Influencia de Hormonas Reguladoras del Apetito en Trastornos Alimentarios: Leptina y Grelina como Protagonistas: una revisión narrativa.
Esta revisión narrativa tuvo como objetivo examinar y analizar el juego de las hormonas reguladoras del apetito y la saciedad, grelina y leptina, dentro de diferentes trastornos de la conducta alimentaria, entre ellos la anorexia nerviosa y el trastorno por atracón. Mediante el análisis de estudios...
- Autores:
-
Bernal Arias, María Fernanda
- Tipo de recurso:
- Fecha de publicación:
- 2025
- Institución:
- Universidad Libre
- Repositorio:
- RIU - Repositorio Institucional UniLibre
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- OAI Identifier:
- oai:repository.unilibre.edu.co:10901/31519
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- https://hdl.handle.net/10901/31519
- Palabra clave:
- Leptina
grelina
trastornos de la conducta alimentaria
anorexia nerviosa
trastorno por atracón
regulación del apetito
- Rights
- openAccess
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- http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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| dc.title.spa.fl_str_mv |
Influencia de Hormonas Reguladoras del Apetito en Trastornos Alimentarios: Leptina y Grelina como Protagonistas: una revisión narrativa. |
| dc.title.alternative.spa.fl_str_mv |
Influence of Appetite-Regulating Hormones in Eating Disorders: Leptin and Ghrelin as Protagonists: A Narrative Review. |
| title |
Influencia de Hormonas Reguladoras del Apetito en Trastornos Alimentarios: Leptina y Grelina como Protagonistas: una revisión narrativa. |
| spellingShingle |
Influencia de Hormonas Reguladoras del Apetito en Trastornos Alimentarios: Leptina y Grelina como Protagonistas: una revisión narrativa. Leptina grelina trastornos de la conducta alimentaria anorexia nerviosa trastorno por atracón regulación del apetito |
| title_short |
Influencia de Hormonas Reguladoras del Apetito en Trastornos Alimentarios: Leptina y Grelina como Protagonistas: una revisión narrativa. |
| title_full |
Influencia de Hormonas Reguladoras del Apetito en Trastornos Alimentarios: Leptina y Grelina como Protagonistas: una revisión narrativa. |
| title_fullStr |
Influencia de Hormonas Reguladoras del Apetito en Trastornos Alimentarios: Leptina y Grelina como Protagonistas: una revisión narrativa. |
| title_full_unstemmed |
Influencia de Hormonas Reguladoras del Apetito en Trastornos Alimentarios: Leptina y Grelina como Protagonistas: una revisión narrativa. |
| title_sort |
Influencia de Hormonas Reguladoras del Apetito en Trastornos Alimentarios: Leptina y Grelina como Protagonistas: una revisión narrativa. |
| dc.creator.fl_str_mv |
Bernal Arias, María Fernanda |
| dc.contributor.advisor.none.fl_str_mv |
Campos Ceballos, Frank stiven |
| dc.contributor.author.none.fl_str_mv |
Bernal Arias, María Fernanda |
| dc.subject.spa.fl_str_mv |
Leptina grelina trastornos de la conducta alimentaria anorexia nerviosa trastorno por atracón regulación del apetito |
| topic |
Leptina grelina trastornos de la conducta alimentaria anorexia nerviosa trastorno por atracón regulación del apetito |
| description |
Esta revisión narrativa tuvo como objetivo examinar y analizar el juego de las hormonas reguladoras del apetito y la saciedad, grelina y leptina, dentro de diferentes trastornos de la conducta alimentaria, entre ellos la anorexia nerviosa y el trastorno por atracón. Mediante el análisis de estudios clínicos, se pudo evidenciar que estas hormonas muestran alteraciones significativas en los trastornos alimentarios, las cuales parecen estar relacionados con el estado nutricional y la conducta alimentaria. Se evidenciaron niveles disminuidos de leptina en el trastorno de anorexia nerviosa y niveles elevados en el trastorno por atracón. Por el contrario, la grelina mostró un comportamiento elevado en la anorexia nerviosa y disminuido en el trastorno por atracón. De igual forma ,se identificaron posibles influencias epigenéticas y neurobiológicas que podrían tener implicación en la disfunción de las señales del hambre y la saciedad. Estos resultados destacan la importancia de proponer un enfoque más integral ,donde se incluya el análisis hormonal en el tratamiento nutricional de los trastornos de la conducta alimentaria. |
