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Evidence for the existence of adaptive thermogenesis during weight loss

Published online by Cambridge University Press:  09 March 2007

Eric Doucet
Affiliation:
Division of Kinesiology, Laval University, Ste-Foy, Québec G1K 7P4, Canada Department of Food Science and Nutrition, Laval University, Ste-Foy, Québec, G1K 7P4, Canada
Sylvie St-Pierre
Affiliation:
Division of Kinesiology, Laval University, Ste-Foy, Québec G1K 7P4, Canada
Natalie Alméras
Affiliation:
Department of Food Science and Nutrition, Laval University, Ste-Foy, Québec, G1K 7P4, Canada
Jean-Pierre Després
Affiliation:
Department of Food Science and Nutrition, Laval University, Ste-Foy, Québec, G1K 7P4, Canada
Claude Bouchard
Affiliation:
Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana 70808, USA
Angelo Tremblay*
Affiliation:
Division of Kinesiology, Laval University, Ste-Foy, Québec G1K 7P4, Canada
*
*Corresponding author: Dr Angelo Tremblay, fax +1 418 656 2441, email angelo.tremblay@kin.msp.ulaval.ca
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Abstract

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The present study was performed to further investigate the adaptive component of thermogenesis that appears during prolonged energy restriction. Fifteen obese men and twenty obese women underwent a 15-week weight-loss programme. During this programme, body weight and composition as well as resting energy expenditure (REE) were measured at baseline, after 2 and 8 weeks of energy restriction (-2929 kJ/d) and drug therapy (or placebo), and finally 2–4 weeks after the end of the 15-week drug therapy and energy restriction intervention, when subjects were weight stable. Regression equations were established in a control population of the same age. These equations were then used to predict REE in obese men and women at baseline, after 2 and 8 weeks, as well as after the completion of the programme. In both men and women body weight and fat mass were significantly reduced (P < 0.05 in all cases) while fat-free mass remained unchanged throughout the programme. At baseline, REE predicted from the regression equation was not significantly different from the measured REE in men, while in women the measured REE was 13 % greater than predicted. After 2 weeks of energy restriction, measured REE had fallen by 469 and 635 kJ/d more than predicted and this difference reached 963 and 614 kJ/d by week 8 of treatment in men and women respectively. Once body-weight stability was recovered at the end of the programme, changes in REE remained below predicted changes in men (-622 kJ/d). However, in women changes in predicted and measured REE were no longer different at this time, even if the women were maintaining a reduced body weight. In summary, the present results confirm the existence of adaptive thermogenesis and give objective measurements of this component during weight loss in obese men and women, while they also emphasize that in women this component seems to be essentially explained by the energy restriction.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2001

References

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