Influence of melatonin administration on glucose tolerance and insulin sensitivity of postmenopausal women
Open accessAbstract
OBJECTIVE: The effect of melatonin on human carbohydrate metabolism is not yet clear. We investigated whether melatonin influences glucose tolerance and insulin sensitivity in aged women. PATIENTS: Twenty-two postmenopausal women of whom 14 were on hormone replacement therapy. DESIGN: After an overnight fast, at 0800 hours on two nonconsecutive days, placebo or melatonin (1 mg) were administered randomly and in a double blind fashion. Forty-five minutes later, an oral glucose tolerance test (75 g; OGTT) was performed in 13 women. In another nine women insulin-dependent (Si) and -independent (Sg) glucose utilization was tested by a frequently sampled intravenous glucose tolerance test (FSIGT). RESULTS: Areas under the response curve to OGTT (AUC) for glucose (1420 +/- 59 vs. 1250 +/- 55 mmol x min/l; P < 0.01), and C-peptide (42,0980 +/- 45,320 vs. 33,528 +/- 15,779 pmol x min/l; P < 0.02) were higher following melatonin than placebo, while Si values were lower (2.6 +/- 0.28 units vs. 3.49 +/- 0.4 units; P < 0.03). Si modifications induced by melatonin were inversely related to Si values of the placebo day (r(2) = 0.538; P < 0.025). CONCLUSIONS: The present results indicate that in aged women administration of 1 mg of melatonin reduces glucose tolerance and insulin sensitivity. The present data may have both physiological and clinical implications.
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- Authors
- Cagnacci, A., Arangino, S., Renzi, A., Paoletti, A. M., Melis, G. B., Cagnacci, P., & Volpe, A.
- Corresponding author
- Cagnacci, Angelo
- Venue
- Clinical Endocrinology
- Publisher
- Wiley
- Published
- 2001-03
- Volume
- 54
- Issue
- 3
- Pages
- 339-346
- ISSN
- 0300-0664 (ISSN-L)
- 1365-2265
- OpenAlex
- W1988550244
- Cited by
- 139
- References
- 50
- Citations by year
- 2026: 5 · 2025: 1 · 2024: 12 · 2023: 6 · 2022: 8 · 2021: 8 · 2020: 5 · 2019: 9 · 2018: 9 · 2017: 7 · 2016: 5 · 2015: 12 · 2014: 7 · 2013: 5 · 2012: 2
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Clinical Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System (University of Udine) (submittedVersion)
- UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- melatonin, glucose tolerance, insulin sensitivity, postmenopausal women, hormone replacement therapy, carbohydrate metabolism, C-peptide, aging
- MeSH terms
- Analysis of Variance, Blood Glucose, C-Peptide, Estradiol, Female, Glucose Tolerance Test, Humans, Insulin, Insulin Resistance, Melatonin, Middle Aged, Estrogen Replacement Therapy, Linear Models, Postmenopause, Glucose Intolerance, Area Under Curve
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