Effect of estrogen or insulin-induced hypoglycemia on plasma oxytocin levels in bulimia and anorexia nervosa
Abstract
Plasma oxytocin (OT) levels were measured before and after stimulation with estrogens (1 mg ethynylestradiol orally) or with insulin (0.15 IU/kg)-induced hypoglycemia in seven underweight women with anorexia nervosa, eight normal weight bulimic women, and nine normal controls. Anorectic patients were amenorrhoic; they were tested at their first hospitalization (first tests) and again 8 to 9 weeks later (second tests) when they were eating normally, but were still at a low weight. In addition, anorectic women were tested 16 to 17 weeks after the first test (third tests), when their weight was restored to normal. Normal and bulimic women were tested on the fourth days of normal menstrual cycles. Insulin induced similar hypoglycemic responses in all groups. At each time point of the estrogen tests, plasma estrogen levels were similar in bulimic and normal women, whereas they were significantly lower in anorectic subjects. There were no differences in the basal levels of OT among groups. Both insulin-induced hypoglycemia and estrogen treatment produced striking OT increments in bulimic and control women, without significant differences between groups. During the first tests, no significant increase in plasma OT levels was observed in underweight anorectic women in response to both releasing stimuli. After partial weight recovery, the anorectic women showed a slight, but significant, increase in the OT responses to both insulin-induced hypoglycemia and estrogen administration. Both hypoglycemia- and estrogen-induced OT increases observed during the second tests were significantly lower in underweight anorectic patients than in normal controls. Anorectic subjects regained normal OT responsiveness to both stimuli after complete weight recovery.(ABSTRACT TRUNCATED AT 250 WORDS)
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OXT effects in women may vary as a function of steroid hormones.
“Clearly, OXT effects in women may vary as a function of steroid hormones, which influence plasma levels of the peptide (Chiodera et al., 1991), regulate the expression of the OXTR gene (Quinones-Jenab et al., 1997) and affect OXTR function through a non-genomic mechanism (Grazzini et al., 1998).”
From Hormonal contraceptives suppress oxytocin-induced brain reward responses to the partner’s face (2016) · cites this paper as Chiodera et al., 1991
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- Authors
- Chiodera, P., Volpi, R., Capretti, L., Marchesi, C., d'Amato, L., De Ferri, A., Bianconi, L., & Coiro, V.
- Affiliations
- University of Parma (IT)
- Corresponding author
- Chiodera, P.
- ORCID
- Volpi, R.
- Venue
- Metabolism
- Publisher
- Elsevier BV
- Published
- 1991-11
- Volume
- 40
- Issue
- 11
- Pages
- 1226-1230
- ISSN
- 0026-0495 (ISSN-L)
- OpenAlex
- W2147166849
- Cited by
- 63
- References
- 23
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 4 · 2019: 5 · 2018: 8 · 2017: 3 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 3
- FWCI
- 1.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- oxytocin, anorexia nervosa, bulimia nervosa, insulin-induced hypoglycemia, estrogen, ethinyl estradiol, hypothalamic-pituitary-ovarian axis, neuroendocrine dysfunction, weight recovery, starvation, amenorrhea, eating disorders
- MeSH terms
- Anorexia Nervosa, Bulimia, Estrogens, Female, Humans, Hypoglycemia, Insulin, Oxytocin
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