Does FGF21 mediate the potential decrease in sweet food intake and preference following bariatric surgery?

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The liver-derived hormone fibroblast growth factor 21 (FGF21) has recently been linked to preference for sweet-tasting food. We hypothesized, that surgery-induced changes in FGF21 could mediate the reduction in sweet food intake and preference following bariatric surgery. Forty participants (35 females) with severe obesity (BMI ≥ 35 kg/m2 ) scheduled for roux-en-y gastric bypass (n = 30) or sleeve gastrectomy (n = 10) were included. Pre-and postprandial responses of intact plasma FGF21 as well as intake of sweet-tasting food assessed at a buffet meal test, the hedonic evaluation of sweet taste assessed using an apple juice with added sucrose and visual analog scales, and sweet taste sensitivity were assessed before and 6 months after bariatric surgery. In a cross-sectional analysis pre-surgery, pre-and postprandial intact FGF21 levels were negatively associated with the hedonic evaluation of a high-sucrose juice sample (p = 0.03 and p = 0.02). However, no changes in pre- (p = 0.24) or postprandial intact FGF21 levels were found 6 months after surgery (p = 0.11), and individual pre-to postoperative changes in pre-and postprandial intact FGF21 levels were not found to be associated with changes in intake of sweet foods, the hedonic evaluation of sweet taste or sweet taste sensitivity (all p ≥ 0.10). In conclusion, we were not able to show an effect of bariatric surgery on circulating FGF21, and individual postoperative changes in FGF21 were not found to mediate an effect of surgery on sweet food intake and preference.

OriginalsprogEngelsk
Artikelnummer3840
TidsskriftNutrients
Vol/bind13
Udgave nummer11
Antal sider10
ISSN2072-6643
DOI
StatusUdgivet - 2021

Bibliografisk note

CURIS 2021 NEXS 342
Funding Information:
This study was carried out as part of the research program ?Governing Obesity? funded by the University of Copenhagen Excellence Programme for Interdisciplinary Research (www.go.ku.dk, accessed on 15 August 2021). Additional funding was obtained from the Danish Diabetes Academy supported by the Novo Nordisk Foundation, the Lundbeck Foundation, and the Aase and Ejnar Danielsen?s Foundation. We wish to thank the staff at Bariatric Clinic, K?ge Hospital, Denmark, the technical staff and master?s students at Department of Nutrition, Exercise and Sports and the Department of Food Science, University of Copenhagen, Denmark, for helping with data collection. A special thanks to all the participants in the GO Bypass study. Furthermore, we wish to thank the Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark (grant number NNF18CC0034900).

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

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