Resting energy expenditure adaptation after short-term caloric restriction in morbidly obese women

ObjectiveThe objective of this study was to describe changes in the resting energy expenditure, substrate oxidation rate, and body composition in morbidly obese women subjected to short-term caloric restriction. MethodsThis was a prospective study that included ten obese women with body mass index g...

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Detalles Bibliográficos
Autores: Toledo TRIFFONI-MELO, Andresa, Marques Miguel SUEN, Vivian, Mendes RESENDE, Cristina Maria, Bitu Moreno BRAGA, Camila, Wanda DIEZ-GARCIA, Rosa
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
Repositorio:Revista de Nutrição
Idioma:inglés
OAI Identifier:oai:ojs.periodicos.puc-campinas.edu.br:article/8245
Acceso en línea:https://periodicos.puc-campinas.edu.br/nutricao/article/view/8245
Access Level:acceso abierto
Palabra clave:Adaptation, physiological
Caloric restriction
Energy metabolism
Obesity
Weight loss
Adaptação fisiológica
Restrição calórica
Metabolismo energético
Obesidade
Perda de peso
Descripción
Sumario:ObjectiveThe objective of this study was to describe changes in the resting energy expenditure, substrate oxidation rate, and body composition in morbidly obese women subjected to short-term caloric restriction. MethodsThis was a prospective study that included ten obese women with body mass index greater than 40 kg/m2 and aged between 20-50 years. The participants were hospitalized for eight days and received a controlled conventional low-calorie diet, 1200 kcal/day, for seven days. Body weight, body mass index, abdominal circumference, body composition, resting energy expenditure, and substrate oxidation rate were evaluated at the beginning and at the end of the study. ResultsA significant reduction in body weight (p=0.005), body mass index (p=0.005), abdominal circumference (p=0.005), fat mass (p=0.005) and fat-free mass (p=0.008) was observed at the end of the study. There was an average reduction in resting energy expenditure of approximately 124 kcal/day (5%). Substrate oxidation rate did not show statistically significant changes. There was a positive correlation only between body weight reduction and fat-free mass reduction (r=0.753; p=0.012). ConclusionThere was an adaptive response of the resting energy expenditure with short-term energy restriction in morbidly obese women with a 5% reduction in resting energy expenditure and a positive correlation between weight loss and the fat-free mass, which indicates the influence of fat-free mass on the decrease in resting energy expenditure. Therefore, short-term caloric restriction in morbidly obese women led to a decrease in resting energy expenditure and fat-free mass, which suggests a rapid adaptation of energy expenditure.