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Lady Davis Institute for Medical Research, and Division of Endocrinology, Jewish General Hospital, Montreal, H3T 1E2; and School of Dietetics and Human Nutrition, McGill University, Sainte Anne de Bellevue, Quebec, Canada H9X 3V9
One feature of the adaptation to dietary protein
restriction is reduced urea production over the hours after consumption
of a test meal of fixed composition. This adaptation is impaired in
conventionally treated insulin-dependent diabetes mellitus (Hoffer LJ,
Taveroff A, and Schiffrin A. Am J Physiol Endocrinol Metab 272: E59-E67, 1997). We have now tested the response to a test meal containing less protein and included as a main outcome variable the production of sulfate, a specific indicator of sulfur amino acid catabolism. Six normal men consumed a mixed test meal containing 0.25 g protein/kg and 10 kcal/kg while adapted to high (1.5 g · kg
1 · day
1) and
low (0.3 g · kg
1 · day
1)
protein intakes. They followed the identical protocol twice. Six
subjects with insulin-dependent diabetes consumed the test meal while
adapted to their customary high-protein diet. Adaptation to protein
restriction reproducibly reduced 9-h cumulative postmeal urea N and S
production by 22-29% and 49-52%, respectively (both P < 0.05). Similar results were obtained for a
postmeal collection period of 6 h. The response of the diabetic
subjects was normal. We conclude that reductions in postmeal urea and
sulfate production after protein restriction are reproducible and are
evident using a postmeal collection period as short as 6 h.
Sulfate production effectively depicts fed-state adaptation to protein restriction.
urea; stable isotope; fed state; amino acid oxidation
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M. J. Hamadeh and L. J. Hoffer Effect of protein restriction on sulfur amino acid catabolism in insulin-dependent diabetes mellitus Am J Physiol Endocrinol Metab, February 1, 2003; 284(2): E382 - E389. [Abstract] [Full Text] [PDF] |
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M. J. Hamadeh and L. J. Hoffer Effect of protein restriction on 15N transfer from dietary [15N]alanine and [15N]Spirulina platensis into urea Am J Physiol Endocrinol Metab, August 1, 2001; 281(2): E349 - E356. [Abstract] [Full Text] [PDF] |
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