Evaluation of ghrelin level and appetite regulation in patients with acute exacerbations of chronic obstructive pulmonary disease

Abstract

BackgroundAppetite reduction is a major cause of cachexia in acute exacerbations of chronic obstructive pulmonary disease (AECOPD). This study tested the correlation of appetite and circulating levels of acylated ghrelin in patients with AECOPD.MethodsThirty-six patients with AECOPD and 23 healthy adults were enrolled in this study. Circulating total ghrelin, acylated ghrelin, and obestatin levels, Simplified Nutritional Appetite Questionnaire (SNAQ) score, and caloric intake were compared in patients and healthy controls. Additionally, the above parameters were compared between admission and discharge in the patients with AECOPD.ResultsCompared with healthy controls, SNAQ scores and caloric intake were significantly lower in patients with AECOPD, but there were no significant differences in total ghrelin, acyl ghrelin, or obestatin levels. In patients with AECOPD, the total ghrelin level was significantly higher at admission than on discharge, the SNAQ score and caloric intake were significantly increased at discharge when compared with admission, and there was no significant difference in acylated ghrelin level between admission and discharge.ConclusionWe demonstrated lower appetite scores and caloric intake in patients with AECOPD, but could not confirm that these effects were caused by insufficient levels of the orexigenic peptide, acyl ghrelin. Further studies are needed to confirm our findings and to determine the mechanism regulating appetite in patients with AECOPD.

Elevated circulating ghrelin in patients with COPD: A meta-analysis

“… 6 Several studies recently examined the level of ghrelin in plasma/serum of COPD patients and suggested it might serve as a biomarker relating to weight loss and pulmonary dysfunction in COPD. 10 – 18 However, although the circulating ghrelin was reported to be higher in COPD patients in six of these studies, 10 – 15 the other three informed conversed results. 16 – 18 Meta-analysis has been considered to be a useful means to pool the independent statistical powers and thus achieve a quantitative understanding of inconsistent results.…”