Obesity

Examining the roles of body composition, energy expenditure and substrate metabolism in the control of daily energy intake in adolescents with obesity

Int J Obes (Lond)Published Mechanistic study

Authors' conclusion

The present study provides the first evidence regarding the role of RMR as a main tonic signal of appetite control mediating the effect of body composition and mainly FFM (over FM) on daily EI in adolescents with obesity. It also suggests for the first-time relationships between 24-h CHO and protein oxidation and daily EI in this population.

Study context

Population
Adolescents with severe obesity (14.1 ± 1.5 years; 14 girls); mean body weight 92.2 ± 17.2 kg, BMI 33.98 ± 4.14 kg.m-2
Participants
26 adolescents
Outcome
Ad libitum 24-h energy intake and its relation to body composition, EE and substrate metabolism
Methodological detailsmetabolic chamber 36-h stay, path analysis
  • Metabolic chamber 36-h stay
  • Path analysis

Main finding

As reported in the abstract

24-h energy intake (EI) vs body weight
rho = 0.597, p = 0.014
24-h EI vs Fat Free Mass (FFM) (kg)
rho = 0.576, p = 0.019
24-h EI vs 24-h total energy expenditure (EE)
rho =0.675, p < 0.001
24-h EI vs Resting Metabolic Rate (RMR)
rho =0.632, p = 0.005
24-h EI vs 24-h CHO oxidation rates
rho = 0.716, p < 0.001
24-h EI vs urinary nitrogen excretion
rho =0.28, p < 0.001
Direct effect of FFM (kg) on RMR
0.87 (p < 0.001)
Direct effect of Fat Mass (FM) (kg) on RMR
0.027 (p = 0.74)
Effect of FFM on 24-h EI mediated by RMR
96%
Effect of FM on 24-h EI mediated by RMR
67%

Original publication

Examining the roles of body composition, energy expenditure and substrate metabolism in the control of daily energy intake in adolescents with obesity. Int J Obes (Lond). Published 13 March 2025. doi:10.1038/s41366-025-01740-6

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