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Energy expenditure and body composition

Metabolic adaptations to over—and underfeeding—still a matter of debate?

Abstract

Weight changes in response to a change in energy intake are smaller than calculated from the excess or deficit of energy intake. Digestion efficiency is not affected by intake level when consuming the same diet. Over- or underfeeding induces an increase or decrease in energy expenditure. Intake-induced expenditure changes are largely explained by proportional changes in diet-induced energy expenditure, in activity-induced energy expenditure and in maintenance expenditure as a function of changes in body weight and body composition. Additionally, underfeeding causes a metabolic adaptation as reflected in a reduction of maintenance expenditure below predicted values and defined as adaptive thermogenesis. Thus, alternating overfeeding and underfeeding with an iso-energetic amount results in a positive energy balance. The latter might be one of the explanations for the increasing incidence of obesity in our current society with an ample food supply.

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References

  1. Pasquet P, Brigant L, Froment A, Koppert GA, Bard D, De Garine I et al. Massive overfeeding and energy balance in man: the Guru Walla model. Am J Clin Nutr 1992; 56: 483–490.

    Article  CAS  Google Scholar 

  2. Westerterp KR . Limits to sustainable metabolic rate. J Exp Biol 2001; 204: 3183–3187.

    CAS  Google Scholar 

  3. Van Es AJH, Vogt JE, Niessen C, Veth J, Rodenburg L, Teeuwse V et al. Human energy metabolism below, near and above energy equilibrium. Br J Nutr 1984; 52: 429–444.

    Article  CAS  Google Scholar 

  4. Webb P, Annis JF . Adaptation to overeating in lean and overweight men and women. Hum Nutr Clin Nutr 1983; 37C: 117–131.

    Google Scholar 

  5. Kallus SJ, Brandt LJ . The intestinal microbiota and obesity. J Clin Gastroenterol 2012; 46: 16–24.

    Article  Google Scholar 

  6. Krajmalnik-Brown R, Ilhan ZE, Kang DW, DiBaise JK . Effects of gut microbes on nutrient absorption and energy regulation. Nutr Clin Pract 2012; 27: 201–214.

    Article  Google Scholar 

  7. Tappy L . Thermic effect of food and sympathetic nervous system activity in humans. Reprod Nutr Rev 1996; 36: 391–397.

    CAS  Google Scholar 

  8. Westerterp KR . Diet induced energy expenditure. Nutr Metab 2004; 1: 5.

    Article  Google Scholar 

  9. Thomas DM, Ciesla A, Levine JA, Stevens JG, Martin CK . A mathematical model of weight change with adaptation. Math Biosci Eng 2009; 6: 873–887.

    Article  Google Scholar 

  10. Hall KD . Modeling metabolic adaptations and energy regulation in humans. Annu Rev Nutr 2012; 32: 35–54.

    Article  CAS  Google Scholar 

  11. Flatt JP . The biochemistry of energy expenditure. In: Bray GA, (ed). Recent Advances in Obesity Research 2. Newman: London, UK, 1978 pp 211–228.

    Google Scholar 

  12. Westerterp KR, Donkers JHHLM, Fredrix EWHM, Boekhoudt P . Energy intake, physical activity and body weight: a simulation model. Br J Nutr 1995; 73: 337–347.

    Article  CAS  Google Scholar 

  13. De Jonge L, Bray GA . The thermic effect of food and obesity: a critical review. Obes Res 1997; 6: 622–631.

    Article  Google Scholar 

  14. Granata GP, Brandon LJ . The thermic effect of food and obesity: discrepant results and methodological variations. Nutr Rev 2002; 60: 223–233.

    Article  Google Scholar 

  15. Speakman JR Doubly-labelled Water: Theory and Practice. Chapman & Hall: London, UK, 1997.

    Google Scholar 

  16. Plasqui G, Westerterp KR . Physical activity assessment with accelerometers: an evaluation against doubly labelled water. Obesity 2007; 15: 2371–2379.

    Article  Google Scholar 

  17. Westerterp KR . Physical activity, food intake, and body weight regulation: insights from doubly labelled water studies. Nutr Rev 2010; 68: 148–154.

    Article  Google Scholar 

  18. Westerterp KR, Saris WHM, Soeters PB, Ten Hoor F . Determinants of weight loss after vertical banded gastroplasty. Int J Obes 1991; 15: 529–534.

