King Neil A, Caudwell Phillipa, Hopkins Mark, Byrne Nuala M, Colley Rachel, Hills Andrew P, Stubbs James R, Blundell John E
Human Movement Studies, Queensland University of Technology, Brisbane, Queensland 4059, Australia.
Obesity (Silver Spring). 2007 Jun;15(6):1373-83. doi: 10.1038/oby.2007.164.
An activity-induced increase in energy expenditure theoretically disturbs energy balance (EB) by creating an acute energy deficit. Compensatory responses could influence the weight loss associated with the energy deficit. Individual variability in compensation for perturbations in EB could partly explain why some individuals fail to lose weight with exercise. It is accepted that the regulatory system will readily defend impositions that promote a negative EB. Therefore, a criticism of exercise interventions is that they will be ineffective and futile methods of weight control because the acute energy deficit is counteracted. Compensation for exercise-induced energy deficits can be categorized into behavioral or metabolic responses and automatic or volitional. An automatic compensatory response is a biological inevitability and considered to be obligatory. An automatic compensatory response is typically a metabolic consequence (e.g., reduced resting metabolic rate) of a negative EB. In contrast, a volitional compensatory response tends to be deliberate and behavioral, which the individual intentionally performs (e.g., increased snack intake). The purpose of this review is to highlight the various metabolic and behavioral compensatory responses that could reduce the effectiveness of exercise and explain why some individuals experience a lower than expected weight loss. We propose that the extent and degree of compensation will vary between individuals. That is, some individuals will be predisposed to compensatory responses that render them resistant to the weight loss benefits theoretically associated with an exercise-induced increase in energy expenditure. Therefore, given the inter-individual variability in behavioral and metabolic compensatory responses, exercise prescriptions might be more effective if tailored to suit individuals.
理论上,由活动引起的能量消耗增加会通过造成急性能量亏空来扰乱能量平衡(EB)。代偿反应可能会影响与能量亏空相关的体重减轻。个体在补偿能量平衡扰动方面的差异可能部分解释了为什么有些人通过运动未能减重。人们普遍认为,调节系统会轻易抵御促进负能量平衡的因素。因此,对运动干预的一种批评是,它们将是无效且徒劳的体重控制方法,因为急性能量亏空会被抵消。对运动引起的能量亏空的补偿可分为行为或代谢反应以及自动或意志性反应。自动代偿反应是一种生物学必然性,被认为是强制性的。自动代偿反应通常是负能量平衡的代谢结果(例如,静息代谢率降低)。相比之下,意志性代偿反应往往是刻意的和行为性的,是个体有意做出的(例如,增加零食摄入量)。本综述的目的是强调各种可能降低运动效果的代谢和行为代偿反应,并解释为什么有些人经历的体重减轻低于预期。我们认为,补偿的程度和范围在个体之间会有所不同。也就是说,有些人会倾向于出现代偿反应,使他们对理论上与运动引起能量消耗增加相关的体重减轻益处产生抗性。因此,考虑到行为和代谢代偿反应的个体差异,如果运动处方能够量身定制以适合个体,可能会更有效。