| publishDate |
2025 |
| dc.date.accessioned.none.fl_str_mv |
2025-07-17T14:28:15Z |
| dc.date.available.none.fl_str_mv |
2025-07-17T14:28:15Z |
| dc.date.created.none.fl_str_mv |
2025-06-10 |
| dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_7a1f |
| dc.type.local.spa.fl_str_mv |
Tesis de Pregrado |
| dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/bachelorThesis |
| dc.identifier.uri.none.fl_str_mv |
https://hdl.handle.net/10901/31519 |
| url |
https://hdl.handle.net/10901/31519 |
| dc.relation.references.spa.fl_str_mv |
1. Scaglioni S, De Cosmi V, Ciappolino V, Brambilla P, Agostoni C. Factors Influencing Children's Eating Behaviours. Nutrients. 2018;10(6):706. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024598/ 2. Inoue S, Nakao H, Fujikawa T, Denda K, Nakahara T. The Role of Ghrelin in Anorexia Nervosa. Curr Protein Pept Sci. 2018;19(7):758-764. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6073411/ 3. Seidel M, Markmann Jensen S, Healy D, Dureja A, Watson HJ, Holst B, et al. A Systematic Review and Meta-Analysis Finds Increased Blood Levels of All Forms of Ghrelin in Both Restricting and Binge-Eating/Purging Subtypes of Anorexia Nervosa. Nutrients. 2021;13(2):709. Disponible en: https://www.mdpi.com/2072-6643/13/2/709 4. Blume M, Friedrichs S, Gronwald B, et al. Leptin, but not ghrelin, is associated with food addiction scores in a young female population. Front Psychiatry. 2023;14:1200021. Disponible en: https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1200021/full 5. World Healt 2. Inoue S, Nakao H, Fujikawa T, Denda K, Nakahara T. The Role of Ghrelin in Anorexia Nervosa. Curr Protein Pept Sci. 2018;19(7):758-764. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6073411/ 3. Seidel M, Markmann Jensen S, Healy D, Dureja A, Watson HJ, Holst B, et al. A Systematic Review and Meta-Analysis Finds Increased Blood Levels of All Forms of Ghrelin in Both Restricting and Binge-Eating/Purging Subtypes of Anorexia Nervosa. 4. Blume M, Friedrichs S, Gronwald B, et al. Leptin, but not ghrelin, is associated with food addiction scores in a young female population. Front Psychiatry. 2023;14:1200021. Disponible en: https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1200021/full 5. World Health Organization. Obesity and overweight. 2021. Disponible en: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight 6. González SA, Sarmiento OL, Lozano O, Ramírez A, Grijalba C, Prieto-Suárez E, et al. Encuesta Nacional de la Situación Nutricional en Colombia (ENSIN) 2015. Instituto Colombiano de Bienestar Familiar (ICBF); 2015. 7. National Institute of Mental Health. Eating Disorders. Disponible en: https://www.nimh.nih.gov/health/statistics/eating-disorders 8. Hudson JI, Hiripi E, Pope HG Jr, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007;61(3):348-58. 9. Hoek HW, van Hoeken D. Review of the prevalence and incidence of eating disorders. Int J Eat Disord. 2003;34(4):383-96. Amerio A, Aguglia A, Escelsior A, Conio B, Sukkar SG, Saverino D. The Association between Blood SIRT1 and Ghrelin, Leptin, and Antibody Anti-Hypothalamus: A Comparison in Normal Weight and Anorexia Nervosa. J Clin Med. 2023;12(6):1234. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10303472/ 11. Grigioni S, Potier M, Dubois V, Achamrah N, Chan P, Guérin C, et al. Intestinal permeability and appetite regulating peptides-reactive immunoglobulins in anorexia nervosa. Clin Nutr. 2022;41(8):1735-1742. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35810568/PubMed+1Psicología+1 12. Dardennes R, Zizzari P, Tolle V, Foulon C, Kipman A, Romo L, et al. Lower leptin level at discharge in acute anorexia nervosa is associated with early weight-loss. Eur Eat Disord Rev. 2021;29(3):490-502. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33880836/PubMed 13. Misra M, Klibanski A. Endocrine consequences of anorexia nervosa. Lancet Diabetes Endocrinol. 