    CAS  PubMed  Google Scholar 

  19. Kempen KPG, Saris WHM, Westerterp KR . Energy balance during an 8-wk energy-restricted diet with and without exercise in obese women. Am J Clin Nutr 1995; 62: 722–729.

    Article  CAS  Google Scholar 

  20. Velthuis-te Wierik EJM, Westerterp KR, Van den Berg H . Impact of a moderately energy-restricted diet on energy metabolism and body composition in non-obese men. Int J Obes 1995; 19: 318–324.

    CAS  Google Scholar 

  21. Van Gemert WG, Westerterp KR, Van Acker BAC, Wagenmakers AJM, Halliday D, Greve JM et al. Energy, substrate and protein metabolism in morbid obesity before, during and after massive weight loss. Int J Obes 2000; 24: 711–718.

    Article  CAS  Google Scholar 

  22. Weinsier RL, Hunter GR, Zuckerman PA, Redden DT, Darnell BE, Larson DE et al. Energy expenditure and free-living physical activity in black and white women: comparison before and after weight loss. Am J Clin Nutr 2000; 71: 1138–1146.

    Article  CAS  Google Scholar 

  23. Martin CK, Das SK, Lindblad L, Racette SB, McCrory MA, Weiss EP et al. Effect of calorie restriction on the free-living physical activity levels of non-obese humans: results of three randomized trials. J Appl Physiol 2011; 110: 956–963.

    Article  Google Scholar 

  24. Ekelund U, Åman J, Yngve A, Renman C, Westerterp K, Sjöström M . Physical activity but not energy expenditure is reduced in obese adolescents: a case-control study. Am J Clin Nutr 2002; 76: 935–941.

    Article  CAS  Google Scholar 

  25. Wouters-Adriaens MP, Westerterp KR . Low resting energy expenditure in Asians can be attributed to body composition. Obesity 2008; 16: 2212–2216.

    Article  Google Scholar 

  26. Major GC, Doucet E, Trayhurn P, Astrup A, Tremblay A . Clinical significance of adaptive thermogenesis. Int J Obes 2007; 31: 204–212.

    Article  CAS  Google Scholar 

  27. Rosenbaum M, Hirsch J, Gallagher DA, Leibel RL . Long-term persistence of adaptive thermogenesis in subjects who have maintained a reduced body weight. Am J Clin Nutr 2008; 88: 906–912.

    Article  CAS  Google Scholar 

  28. Schwartz A, Kuk JL, Lamothe G, Doucet E . Greater than predicted decrease in resting energy expenditure and weight loss: results from a systematic review. Obesity 2012; 20: 2307–2310.

    Article  Google Scholar 

  29. Van Gemert WG, Westerterp KR, Greve JM, Soeters PB . Reduction of sleeping metabolic rate after vertical banded gastroplasty. Int J Obes 1998; 22: 343–348.

    Article  CAS  Google Scholar 

  30. Johannsen DL, Knuth ND, Huizinga R, Rood JC, Ravussin R, Hall KD . Metabolic slowing with massive weight loss despite preservation of fat-free mass. J Clin Endocrinol Metab 2012; 97: 2489–2496.

    Article  CAS  Google Scholar 

  31. Bosy-Westphal A, Kossel E, Goele K, Later W, Hitze B, Settler U et al. Contribution of individual organ mass loss to weight loss-associated decline in resting energy expenditure. Am J Clin Nutr 2009; 90: 993–1001.

    Article  CAS  Google Scholar 

  32. Dulloo AG, Jeaquet J, Monani JP . How dieting makes some fatter: from a perspective of human body composition autoregulation. Proc Nutr Soc 2012; 71: 379–389.

    Article  Google Scholar 

  33. Bouten CV, Van Marken Lichtenbelt WD, Westerterp KR . Body mass index and daily physical activity in anorexia nervosa. Med Sci Sports Exerc 1996; 28: 967–973.

    Article  CAS  Google Scholar 

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Correspondence to K R Westerterp.

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Westerterp, K. Metabolic adaptations to over—and underfeeding—still a matter of debate?. Eur J Clin Nutr 67, 443–445 (2013). https://doi.org/10.1038/ejcn.2012.187

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