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成功维持体重减轻者的体力活动能量消耗和总日常能量消耗。

Physical Activity Energy Expenditure and Total Daily Energy Expenditure in Successful Weight Loss Maintainers.

机构信息

Department of Medicine, Anschutz Health and Wellness Center, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.

Department of Medicine, Division of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.

出版信息

Obesity (Silver Spring). 2019 Mar;27(3):496-504. doi: 10.1002/oby.22373.

DOI:10.1002/oby.22373
PMID:30801984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6392078/
Abstract

OBJECTIVE

The objective of this study was to compare physical activity energy expenditure (PAEE) and total daily energy expenditure (TDEE) in successful weight loss maintainers (WLM) with normal weight controls (NC) and controls with overweight/obesity (OC).

METHODS

Participants were recruited in three groups: WLM (n = 25, BMI 24.1 ± 2.3 kg/m ; maintaining ≥ 13.6-kg weight loss for ≥ 1 year), NC (n = 27, BMI 23.0 ± 2.0 kg/m ; similar to current BMI of WLM), and OC (n = 28, BMI 34.3 ± 4.8 kg/m ; similar to pre-weight loss BMI of WLM). TDEE was measured using the doubly labeled water method. Resting energy expenditure (REE) was measured using indirect calorimetry. PAEE was calculated as (TDEE - [0.1 × TDEE] - REE).

RESULTS

PAEE in WLM (812 ± 268 kcal/d, mean ± SD) was significantly higher compared with that in both NC (621 ± 285 kcal/d, P < 0.01) and OC (637 ± 271 kcal/d, P = 0.02). As a result, TDEE in WLM (2,495 ± 366 kcal/d) was higher compared with that in NC (2,195 ± 521 kcal/d, P = 0.01) but was not significantly different from that in OC (2,573 ± 391 kcal/d).

CONCLUSIONS

The high levels of PAEE and TDEE observed in individuals maintaining a substantial weight loss (-26.2 ± 9.8 kg maintained for 9.0 ± 10.2 years) suggest that this group relies on high levels of energy expended in physical activity to remain in energy balance (and avoid weight regain) at a reduced body weight.

摘要

目的

本研究旨在比较成功维持体重减轻的（WLM）患者与正常体重对照（NC）和超重/肥胖对照（OC）的体力活动能量消耗（PAEE）和总每日能量消耗（TDEE）。

方法

参与者被分为三组：WLM（n=25，BMI 24.1±2.3kg/m²；体重减轻≥13.6kg，维持时间≥1 年）、NC（n=27，BMI 23.0±2.0kg/m²；与 WLM 当前 BMI 相似）和 OC（n=28，BMI 34.3±4.8kg/m²；与 WLM 减肥前 BMI 相似）。TDEE 通过双标记水法测量。REE 通过间接测热法测量。PAEE 计算为（TDEE-（0.1×TDEE）-REE）。

结果

WLM 的 PAEE（812±268kcal/d，均值±标准差）明显高于 NC（621±285kcal/d，P<0.01）和 OC（637±271kcal/d，P=0.02）。因此，WLM 的 TDEE（2495±366kcal/d）高于 NC（2195±521kcal/d，P=0.01），但与 OC 无显著差异（2573±391kcal/d）。

结论

在维持大量体重减轻（-26.2±9.8kg，维持时间 9.0±10.2 年）的个体中观察到的高水平 PAEE 和 TDEE 表明，该组依靠高水平的体力活动能量消耗来保持能量平衡（并避免体重反弹）在减轻体重的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42c/6392078/bf5e7167176c/nihms-1511418-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42c/6392078/0bc4fca9c260/nihms-1511418-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42c/6392078/f1a9c1de465e/nihms-1511418-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42c/6392078/bf5e7167176c/nihms-1511418-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42c/6392078/0bc4fca9c260/nihms-1511418-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42c/6392078/f1a9c1de465e/nihms-1511418-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42c/6392078/bf5e7167176c/nihms-1511418-f0003.jpg

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