2014;2(7):581-592. Disponible en: https://pubmed.ncbi.nlm.nih.gov/24731664/ 14. Miller KK, Grinspoon SK, Ciampa J, Hier J, Herzog D, Klibanski A. Leptin levels in acute and recovered eating disorders: A BMI-adjusted meta-analysis. J Clin Endocrinol Metab. 2020;105(4):e1613-e1623. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39643920/ 15. Miller KK, Grinspoon SK, Ciampa J, Hier J, Herzog D, Klibanski A. Leptin levels in acute and recovered eating disorders: A BMI-adjusted meta-analysis. J Clin Endocrinol Metab. 2020;105(4):e1613-e1623. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39643920/ 16. Gordon CM, Dougherty DD, Fischman AJ, Emans SJ, Grace E, Lamm R, et al. Decreased serum leptin in bulimia nervosa. J Clin Endocrinol Metab. 2001;86(9):4204-4208. Disponible en: https://pubmed.ncbi.nlm.nih.gov/11134100/PubMed 17. Friedman J. Leptin and the endocrine control of energy balance. Nat Metab. 2019;1(8):754-764. Disponible en: https://www.nature.com/articles/s42255-019-0095-yNature 18. Batury VL, van Elburg AA, Kas MJ, Henneman P. DNA methylation of ghrelin and leptin receptors in underweight and weight-recovered females with anorexia nervosa. J Psychiatr Res. 2020;130:283-290. Disponible en: 19. Hübel C, Gaspar HA, Coleman JRI, Hanscombe KB, Purves K, Prokopenko I, et al. Genetic correlations of psychiatric traits with body composition and glycemic traits are sex- and age-dependent. Nat Commun. 2019;10(1):5765. Disponible en: https://www.nature.com/articles/s41467-019-13544-0Home Page+1Repositorio Digital de Carolina+1 20. Monteleone P, Di Lieto A, Tortorella A, Longobardi N, Maj M. Circulating levels of leptin and soluble leptin receptor across the eating disorder spectrum. J Psychiatr Res. 2002;36(5):391–7. doi:10.1016/S0022-3956(02)00019-3. 21. Westwater ML, Mancini F, Shapleske J, Serfontein J, Ernst M, Ziauddeen H, et al. Dissociable hormonal profiles for psychopathology and stress in anorexia and bulimia nervosa. Psychol Med. 2021;51(16):2814–24. doi:10.1017/S0033291720001440. 22. Kim YR, Lauze MS, Slattery M, Perlis RH, Holsen LM, Breithaupt L, et al. Association between ghrelin and body weight trajectory in individuals with anorexia nervosa. JAMA Netw Open. 2023;6(3):e234625. doi:10.1001/jamanetworkopen.2023.4625. 23. García-González CL, Romero-Velarde E, Gurrola-Díaz CM, Sánchez-Muñoz MP, Soto-Luna GIC. Perfil metabólico, concentración de grelina y obestatina en niños y adolescentes con obesidad. Rev Med Inst Mex Seguro Soc. 2022;60(3):268–74. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10399755/pdf/04435117-60-3-268.pdf. 24. Urbanovych A, Laniush F. The role of appetite-controlling hormones in the development of eating disorders in diabetic 2 patients. Curr Issues Pharm Med Sci. 2022;35(2):86–8. doi:10.2478/cipms-2022-0016. 25. Kaye WH, Wierenga CE, Bischoff-Grethe A, Berner LA, Ely AV, Bailer UF, et al. Neural insensitivity to the effects of hunger in women remitted from anorexia nervosa. Am J Psychiatry. 2020;177(7):601–10. doi:10.1176/appi.ajp.2019.19030261. 26. Stengel A, Tache Y. Ghrelin – a pleiotropic hormone secreted from endocrine x/a-like cells of the stomach. Front Neurosci. 2012;6:24. Disponible en: https://www.frontiersin.org/articles/10.3389/fnins.2012.00024/full 27. Misra M, Miller KK, Kuo K, Griffin K, Stewart V, Hunter E, et al. Secretory dynamics of ghrelin in adolescent girls with anorexia nervosa and healthy adolescents. Am J Physiol Endocrinol Metab. 2005;289(2):E347–56. Disponible en: https://doi.org/10.1152/ajpendo.00074.2005 28. Seidel M, Jensen SM, Healy D, Dureja A, Watson HJ, Holst B, et al. A systematic review and meta-analysis finds increased blood levels of all forms of ghrelin in both restricting and binge-eating/purging subtypes of anorexia nervosa. Nutrients. 2021;13(2):709. Disponible en: https://www.mdpi.com/2072-6643/13/2/709 29. Harrold JA, Dovey TM, Blundell JE, Halford JC. CNS regulation of appetite. Neuropharmacology. 