Department of Kinesiology, PEPS, Laval University, Quebec City, Quebec, Canada.
Int J Obes (Lond). 2013 Jun;37(6):759-64. doi: 10.1038/ijo.2012.124. Epub 2012 Jul 31.
The decrease in energy expenditure that occurs during weight loss is a process that attenuates over time the impact of a restrictive diet on energy balance up to a point beyond which no further weight loss seems to be possible. For some health professionals, such a diminished energy expenditure is the normal consequence of a progressive decrease in the motivation to exercise over the course of a weight-reducing program. Another explanation of decreased energy needs during weight loss is the decrease in body energy stores (that is, fat mass and muscle mass) and its related obligatory costs of living. Many studies have also documented the existence of adaptive thermogenesis in the context of weight loss, which represents a greater-than-predicted decrease in energy expenditure. In this paper, we pursue the analysis of this phenomenon by demonstrating that an adaptive decrease in thermogenesis can have a major role in the occurrence of resistance to further lose fat in weight-reduced obese individuals. Evidence is also presented to support the idea of greater hunger sensations in individuals displaying more pronounced thermogenic changes. Finally, as the decrease in thermogenesis persists over time, it is also likely associated with a greater predisposition to body-weight regain after weight loss. Globally, these observations suggest that the adaptive reduction in thermogenesis that accompanies a prolonged negative energy balance is a major determinant of the ability to spontaneously lose body fat.
减肥过程中能量消耗的减少是一个随着时间的推移,逐渐减弱限制性饮食对能量平衡影响的过程,直到达到一个似乎不可能再进一步减轻体重的点。对于一些健康专业人士来说,这种能量消耗的减少是由于在减肥计划过程中,锻炼的动机逐渐下降,导致的正常后果。另一种解释是,减肥过程中能量需求的减少是由于身体能量储存(即脂肪量和肌肉量)的减少及其相关的生存必需成本。许多研究还记录了减肥过程中适应性生热的存在,这代表了能量消耗的预测值以上的下降。在本文中,我们通过证明适应性生热的减少可能在肥胖个体减肥过程中对抵抗进一步减脂的发生中起主要作用,来进一步分析这种现象。也有证据表明,在表现出更明显生热变化的个体中,饥饿感更强烈。最后,随着生热作用的持续下降,它也可能与减肥后体重重新增加的更大倾向相关。总的来说,这些观察结果表明,伴随长期负能平衡的适应性生热减少是自发减脂能力的主要决定因素。