The effects of fasting and refeeding with a 'metabolic preconditioning' drink on substrate reserves and mononuclear cell mitochondrial function

Sherif Awad, Mary C Stephenson, Elisa Placidi, Luca Marciani, Dumitru Constantin-Teodosiu, Penny A Gowland, Robin C Spiller, Kenneth C H Fearon, Peter G Morris, Ian A Macdonald, Dileep N Lobo

Research output: Contribution to journalArticlepeer-review

Abstract

Preoperative fasting induces metabolic stress and leads to reduced postoperative insulin sensitivity, changes attenuated by preoperative carbohydrate loading. However, the mechanisms underlying these effects remain unknown. We investigated the dynamic changes in substrate metabolism and mononuclear cell mitochondrial function after fasting followed by refeeding with a drink [ONS (Fresenius Kabi, Germany)] designed to improve metabolic function preoperatively.
Original languageEnglish
Pages (from-to)538-44
Number of pages7
JournalClinical Nutrition
Volume29
Issue number4
DOIs
Publication statusPublished - 2010

Keywords / Materials (for Non-textual outputs)

  • Adolescent
  • Adult
  • Antioxidants
  • Beverages
  • Dietary Carbohydrates
  • Dietary Supplements
  • Eating
  • Electron Transport Chain Complex Proteins
  • Fasting
  • Glutamine
  • Glycogen
  • Humans
  • Leukocytes, Mononuclear
  • Lipid Metabolism
  • Liver
  • Male
  • Metabolome
  • Mitochondria
  • Muscle, Skeletal
  • Organ Size
  • Perioperative Care
  • Time Factors
  • Young Adult

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