2012;63(1):3–17. Disponible en: https://doi.org/10.1016/j.neuropharm.2012.01.013 30. Monteleone P, Scognamiglio P, Monteleone AM, Perillo D, Canestrelli B, Serino I, et al. Abnormal diurnal patterns of salivary alpha-amylase and cortisol secretion are associated with binge eating disorder. Psychosom Med. 2011;73(5):463–8. Disponible en: https://doi.org/10.1097/PSY.0b013e31821a46b0 31. Kullmann S, Heni M, Hallschmid M, Fritsche A, Preissl H. Brain insulin resistance at the crossroads of metabolic and cognitive disorders in humans. Physiol Rev. 2016;96(4):1169–209. Disponible en: https://doi.org/10.1152/physrev.00032.2015 32. Zwirska-Korczala K, Adamczak M, Pillich L, Konecki J, Szeliga J, Skrzypczak-Jankun E, et al. Serum active and total ghrelin in obese women with binge eating disorder. Regul Pept. 2021;143(1–3):72–6. Disponible en: https://doi.org/10.1016/j.regpep.2021.03.003 33. Geliebter A, Gluck ME, Hashim SA. Plasma ghrelin concentrations are lower in binge-eating disorder. J Nutr. 2005;135(5):1326–30. Disponible en: https://doi.org/10.1093/jn/135.5.1326 34. Labayen I, Ruiz JR, Huybrechts I, Ortega FB, Jiménez-Pavón D, Mesana MI, et al. Dietary fat intake modifies the influence of the GHSR gene polymorphism on obesity in adolescents. J Nutr Biochem. 2012;23(8):1125–30. Disponible en: 35. Steiger H, Booij L. Eating disorders, epigenetics, and the brain. In: Brennan PA, editor. Handbook of Developmental Neurotoxicology. 1st ed. Academic Press; 2015. p. 269–82. Disponible en: https://doi.org/10.1016/B978-0-12-801228-0.00016-5 36. Wierenga CE, Bischoff-Grethe A, Melrose AJ, Irvine Z, Torres L, Bailer UF, et al. Hunger does not motivate reward in women remitted from anorexia nervosa. Biol Psychiatry. 2015;77(7):642–52. Disponible en: https://doi.org/10.1016/j.biopsych.2014.07.020 37. Monteleone P, Maj M. Dysfunctions of leptin, ghrelin, BDNF and endocannabinoids in eating disorders: beyond the homeostatic control of food intake. Psychoneuroendocrinology. 2013 Mar;38(3):312–30. doi:10.1016/j.psyneuen.2012.10.021. PMID: 23313276. 38. Berner LA, Brown TA, Lavender JM, Lopez E, Wierenga CE, Kaye WH. Neuroendocrinology of reward in anorexia nervosa and bulimia nervosa: Beyond leptin and ghrelin. Mol Cell Endocrinol. 2019;497:110320. doi:10.1016/j.mce.2018.10.018. 39. Monteleone AM, Castellini G, Volpe U, Ricca V, Lelli L, Monteleone P, et al. Neuroendocrinology and brain imaging of reward in eating disorders: A possible key to the treatment of anorexia nervosa and bulimia nervosa. Prog Neuropsychopharmacol Biol Psychiatry. 2018;80(Pt B):132–42. doi:10.1016/j.pnpbp.2017.06.023. 40. Hebebrand J, Albayrak Ö, Antel J, Föcker M, Haarmann-Stemmann T, Hennighausen K, et al. 41. Hunger and satiety signals in anorexia nervosa: neuroendocrinological and genetic analyses.Eur Psychiatry. 2007;22(5):263–71.doi: 10.1016/j.eurpsy.2007.02.005 42. Exner C, Hebebrand J, Remschmidt H, Wewetzer C, Ziegler A, Herpertz S, et al. Leptin suppresses semi-starvation-induced hyperactivity in rats: implications for anorexia nervosa. Mol Psychiatry. 2000;5(5):476–81. 43. Ehrlich S, Burghardt R, Schneider N, Broecker-Preuss M, Weiss D, Merle JV, et al. The role of leptin and cortisol in hyperactivity in patients with acute and weight-recovered anorexia nervosa. Prog Neuropsychopharmacol Biol Psychiatry. 2009;33(4):658–62. 44. Holtkamp K, Herpertz-Dahlmann B, Mika C, Heer M, Heussen N, Fichter M, et al. High physical activity and low leptin levels co-occur in patients with anorexia nervosa. J Clin Endocrinol Metab. 2003;88(11):5169–74. 45. Verhagen LAW, Luijendijk HJ, Adan RAH. Leptin and Physical Activity in Adult Patients with Anorexia Nervosa: Failure to Demonstrate a Simple Linear Association. Nutrients. 2017;9(11):1210. doi: 10.3390/nu9111210. 46. Gómez-Peresmitré G, Acosta-Ramírez N, Platas-Acevedo RS. Trastornos de la conducta alimentaria en estudiantes universitarios: un problema latente. Av Enferm [Internet]. 2017 [citado 2025 Abr 6];35(1):53-62. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0121-52562017000100005 47. Uribe Rodríguez AF, Méndez Suárez HA. Trastornos de la conducta alimentaria en adolescentes: una revisión de la literatura. Hacia Promoc Salud [Internet]. 2016 [citado 2025 Abr 6];21(1):28-44. