Cholecystokinin, a satiety signal in newborn infants?
1Department of Pediatrics KS-St Göran, Karolinska Hospital, Stockholm, Sweden.
Insights
Newborn infants show increased cholecystokinin (CCK) levels after breastfeeding, correlating with milk intake. This suggests CCK plays a role in regulating infant feeding behavior and satiety.
Area of Science:
- Neonatal physiology
- Gastrointestinal hormones
- Infant nutrition
Background:
- Infant feeding behavior is complex, involving hunger and satiety cues.
- Hormonal regulation of feeding in newborns is not fully understood.
Purpose of the Study:
- To investigate circulating glucose and cholecystokinin (CCK) levels in relation to feeding behavior in newborn infants.
- To determine the role of CCK in satiety regulation in neonates.
Main Methods:
- Studied 83 healthy 3-day-old infants during breastfeeding.
- Collected blood samples pre-feeding, and at 5, 10 minutes, and post-feeding.
- Measured plasma glucose and CCK concentrations.
Main Results:
- Plasma CCK significantly increased 5 and 10 minutes post-sucking initiation and after feeding (P<0.05).
- A positive correlation was observed between CCK levels and milk intake at 10 minutes (Rs=0.51, P<0.02).
- No significant changes in glucose concentration were found in relation to breastfeeding.
Conclusions:
- Cholecystokinin (CCK) may be a key satiety factor in newborn infant feeding.
- CCK levels rise with milk consumption, signaling fullness to the infant.
- Glucose levels do not appear to be directly linked to satiety signals during breastfeeding in newborns.
Abstract:
This study was undertaken in order to describe circulating glucose and cholecystokinin (CCK) concentrations in relation to the spontaneous feeding behavior of the human newborn infant. Eighty-three, healthy, 3-days-old infants were studied in connection with breast feeding. Blood samples from the infants were cross-sectionally collected before feeding, 5 and 10 min after the start of sucking, and after the infants had sucked ad libitum. Before feeding, the infants presented a typical "hunger behavior", which changed in connection with breast feeding into a pattern associated with satiety. A significant increase in the plasma CCK concentration was found, 5 min (P = 0.004) and 10 min (P = 0.02) after the start of sucking, as well as after feeding (P = 0.04). Furthermore, a positive correlation between the CCK concentration and the volume of ingested milk was found 10 min after the start of sucking, when 91% of of the volume of milk had been ingested; Rs = 0.51, n = 19, P < 0.02. However, no change was found in the glucose concentration in connection with breast feeding. It is concluded that CCK may be important as a satiety factor in the regulation of food intake in the newborn infant.
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