Diet Can Cause an Increase in Ghrelin
Ghrelin is sometimes
called the hunger gene. It is called the
hunger gene because it plays a large
role in regulating appetite. The hormone is
produced in the gastrointestinal system -- mainly in
the stomach. Ghrelin can cause feelings of hunger
and fullness, and it can cause our bodies to store
fat. In fact, controlling ghrelin in our body and
the ghrelin production can enable us to lose
weight and maintain weight loss.
Ghrelin is very important in weight management. And
one study has shown that weight loss resulting from
diet can cause an increase in ghrelin, thereby,
producing weight regain. It has been known for some
time that one of the reasons that some types of
weight loss surgery are effective is because the
surgeries reduce the size of the stomach, limiting
the production of ghrelin. But anything that
increases ghrelin may cause weight gain.
The ghrelin-related study
was a post hoc analysis, associated with a study
called the Diabetes Remission Clinical Trial or
DiRECT. The study was done in Scotland. The aim of
the DIRECT was to “assess the effect of weight loss
on type 2 diabetes remission.” The aim of the post
hoc analysis was to “To investigate
whether appetite-related hormones were
predictors of weight regain in the Diabetes
Remission Clinical Trial (DiRECT)." In the post hoc
analysis, the researchers looked at the hormones
leptin, ghrelin, GLP-1 and PYY. The researchers
looked at these hormones at baseline, and at 5, 12
and 24 months.
For the post hoc analysis, 253 participants were
included. The intervention group consisted of 144
participants and the control group consisted of 99
participants. The researchers concluded that “the
rise in ghrelin (but not any other measured
hormone) during the diet -induced weight loss was a
predictor of weight regain during follow-up, and
concentrations remain elevated over time, suggested
a small but significant compensatory drive to regain
weight. Attenuating the effects of ghrelin may
improve [weight-loss maintenance].”
These are important findings, and, again, the
findings confirm the role that ghrelin plays in
weight loss and weight gain. Further, by finding
ways to lower the amount of ghrelin in our bodies,
we stand a good chance of losing weight and
maintaining weight loss.
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