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瘦人和超重男女对暴饮暴食的适应情况。

Adaptation to overeating in lean and overweight men and women.

作者信息

Webb P, Annis J F

出版信息

Hum Nutr Clin Nutr. 1983 Mar;37(2):117-31.

PMID:6575005
Abstract

In groups of four, men and women in their 40s and 50s, some of them lean and some overweight, overate for 30 d by 1000 kcal/d (4186 kJ/d) more than they needed to maintain weight. On an average dietary mixture for Americans they gained a mean of 2.68 kg, and on a diet high in carbohydrate (60 per cent of energy) they gained 2.73 kg. However, on a diet high in protein and fat (70 per cent of energy), they gained significantly less, 1.75 kg. On all three diets the subjects should have gained 5 kg, if adipose tissue has an energy density of 6 kcal/g, and had there been no adaptation. There was adaptation, as evidenced by an average 7 per cent increase in thermogenesis, which was measured by 24-h direct and indirect calorimetry. Energy balances were calculated from: bomb calorimeter values for food and body waste; change in fuel stores from body composition measured by densitometry; and daily expenditure estimated from the net food intake needed to maintain body weight during a 30-d control period. During overeating, energy intake matched energy losses (including fuel storage) for the average diet and the high-carbohydrate diet, but on the diet high in protein and fat energy intake exceeded losses by more than 500 kcal/d (2093 kJ/d). Thus smaller than expected weight gains from overeating (luxuskonsumption) were largely explained by increased thermogenesis, except when the diet was high in protein and fat. Lean and overweight subjects did not differ in weight gain, loss of energy in urine and faeces, or thermogenesis from overeating.

摘要

以四人一组,年龄在四五十岁的男性和女性,其中一些人偏瘦,一些人超重,他们每天多摄入1000千卡(4186千焦)热量,持续30天,摄入量超过维持体重所需。按照美国人的平均饮食结构,他们平均增重2.68千克;按照碳水化合物含量高(占能量的60%)的饮食结构,他们增重2.73千克。然而,按照蛋白质和脂肪含量高(占能量的70%)的饮食结构,他们增重明显较少,为1.75千克。如果脂肪组织的能量密度为6千卡/克,且没有适应性变化,那么在这三种饮食结构下,受试者本应增重5千克。实际上存在适应性变化,通过24小时直接和间接量热法测量发现产热平均增加了7%,这证明了适应性变化的存在。能量平衡是根据以下数据计算得出的:食物和身体排泄物的弹式量热计值;通过密度测定法测量身体成分得出的燃料储存变化;以及根据30天对照期内维持体重所需的净食物摄入量估算出的每日能量消耗。在暴饮暴食期间,对于平均饮食结构和高碳水化合物饮食结构,能量摄入与能量损失(包括燃料储存)相匹配,但在蛋白质和脂肪含量高的饮食结构下,能量摄入超过损失量每天超过500千卡(2093千焦)。因此,暴饮暴食导致的体重增加小于预期(食物特殊动力作用),这在很大程度上是由产热增加所解释的,蛋白质和脂肪含量高的饮食结构除外。偏瘦和超重的受试者在体重增加、尿液和粪便中的能量损失或暴饮暴食后的产热方面没有差异。

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