Obesity

Adaptive thermogenesis, at the level of resting energy expenditure, after diet alone or diet plus bariatric surgery

Obesity (Silver Spring)Published Prospective intervention study

Authors' conclusion

Weight-loss modality does not seem to modulate the magnitude of AT, at the level of REE. The greater the AT, at the level of REE, the greater the drive to eat following weight loss.

Study context

Population
Participants with severe obesity
Participants
44 participants
Exposure
Very low-energy diet alone vs combined with RYGB vs SG
Outcome
Adaptive thermogenesis (AT) at the level of REE: significantly lower measured vs predicted REE (regression model with baseline data)
Follow-up
Week 11

Main finding

As reported in the abstract

AT at the level of REE (measured minus predicted REE)

Adaptive thermogenesis (AT) at the level of resting energy expenditure (REE), all participants

−121 ± 188 kcal/day

p < 0.001

Observational data: associations, not effects.

Further findings

Body weight loss · week 11

Weight lost, all participants
18.4 ± 3.9 kg

Association of AT with appetite

Larger AT associated with greater reduction in fasting ghrelin and smaller reduction in postprandial hunger and desire to eat

Original publication

Adaptive thermogenesis, at the level of resting energy expenditure, after diet alone or diet plus bariatric surgery. Obesity (Silver Spring). Published 25 April 2024. doi:10.1002/oby.24031

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