Article ; Online: Dietary impact on fasting and stimulated GLP-1 secretion in different metabolic conditions - a narrative review.
The American journal of clinical nutrition
2024 Volume 119, Issue 3, Page(s) 599–627
Abstract: Glucagon-like peptide 1 (GLP-1), a gastrointestinal peptide and central mediator of glucose metabolism, is secreted by L cells in the intestine in response to food intake. Postprandial secretion of GLP-1 is triggered by nutrient-sensing via transporters ... ...
Abstract | Glucagon-like peptide 1 (GLP-1), a gastrointestinal peptide and central mediator of glucose metabolism, is secreted by L cells in the intestine in response to food intake. Postprandial secretion of GLP-1 is triggered by nutrient-sensing via transporters and G-protein-coupled receptors (GPCRs). GLP-1 secretion may be lower in adults with obesity/overweight (OW) or type 2 diabetes mellitus (T2DM) than in those with normal glucose tolerance (NGT), but these findings are inconsistent. Because of the actions of GLP-1 on stimulating insulin secretion and promoting weight loss, GLP-1 and its analogs are used in pharmacologic preparations for the treatment of T2DM. However, physiologically stimulated GLP-1 secretion through the diet might be a preventive or synergistic method for improving glucose metabolism in individuals who are OW, or have impaired glucose tolerance (IGT) or T2DM. This narrative review focuses on fasting and postprandial GLP-1 secretion in individuals with different metabolic conditions and degrees of glucose intolerance. Further, the influence of relevant diet-related factors (e.g., specific diets, meal composition, and size, phytochemical content, and gut microbiome) that could affect fasting and postprandial GLP-1 secretion are discussed. Some studies showed diminished glucose- or meal-stimulated GLP-1 response in participants with T2DM, IGT, or OW compared with those with NGT, whereas other studies have reported an elevated or unchanged GLP-1 response in T2DM or IGT. Meal composition, especially the relationship between macronutrients and interventions targeting the microbiome can impact postprandial GLP-1 secretion, although it is not clear which macronutrients are strong stimulants of GLP-1. Moreover, glucose tolerance, antidiabetic treatment, grade of overweight/obesity, and sex were important factors influencing GLP-1 secretion. The results presented in this review highlight the potential of nutritional and physiologic stimulation of GLP-1 secretion. Further research on fasting and postprandial GLP-1 concentrations and the resulting metabolic consequences under different metabolic conditions is needed. |
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MeSH term(s) | Adult ; Humans ; Glucagon-Like Peptide 1/metabolism ; Diabetes Mellitus, Type 2/metabolism ; Glucose Tolerance Test ; Insulin/metabolism ; Blood Glucose/metabolism ; Overweight ; Diet ; Fasting ; Glucose Intolerance/metabolism ; Obesity ; Postprandial Period/physiology |
Chemical Substances | Glucagon-Like Peptide 1 (89750-14-1) ; Insulin ; Blood Glucose |
Language | English |
Publishing date | 2024-01-11 |
Publishing country | United States |
Document type | Journal Article ; Review |
ZDB-ID | 280048-2 |
ISSN | 1938-3207 ; 0002-9165 |
ISSN (online) | 1938-3207 |
ISSN | 0002-9165 |
DOI | 10.1016/j.ajcnut.2024.01.007 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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