Herein, a rare case of ovarian granulosa cell tumor, presenting as Meigs' syndrome, with elevated carbohydrate antigen 125 (CA125), is reported. A 69-year-old woman was admitted for the investigation of abdominal fullness and dyspnea. A preoperative examination revealed a huge pelvic tumor and an abdominopelvic magnetic resonance image (MRI) assumed ovarian cancer. A chest computed tomography (CT) scan revealed pleural effusion. A laparotomy confirmed the huge mass to be an ovarian tumor. A total abdominal hysterectomy (TAH), with a bilateral salpingo-oophorectomy (BSO) and partial omentectomy, was performed. Although short-term intrathoracic drainage was required, the hydrothorax and ascites rapidly resolved in the postoperative period.
[Purpose] We compared the effects of acute aerobic exercise following overnight fasting
and breakfast on energy substrate and hormone levels in obese male college students.
[Subjects and Methods] This crossover study recruited 10 obese male college students with
a body mass index >25 kg/m2 or >20% body fat. One week post-recruitment,
the subjects exercised in the morning after an overnight fast. At 2 weeks, they exercised
post-breakfast. Energy substrate (glucose, free fatty acid) and metabolic hormone
(insulin, growth hormone, and cortisol) levels were measured immediately before and after
exercise and at 60 min post-exercise. [Results] We observed interaction effects between
the measurement time and exercise treatment for glucose; significant differences between
measurement times and between exercise treatments for free fatty acids; interaction
effects between the measurement time and exercise treatment for insulin and significant
differences in the measurement time; significance differences between measurement times
and between exercise treatments for growth hormone; and significant differences between
measurement times and between exercise treatments for cortisol. [Conclusion]
Morning exercise following an overnight fast can be more effective in reducing body fat
than post-prandial exercise. However, increased cortisol levels following exercise after
overnight fasting may negatively affect long-term weight loss in obese men.
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