic women and eleven women taking combined oral contraceptives.
Intervention(S):
Seven of the eleven women in each group underwent an acute 72-hour fast. Blood samples were obtained at 15-minute intervals for 24 hours before the fast and during the last 24 hours of fasting.
Main Outcome Measure(S):
Twenty-four-hour profiles of LH, cortisol, and melatonin were assessed. Ovarian activity was tracked with estradiol and progesterone levels, and metabolic responses were gauged by measuring thyroid hormone and beta-hydroxy-butyric acid levels.
Result(S):
Fasting increased beta-hydroxy-butyric acid and reduced free thyronine. Fasting in the midfollicular phase had no effect on LH pulsatility or on FSH, estradiol, or subsequent luteal-phase progesterone levels. However, fasting elevated cortisol and resulted in a phase advance in melatonin secretion of 81 minutes in both the midfollicular and luteal phases.
Conclusion(S):
Fasting in women elicited expected metabolic responses and apparently advanced the central circadian clock without compromising reproductive function.
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