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体重循环对肥胖女性静息能量消耗和身体成分的影响。

Effects of weight cycling on the resting energy expenditure and body composition of obese women.

作者信息

Wadden T A, Foster G D, Stunkard A J, Conill A M

机构信息

University of Pennsylvania School of Medicine, Department of Psychiatry, Philadelphia 19104, USA.

出版信息

Int J Eat Disord. 1996 Jan;19(1):5-12. doi: 10.1002/(SICI)1098-108X(199601)19:1<5::AID-EAT2>3.0.CO;2-T.

Abstract

OBJECTIVE

Numerous reports have suggested that cycles of weight loss and regain (i.e., weight cycling) are associated with adverse health consequences, a concern that may lead some obese individuals to forgo weight control efforts. The present study examined whether weight cycling was associated with a reduction in resting energy expenditure (REE) and with increases in both total and upper body fat.

METHOD

REE, body composition, and body fat distribution were measured before and after weight loss, and following full weight regain, in 12 women who before treatment had a mean (+/- SEM) age of 38.8 +/- 3.4 years and weight of 98.0 +/- 3.2 kg.

RESULTS

At the end of treatment, patients lost 18.9 +/- 2.6 kg which was comprised of significant decreases in body fat and fat-free mass of 15.2 +/- 2.2 and 3.7 +/- 0.8 kg, respectively (both ps < .001). REE also fell during this time from 1,631 +/- 82 to 1,501 +/- 51 kcal/d (p < .03). All of these measures, however, returned to their baseline values when patients regained their lost weight. Body fat distribution was unchanged throughout the study.

DISCUSSION

These results do not support claims that weight cycling adversely affects REE, body composition, or body fat distribution.

摘要

目的

众多报告表明,体重减轻与恢复的循环(即体重循环)与不良健康后果相关,这一担忧可能导致一些肥胖个体放弃体重控制努力。本研究调查了体重循环是否与静息能量消耗(REE)的降低以及全身和上身脂肪的增加有关。

方法

对12名女性在体重减轻前、体重减轻后以及完全恢复体重后测量REE、身体成分和身体脂肪分布。这些女性在治疗前的平均(±标准误)年龄为38.8±3.4岁,体重为98.0±3.2千克。

结果

治疗结束时,患者体重减轻了18.9±2.6千克,其中身体脂肪和去脂体重分别显著减少了15.2±2.2千克和3.7±0.8千克(均p<.001)。在此期间,REE也从1631±82千卡/天降至1501±51千卡/天(p<.03)。然而,当患者恢复体重后,所有这些指标都恢复到了基线值。在整个研究过程中,身体脂肪分布没有变化。

讨论

这些结果不支持体重循环会对REE、身体成分或身体脂肪分布产生不利影响的说法。

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