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运用直接和间接量热法改变人体24小时能量摄入量的代谢效应。

Metabolic effects of altering the 24 h energy intake in man, using direct and indirect calorimetry.

作者信息

Dauncey M J

出版信息

Br J Nutr. 1980 Mar;43(2):257-69. doi: 10.1079/bjn19800089.

Abstract
  1. The metabolic effects of increasing or decreasing the usual energy intake for only 1 d were assessed in eight adult volunteers. Each subject lived for 28 h in a whole-body calorimeter at 26 degrees on three separate occasions of high, medium or low energy intake. Intakes (mean +/- SEM) of 13830 +/- 475 (high), 8400 +/- 510 (medium) and 3700 +/- 359 (low) kj/24 h were eaten in three meals of identical nutrient composition. 2. Energy expenditure was measured continuously by two methods: direct calorimetry, as total heat loss partitioned into its evaporative and sensible components: and indirect calorimetry, as heat production calculated from oxygen consumption and carbon dioxide production. For the twenty-four sessions there was a mean difference of only 1.2 +/- 0.14 (SEM) % between the two estimates of 24 h energy expenditure, with heat loss being less than heat production. Since experimental error was involved in both estimates it would be wrong to ascribe greater accuracy to either one of the measures of energy expenditure. 3. Despite the wide variation in the metabolic responses of the subjects to over-eating and under-eating, in comparison with the medium intake the 24 h heat production increased significantly by 10% on the high intake and decreased by 6% on the low intake. Mean (+/- SEM) values for 24 h heat production were 8770 +/- 288, 7896 +/- 297 and 7495 +/- 253 kJ on the high, medium and low intakes respectively. The effects of over-eating were greatest at night and the resting metabolic rate remained elevated by 12% 14 h after the last meal. By contrast, during under-eating the metabolic rate at night decreased by only 1%. 4. Evaporative heat loss accounted for an average of 25% of the total heat loss at each level of intake. Changes in evaporative heat loss were +14% on the high intake and -10% on the low intake. Sensible heat loss altered by +9 and -5% on the high and low intakes respectively. 5. It is concluded that (a) the effects on 24 h energy expenditure of over-feeding for only 1 d do not differ markedly from those estimated by some other workers after several weeks of increasing the energy intake: (b) the resting metabolic rate, measured at least 14 h after the last meal, can be affected by the previous day's energy intake; (c) the zone of ambient temperature within which metabolism is minimal is probably altered by the level of energy intake.
摘要
  1. 在8名成年志愿者中评估了仅1天增加或减少通常能量摄入量的代谢效应。每位受试者在全身热量计中于26摄氏度下分别在高、中、低能量摄入的三种不同情况下生活28小时。三餐摄入相同营养成分,摄入量(均值±标准误)分别为13830±475(高)、8400±510(中)和3700±359(低)千焦/24小时。

  2. 通过两种方法连续测量能量消耗:直接量热法,即总热损失分为蒸发和显热成分;间接量热法,即根据耗氧量和二氧化碳产量计算产热。在这24次实验中,两种24小时能量消耗估计值之间的平均差异仅为1.2±0.14(标准误)%,热损失小于产热。由于两种估计都存在实验误差,因此认为任何一种能量消耗测量方法具有更高的准确性都是错误的。

  3. 尽管受试者对暴饮暴食和节食的代谢反应差异很大,但与中等摄入量相比,高摄入量时24小时产热显著增加10%,低摄入量时减少6%。高、中、低摄入量时24小时产热的均值(±标准误)分别为8770±288、7896±297和7495±253千焦。暴饮暴食的影响在夜间最大,最后一餐14小时后静息代谢率仍升高12%。相比之下,节食期间夜间代谢率仅下降1%。

  4. 在每个摄入水平下,蒸发热损失平均占总热损失的25%。高摄入量时蒸发热损失变化为+14%,低摄入量时为-10%。高、低摄入量时显热损失分别变化+9%和-5%。

  5. 得出以下结论:(a)仅1天过量喂养对24小时能量消耗的影响与其他一些研究者在增加能量摄入几周后估计的影响没有显著差异;(b)最后一餐至少14小时后测量的静息代谢率可能受前一天能量摄入量的影响;(c)能量摄入水平可能改变代谢最低的环境温度范围。

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