Association of protein-energy partitioning with body weight and body composition changes in adolescents with severe obesity View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-08-31

AUTHORS

Laurie Isacco, Stefano Lazzer, Bruno Pereira, Nicole Fearnbach, Christophe Montaurier, Michel Vermorel, Fabrice Rannou, Yves Boirie, David Thivel

ABSTRACT

Background/ObjectivesBody composition and protein-energy partitioning changes are important factors of body weight regulation, but have not been studied in the context of clinical obesity treatment setting. Thus, the aim of the present study was to investigate the pattern of body weight loss, body composition, and energy partitioning changes during a 9-month multidisciplinary weight loss program and 4-month follow up and to test the associations among these changes in adolescents with severe obesity.Subjects/MethodsTwenty-five adolescents (14.1 ± 1.5 years old; 13 girls) with severe obesity joined a pediatric obesity center for a 9-month inpatient multidisciplinary weight loss program. All participants performed body composition assessment (i.e. fat mass-FM, and fat-free mass-FFM) and completed a 36-h session in indirect calorimetric chamber before the start (T0), at the end of the intervention (T1) and 4 months follow-up to the intervention (T2). The protein-energy partitioning (P ratio) was calculated as urinary nitrogen loss/total energy expenditure over 24 hours.Interventions9-month individualized multidisciplinary weight loss program consisting of lifestyle education, psychological support, physical activity, and dietary intervention.ResultsInitial P ratio was positively associated with changes in body weight from T0 to T1 (p = 0.038). The changes in FFM/FM were negatively associated with body weight changes in boys (p = 0.006) from T0 to T1 and in girls (p < 0.001) from T1 to T2. Urinary nitrogen excretion (p < 0.001) and total energy expenditure (p < 0.001) significantly decreased during the weight loss program while the P ratio did not significantly change.ConclusionThe present results suggest that baseline and changes in energy partitioning may be associated with changes in body weight in adolescents with severe obesity. In addition, sexual dimorphism in these patterns of change suggest the need for specific dietary and physical activity strategies in boys and girls to optimize body weight loss and to prevent or slow weight regain. More... »

PAGES

2021-2028

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41366-022-01218-9

DOI

http://dx.doi.org/10.1038/s41366-022-01218-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1150629445

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/36045150


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69 energy partitioning
70 excretion
71 expenditure
72 factors
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75 hours
76 important factor
77 intervention
78 lifestyle education
79 loss
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81 months
82 multidisciplinary weight loss program
83 need
84 nitrogen excretion
85 obesity
86 obesity center
87 participants
88 partitioning
89 patterns
90 patterns of change
91 physical activity
92 physical activity strategies
93 present results
94 present study
95 program
96 psychological support
97 ratio
98 regain
99 regulation
100 results
101 sessions
102 setting
103 severe obesity
104 sexual dimorphism
105 start
106 strategies
107 study
108 support
109 total energy expenditure
110 treatment settings
111 urinary nitrogen excretion
112 weight
113 weight change
114 weight loss
115 weight loss program
116 weight regain
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