Metabolic and Behavioral Compensations in Response to Caloric Restriction Implications for the Maintenance of Weight Loss 英文参考文献.docVIP
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Metabolic and Behavioral Compensations in Response to Caloric Restriction Implications for the Maintenance of Weight Loss 英文参考文献
MetabolicandBehavioralCompensationsinResponseto
CaloricRestriction:ImplicationsfortheMaintenanceof
WeightLoss
LeanneM.Redman,LeonieK.Heilbronn¤a,CorbyK.Martin,LiliandeJonge,DonaldA.Williamson,
JamesP.Delany¤b,EricRavussin*forthePenningtonCALERIEteam
PenningtonBiomedicalResearchCenter,BatonRouge,Louisiana,UnitedStatesofAmerica
Abstract
Background: Metabolic andbehavioral adaptations to caloric restriction (CR) in free-living conditions have notyet been
objectivelymeasured.
Methodology and Principal Findings: Forty-eight (36.861.0y), overweight (BMI 27.860.7kg/m2) participants were
randomizedtofourgroupsfor6-months;Control:energyintakeat100%ofenergyrequirements;CR:25%calorierestriction;
CR+EX:12.5%CRplus12.5%increaseinenergyexpenditurebystructuredexercise;LCD:lowcaloriediet(890kcal/d)until
15%weightreductionfollowedbyweightmaintenance.Bodycomposition(DXA)andtotaldailyenergyexpenditure(TDEE)
over14-daysbydoublylabeledwater(DLW)andactivityrelatedenergyactivity(AREE)weremeasuredafter3(M3)and6
(M6)monthsofintervention.WeightchangesatM6were 21.061.1%(Control), 210.460.9%(CR),210.060.8%(CR+EX)
and213.960.8%(LCD).AtM3,absoluteTDEEwassignificantlyreducedinCR(2454676kcal/d)andLCD(2633666kcal/d)
butnotinCR+EXorcontrols.AtM6thereductioninTDEEremainedlowerthanbaselineinCRcal/d)andLCD
cal/d) but reached significance only when CR and LCD were combined (2351683kcal/d). In response to
caloric restriction (CR/LCD combined), TDEE adjusted for body composition, was significantly lower by 2431651 and
2240683kcal/datM3andM6,respectively,indicatingametabolicadaptation.Likewise,physicalactivity(TDEEadjusted
forsleepingmetabolicrate)wassignificantlyreducedfrombaselineatbothtimepoints.ForcontrolandCR+EX,adjusted
TDEE(bodycompositionorsleepingmetabolicrate)wasnotchangedateitherM3orM6.
Conclusions:Forthefirsttimeweshowthatinfree-livingconditions,CRresultsinametabolicadaptationandabehavioral
adaptationwithdecreasedphysicalactivitylevels.Thesedataalsosuggestpotentialmec
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