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Am J Physiol Endocrinol Metab 287: E489-E496, 2004; doi:10.1152/ajpendo.00262.2003
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Phase of menstrual cycle affects lysine requirement in healthy women

Wantanee Kriengsinyos,1,3 Linda J. Wykes,4 Laksiri A. Goonewardene,5 Ronald O. Ball,1,5 and Paul B. Pencharz1,2,3,5

Departments of 1Nutritional Sciences and 2Paediatrics, University of Toronto, Toronto M5S 3E2; 3The Research Institute, The Hospital for Sick Children, Toronto, Ontario M5G 1X8; 4School of Dietetics and Human Nutrition, McGill University, Montreal, Quebec H9X 3V9; and 5Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, Alberta T6G 2P5, Canada

Submitted 12 June 2003 ; accepted in final form 1 April 2004

The aim of this study was to investigate whether the phases of the menstrual cycle affect lysine requirement in healthy adult females, as determined by the indicator amino acid oxidation (IAAO) method. Five healthy females with regular menstrual cycles were studied at seven graded levels of lysine intake, in random order, with an oral [13C]phenylalanine tracer protocol in both the follicular and luteal phases. A total of 14 studies were conducted for each subject. Breath and plasma samples were collected according to the standard IAAO protocol. Serum 17{beta}-estradiol and progesterone concentrations were measured on each IAAO study day. The rate of release of 13CO2 from [13C]phenylalanine oxidation (F13CO2) was measured, and a two-phase linear regression crossover model was applied to determine lysine requirement. F13CO2 was higher during the luteal phase (P < 0.001) and was positively associated with serum concentrations of 17{beta}-estradiol and progesterone. The F13CO2 data were adjusted for subjects and sex hormones and used to define breakpoints for lysine requirements. The lysine requirement of healthy females in the luteal phase was 37.7 mg·kg–1·day–1 and higher (P = 0.025) than that of females in the follicular phase (35.0 mg·kg–1·day–1). At all lysine intake levels, plasma amino acids were lower and phenylalanine oxidation was higher in the luteal relative to the follicular phase. Therefore, we reason that the higher lysine requirement observed in the luteal phase is probably due to higher amino acid catabolism.

indicator amino acid oxidation



Address for reprint requests and other correspondence: P. B. Pencharz, Div. of Gastroenterology & Nutrition, The Hospital for Sick Children, 555 University Ave., Toronto, ON M5G 1X8 Canada (E-mail: paul.pencharz{at}sickkids.ca).




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