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0122-06672016000100002 48. Rodríguez-Testal JF, Senín-Calderón C, Moreno-Domínguez S. Eating disorders: an overview of a complex and chronic condition. Int J Clin Health Psychol [Internet]. 2020 [citado 2025 Abr 6];20(2):105-113. Disponible en: https://doi.org/10.1016/j.ijchp.2020.05.002 49. Barber TM, McCarthy MI, Wass JAH, Franks S. Obesity and polycystic ovary syndrome. Clin Endocrinol (Oxf) [Internet]. 2021 [citado 2025 Abr 6];95(4):531–41. Disponible en: https://doi.org/10.1111/cen.14504 50. Espinoza García AS, Martínez Moreno AG, Reyes Castillo Z. Papel de la grelina y la leptina en el comportamiento alimentario: evidencias genéticas y moleculares. Endocrinol Diabetes Nutr. 2021;68(9):654-663. Disponible en: https://doi.org/10.1016/j.endinu.2020.10.011 Maccario M, Aimaretti G, Corneli G, Gauna C, Grottoli S, Bidlingmaier M, et al. Short-term fasting abolishes the sex-related difference in GH and leptin secretion in humans. Am J Physiol Endocrinol Metab. 2000;279(2):E411–6. |
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Campos Ceballos, Frank stivenBernal Arias, María FernandaPereira2025-07-17T14:28:15Z2025-07-17T14:28:15Z2025-06-10https://hdl.handle.net/10901/31519Esta revisión narrativa tuvo como objetivo examinar y analizar el juego de las hormonas reguladoras del apetito y la saciedad, grelina y leptina, dentro de diferentes trastornos de la conducta alimentaria, entre ellos la anorexia nerviosa y el trastorno por atracón. Mediante el análisis de estudios clínicos, se pudo evidenciar que estas hormonas muestran alteraciones significativas en los trastornos alimentarios, las cuales parecen estar relacionados con el estado nutricional y la conducta alimentaria. Se evidenciaron niveles disminuidos de leptina en el trastorno de anorexia nerviosa y niveles elevados en el trastorno por atracón. Por el contrario, la grelina mostró un comportamiento elevado en la anorexia nerviosa y disminuido en el trastorno por atracón. De igual forma ,se identificaron posibles influencias epigenéticas y neurobiológicas que podrían tener implicación en la disfunción de las señales del hambre y la saciedad. Estos resultados destacan la importancia de proponer un enfoque más integral ,donde se incluya el análisis hormonal en el tratamiento nutricional de los trastornos de la conducta alimentaria.Universidad Libre Seccional Pereira -- Facultad de Ciencias de la Salud, Exactas y Naturales -- Nutrición y DietéticaThis narrative review aimed to examine and analyze the role of appetite- and satiety-regulating hormones, ghrelin and leptin, in various eating disorders, including anorexia nervosa and binge eating disorder. Through the analysis of clinical studies, it was shown that these hormones show significant alterations in eating disorders, which appear to be related to nutritional status and eating behavior. Decreased leptin levels were observed in anorexia nervosa and elevated levels in binge eating disorder. In contrast, ghrelin was elevated in anorexia nervosa and decreased in binge eating disorder. Similarly, potential epigenetic and neurobiological influences that could be implicated in the dysfunction of hunger and satiety signals were identified. These results highlight the importance of proposing a more comprehensive approach, including hormonal analysis in the nutritional treatment of eating disorders.PDFhttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Atribución-NoComercial-SinDerivadas 2.5 Colombiainfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Leptinagrelinatrastornos de la conducta alimentariaanorexia nerviosatrastorno por atracónregulación del apetitoInfluencia de Hormonas Reguladoras del Apetito en Trastornos Alimentarios: Leptina y Grelina como Protagonistas: una revisión narrativa.Influence of Appetite-Regulating Hormones in Eating Disorders: Leptin and Ghrelin as Protagonists: A Narrative Review.Tesis de Pregradoinfo:eu-repo/semantics/bachelorThesishttp://purl.org/coar/resource_type/c_7a1f1. Scaglioni S, De Cosmi V, Ciappolino V, Brambilla P, Agostoni C. Factors Influencing Children's Eating Behaviours. Nutrients. 2018;10(6):706. 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