The Comparison of Serum Levels of IGF1 before and after Fasting in Healthy Adults

Document Type : Research Paper

Authors

1 Department of Anatomical Sciences, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.

2 Department of Medical Sciences, Faculty Of Medicine , Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.

3 Department of Community Medicine, Faculty Of Medicine , Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.

4 Student Research Committee, Paramedical Department, Islamic Azad University, Mashhad Branch, Mashhad, Iran.

10.22038/jnfh.2023.70510.1429

Abstract

Introduction: Ramadan is the ninth month of the lunar year in which Muslims avoid eating and drinking from sunrise to sunset. Insulin-like growth factor 1 (IGF1) is a small peptide that circulates in the blood. IGF1 plays an important role in regulating proliferation, differentiation, apoptosis, and transformation. Studies have shown that a small increase in IGF1 levels is associated with an increased risk of prostate, breast, colon, and lung cancer. In this study, the effects of fasting with regular consumption pattern and food avoidance on serum IGF1 concentration in healthy subjects before and after fasting was investigated. Methods: 40 healthy adults in the age group of 18-55 years who were going to fast for about 16 hours a day for at least 20-25 days in Ramadan were included. The first sample was taken one week before Ramadan, and the second one was obtained at the end of Ramadan. After taking 2cc of whole venous blood, sera were isolated, and IGF1 concentration was calculated by quantitative ELISA method using DiaMetra kit. Results: Of the 40 participants in the study, 31 were female, and 9 were male. It was observed that the mean IGF1 before and after fasting was 198.6 ± 77.9 and 146.3 ± 44.5 ng/ml, respectively, with a 52 ng/ml difference. Conclusion: The present study has shown that fasting reduces the level of IGF1, which could be indicative of the benefits of fasting since it could limit the harmful effects of a risk factor of some diseases.

Keywords


  1. Sanjari M, Larijani B, Bradar-Jalili R, Amini MR, Akrami SM. Effects Of Ramadan Fasting On Insulin-Like Growth Factor-1 And Low-Density Lipoprotein In Healthy Adults. Feyz Journal of Kashan University of Medical Sciences. 2005;9(3):30-3.
  2. Tawfiqi H. Familiarity with major religions. 18, editor. Tehran: Samt; 2019. 344 p.
  3. Adlouni A, Ghalim N, Benslimane A, Lecerf JM, Saïle R. Fasting during Ramadan induces a marked increase in high-density lipoprotein cholesterol and decrease in low-density lipoprotein cholesterol. Annals of nutrition and metabolism. 1997;41(4):242-9.
  4. Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J. Harrison's principles of internal medicine: McGraw-hill education New York; 2018.
  5. Maki RG. Small is beautiful: insulin-like growth factors and their role in growth, development, and cancer. Journal of clinical oncology. 2010;28(33):4985.
  6. Baserga R, Peruzzi F, Reiss K. The IGF‐1 receptor in cancer biology. International journal of cancer. 2003;107(6):873-7.
  7. Travis RC, Appleby PN, Martin RM, Holly JM, Albanes D, Black A, et al. A meta-analysis of individual participant data reveals an association between circulating levels of IGF-I and prostate cancer risk. Cancer research. 2016;76(8):2288-300.
  8. Aimaretti G, Colao A, Corneli G, Pivonello R, Maccario M, Morrison K, et al. The study of spontaneous GH secretion after 36‐h fasting distinguishes between GH‐deficient and normal adults. Clinical endocrinology. 1999;51(6):771-7.
  9. Sävendahl L, Underwood LE. Fasting increases serum total cholesterol, LDL cholesterol and apolipoprotein B in healthy, nonobese humans. The Journal of nutrition. 1999;129(11):2005-8.
  10. Brahmkhatri VP, Prasanna C, Atreya HS. Insulin-like growth factor system in cancer: novel targeted therapies. BioMed research international. 2015;2015.
  11. Yakar S, Rosen CJ, Beamer WG, Ackert-Bicknell CL, Wu Y, Liu J-L, et al. Circulating levels of IGF-1 directly regulate bone growth and density. The Journal of clinical investigation. 2002;110(6):771-81.
  12. Peruzzi F, Prisco M, Dews M, Salomoni P, Grassilli E, Romano G, et al. Multiple signaling pathways of the insulin-like growth factor 1 receptor in protection from apoptosis. Molecular and cellular biology. 1999;19(10):7203-15.
  13. Bouhlel E, Zaouali M, Miled A, Tabka Z, Bigard X, Shephard R. Ramadan fasting and the GH/IGF-1 axis of trained men during submaximal exercise. Annals of nutrition and metabolism. 2008;52(4):261-6.
  14. Fontana L, Weiss EP, Villareal DT, Klein S, Holloszy JO. Long‐term effects of calorie or protein restriction on serum IGF‐1 and IGFBP‐3 concentration in humans. Aging cell. 2008;7(5):681-7.
  15. Levine ME, Suarez JA, Brandhorst S, Balasubramanian P, Cheng C-W, Madia F, et al. Low protein intake is associated with a major reduction in IGF-1, cancer, and overall mortality in the 65 and younger but not older population. Cell metabolism. 2014;19(3):407-17.
  16. Arciero PJ, Arciero KM, Poe M, Mohr AE, Ives SJ, Arciero A, et al. Intermittent Fasting Two Days per Week versus One Day per Week, Matched for Total Energy Intake and Expenditure, Increases Weight Loss in Overweight/Obese Men and Women. 2022.
  17. Li C, Xing C, Zhang J, Zhao H, Shi W, He B. Eight-hour time-restricted feeding improves endocrine and metabolic profiles in women with anovulatory polycystic ovary syndrome. Journal of translational medicine. 2021;19(1):1-9.
  • Receive Date: 07 February 2023
  • Revise Date: 20 May 2023
  • Accept Date: 21 May 2023
  • First Publish Date: 21 May 2023