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2002 SEP 26 - (NewsRx.com & NewsRx.net) -- by Sonia Nichols, senior medical writer - Scientists think leptin, a protein thought to control weight, may be the source of some fatigue in patients, especially females, who have chronic hepatitis C.
Doctors in France have undertaken a study examining fatigue in men and women diagnosed with chronic hepatitis C. What they found was that fatigue is particularly pronounced in those patients, and that leptin levels, thought to regulate weight and energy usage, may contribute to that fatigue.
Their study included 78 patients with chronic hepatitis C, 13 patients with primary biliary cirrhosis, and 22 healthy controls. Each person was measured for several components of body chemistry and physiology, and was assessed for fatigue based on the answers they provided on fatigue impact scale (FIS) questionnaires.
Approximately half of the patients with chronic hepatitis C reported that fatigue was a prominent effect of being HCV-positive.
Chronic hepatitis C patients, particularly the females, had much higher fatigue scores than did healthy controls.
In addition, leptin levels were elevated in chronic hepatitis C patients, and after correction for fat mass, those levels significantly associated with fatigue scores, T. Piche and colleagues, CHU de Nice, Nice, France said (Fatigue is associated with high circulating leptin levels in chronic hepatitis C. Gut, September 2002;51(3):434-439).
"This ...