What is the relationship between cholecystokinin CCK and eating disorders?


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It has been shown that the gastrointestinal hormone cholecystokinin (CCK) induces satiety and reduces food intake in laboratory animals and humans. In the light of this evidence we studied CCK release in patients suffering from eating disorders.

What hormones are involved in anorexia?

Anorexia nervosa commonly results in hypothalamic amenorrhea, with reduced gonadotropin-releasing hormone (GnRH) and luteinizing hormone (LH) pulsatility and resultant low estradiol and testosterone levels.

Is CCK anorexic?

Cholecystokinin system is involved in the anorexigenic effect of peripherally applied palmitoylated prolactin-releasing peptide in fasted mice. Physiol Res. 2021 Aug 31;70(4):579-590. doi: 10.33549/physiolres.

Is CCK involved in decreasing hunger?

Cholecystokinin is a gut hormone released after a meal, which helps digestion and reduces appetite.

What does anorexia do to your digestive system?

Stomach Problems in Anorexia Nervosa Common physical effects include gas, bloating, diarrhea, nausea, constipation, acid reflux, frequent bowl movements, indigestion. None of these things are particularly fun but they are all also very normal, and to be expected in recovery.

Can anorexia permanently affect hormones?

However, if anorexia is left untreated for too long, the damage to the reproductive system may be permanent, and she may never get her cycle back. Further, even if a woman regains her menstrual cycle after anorexia, she is at a much higher risk of experiencing infertility issues and pregnancy complications [3].

Does Undereating affect your hormones?

You’re Chronically Constipated Under-eating can cause a down-regulation of T3, the active thyroid hormone. This can lead to a condition called euthyroid sick syndrome, where T3 is low, reverse T3 is high, and TSH and T4 are often normal.

How does CCK regulate appetite?

CCK appears to regulate short-term control of food intake by acting as a satiety signal. Larger doses of CCK may decrease food intake by aversive actions (malaise, nausea, cramps), presumably by effects on gastrointestinal motility.

What’s the role of cholecystokinin?

It plays a fundamental role in the digestive process. When fats and proteins enter your small intestine, cholecystokinin triggers your gallbladder and pancreas to contract. They deliver bile and enzymes to your duodenum to help break down the food for absorption.

How does CCK induce satiation?

At physiological blood concentrations that occur after a meal, CCK delays gastric emptying, and this may be important for its ability to reduce food intake and induce satiety. Because of its effects on gallbladder contraction, pancreatic secretion, and gastric emptying, CCK coordinates many digestive processes.

What triggers the release of cholecystokinin?

Cholecystokinin is secreted by cells of the upper small intestine. Its secretion is stimulated by the introduction of hydrochloric acid, amino acids, or fatty acids into the stomach or duodenum. Cholecystokinin stimulates the gallbladder to contract and release stored bile into the intestine.

Why does CCK inhibit gastric emptying?

Cholecystokinin is a potent inhibitor of gastric emptying. It is known to both relax the proximal stomach and contract the pyloric sphincter, and either one or both of these actions could mediate inhibition of gastric emptying.

How do you increase cholecystokinin?

  1. Eat plenty of protein. Some research suggests a high protein diet may help increase CCK levels, and therefore fullness ( 74 , 77 , 78).
  2. Exercise. While research is limited, some evidence supports regular exercise for increasing CCK levels (79).

Why does anorexia cause bloating?

Anorexia and Stomach Problems Over time, the limited amount of food can delayed gastric emptying. This means that it takes a longer amount of time for food to move from the stomach to the small intestine. This can cause nausea, vomiting, and bloating [1].

What is a likely long term consequence of anorexia?

In severe cases, the long-term health risks of anorexia may result in suffering nerve damage that affects the brain and other parts of the body. As a result, these nervous system conditions can include: Seizures. Disordered thinking. Numbness or tingling in the hands or feet (peripheral neuropathy)

What is Ed stomach?

For many eating disorder (ED) clients, digestive difficulties are, unfortunately, something that they are dealing with in parallel with their eating disorder. In one study of ED clients, 90% reported abdominal distention and more than half reported abdominal pain, gastric distention and early satiety and nausea.

What are three long term effects of anorexia?

  • Bone weakening (osteoporosis).
  • Anemia.
  • Seizures.
  • Thyroid problems.
  • Lack of vitamins and minerals.
  • Low potassium levels in the blood.
  • Decrease in white blood cells.
  • Amenorrhea (absence of menstruation in females).

What is the life expectancy for anorexia?

5-10% of anorexics die within 10 years after contracting the disease and 18-20% of anorexics will be dead after 20 years. Anorexia nervosa has the highest death rate of any psychiatric illness (including major depression).

Can you reverse the effects of anorexia?

Anorexia, like other eating disorders, can take over your life and can be very difficult to overcome. But with treatment, you can gain a better sense of who you are, return to healthier eating habits and reverse some of anorexia’s serious complications.

Is 1250 calories too little?

As a general rule, people need a minimum of 1,200 calories daily to stay healthy. People who have a strenuous fitness routine or perform many daily activities need more calories. If you have reduced your calorie intake below 1,200 calories a day, you could be hurting your body in addition to your weight-loss plans.

Can not eating enough cause hormonal imbalance?

While dieting or restricting food intake, the body is not receiving the nutrients it needs for hormones to efficiently regulate. This lack of energy slows down the thyroid, and it’s common to see a severe imbalance over several endocrine secretions.

What are the long term effects of not eating enough?

If you’re not getting enough calories, chances are you’re not getting enough vitamins and minerals either. Nutritional deficiencies may cause a long list of health complications including, but not limited to, anemia, infertility, bone loss, poor dental health and decreased thyroid function.

What does cholecystokinin stimulate?

cholecystokinin (CCK) is the major hormonal regulator of gallbladder contraction (29). However, it also has important actions to stimulate pancreatic enzyme secretion, delay gastric emptying, and induce satiety and reduce food intake (27).

Which hormone is involved in the regulation of appetite?

While ghrelin is mainly known as the hunger hormone, it is also involved in the reward and motivation signaling pathways, which links to stress, anxiety, and depression.

Which hormones decrease appetite and reduce food intake?

Leptin is a hormone, made by fat cells, that decreases your appetite. Ghrelin is a hormone that increases appetite, and also plays a role in body weight. Levels of leptin — the appetite suppressor — are lower when you’re thin and higher when you’re fat.

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