Arencibia-Albite Francisco
Universidad del Sagrado Corazón, Natural Sciences Department, Puerto Rico.
Heliyon. 2020 Jul 10;6(7):e04204. doi: 10.1016/j.heliyon.2020.e04204. eCollection 2020 Jul.
Energy metabolism theory affirms that body weight stability is achieved as over time the average energy intake equals the average energy expenditure, a state known as energy balance. Here it is demonstrated, however, that weight stability coexists with a persistent energy imbalance. Such unexpected result emerges as a consequence of the answers to three fundamental problems: 1. Is it possible to model body weight fluctuations without the energy balance theory? And if so, what are the benefits over the energy balance strategy? 2. During energy balance, how the oxidized macronutrient distribution that underlies the average energy expenditure is related to the macronutrient distribution of the average energy intake? 3. Is energy balance possible under a low-fat diet that simultaneously satisfies the following conditions? (a) The fat fraction of the absorbed energy intake is always less than the oxidized fat fraction of the energy expenditure. (b) The carbohydrate fraction of the absorbed energy intake is always greater or equal to the oxidized carbohydrate fraction of the energy expenditure. The first of these issues is addressed with the axiomatic method while the rest are managed through analythical arguments. On the whole, this analysis identifies inconsistencies in the principle of energy balance. The axiomatic approach results also in a simple mass balance model that fits experimental data and explains body composition alterations. This model gives rise to a convincing argument that appears to elucidate the advantage of low-carbohydrate diets over isocaloric low-fat diets. It is concluded, according to the aforementioned model, that weight fluctuations are ultimately dependent on the difference between daily food mass intake and daily mass loss (e.g., excretion of macronutrient oxidation products) and not on energy imbalance. In effect, it is shown that assuming otherwise may caused unintended weight gain.
能量代谢理论认为,随着时间推移,当平均能量摄入等于平均能量支出时,体重就会保持稳定,这种状态称为能量平衡。然而,本文证明,体重稳定与持续的能量失衡并存。这一意外结果源于对三个基本问题的解答:1. 能否在不采用能量平衡理论的情况下对体重波动进行建模?如果可以,相对于能量平衡策略有哪些优势?2. 在能量平衡状态下,构成平均能量支出基础的氧化宏量营养素分布与平均能量摄入的宏量营养素分布有何关系?3. 在同时满足以下条件的低脂饮食下,能量平衡是否可能?(a) 吸收的能量摄入中的脂肪比例始终小于能量支出中的氧化脂肪比例。(b) 吸收的能量摄入中的碳水化合物比例始终大于或等于能量支出中的氧化碳水化合物比例。其中第一个问题采用公理法解决,其余问题则通过分析论证处理。总体而言,该分析揭示了能量平衡原理中的不一致之处。公理法还得出了一个简单的质量平衡模型,该模型与实验数据相符,并能解释身体成分的变化。这个模型引发了一个有说服力的论点,似乎阐明了低碳水化合物饮食相对于等热量低脂饮食的优势。根据上述模型得出结论,体重波动最终取决于每日食物质量摄入量与每日质量损失(如宏量营养素氧化产物的排泄)之间的差异,而不是能量失衡。实际上,研究表明,否则可能会导致意外的体重增加。