Obesity

Acute simulated weight gain might not increase the energy cost of walking in adolescents with obesity

Pediatr ObesPublished Randomised crossover study

Authors' conclusion

While EE and Cw have been shown to decrease in response to weight loss, potentially as a way to save stored energy and limit further weight loss, inverse adaptations do not seem to occur with increased acute simulated weight gain in weight stable adolescents with obesity.

Study context

Population
Adolescents with obesity (14.2 ± 1.4 years, BMI 33.86 ± 2.55 kg.m-2)
Participants
18 adolescents
Comparison
Simulated weight gain of 5% and 10% vs own body weight
Primary endpoint
Energy cost of walking (Cw) at different walking speeds (0.75, 1, 1.25, 1.5 m.s-1)
Methodological detailsthree randomized body weight conditions, graded walking exercise
  • Three randomized body weight conditions
  • Graded walking exercise

Primary result

As reported in the abstract

Cw
Gross cost of walking (Cw) showed overall speed effect
p < 0.001
Net Cw (absolute, relative to BW and FFM) showed a significant speed effect but no BW-conditions nor interaction effect
<0.001

Further findings

EE differed between BW-conditions, lower on BW + 5% than BW + 10% (absolute, relative to BW, relative to FFM)
P = 0.017, 0.006 and 0.007, respectively

Original publication

Acute simulated weight gain might not increase the energy cost of walking in adolescents with obesity. Pediatr Obes. Published 30 December 2024. doi:10.1111/ijpo.13197

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