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Tissue losses and metabolic adaptations both contribute to the reduction in resting metabolic rate following weight loss

Martin, Alexandra, Fox, Darius, Murphy, Chaise A., Hofmann, Hande, Koehler, Karsten·2022·International Journal of Obesity

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Abstract

Objective: To characterize the contributions of the loss of energy-expending tissues and metabolic adaptations to the reduction in resting metabolic rate (RMR) following weight loss. Methods: A secondary analysis was conducted on data from the Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy study. Changes in RMR, body composition, and metabolic hormones were examined over 12 months of calorie restriction in 109 individuals. The contribution of tissue losses to the decline in RMR was determined by weighing changes in the size of energy-expending tissues and organs (skeletal muscle, adipose tissue, bone, brain, inner organs, residual mass) assessed by dual-energy X-ray absorptiometry with their tissue-specific metabolic rates. Metabolic adaptations were quantified as the remaining reduction in RMR. Results: RMR was reduced by 101 ± 12 kcal/d as participants lost 7.3 ± 0.2 kg (both p < 0.001). On average, 60% of the total reduction in RMR were explained by energy-expending tissues losses, while 40% were attributed to metabolic adaptations. The loss of skeletal muscle mass (1.0 ± 0.7 kg) was not significantly related to RMR changes ( r = 0.14, p = 0.16), whereas adipose tissue losses (7.2 ± 3.0 kg) were positively associated with the reduction in RMR ( r = 0.42, p < 0.001) and metabolic adaptations ( r = 0.31, p < 0.001). Metabolic adaptations were correlated with declines in leptin ( r = 0.27, p < 0.01), triiodothyronine ( r = 0.19, p < 0.05), and insulin ( r = 0.25, p < 0.05). Conclusions: During weight loss, tissue loss and metabolic adaptations both contribute to the reduction in RMR, albeit variably. Contrary to popularly belief, it is not skeletal muscle, but rather adipose tissue losses that seem to drive RMR reductions following weight loss. Future research should target personalized strategies addressing the predominant cause of RMR reduction for weight maintenance.

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  • Martin et al. secondary analysis of CALERIE: over 12 months of caloric restriction (25% deficit) in 109 subjects, ~11% weight loss (8 kg) reduced RMR by ~100 kcal (~7%); only 60% of the reduction in RMR (60 kcal/day) could be explained by losses of metabolically active tissues (lean mass and fat mass), while the remaining 40% (40 kcal/day) was due to metabolic adaptations correlated with

    “Martin et al. [187] conducted a secondary analysis of the CALERIE study [188]. Body composition and metabolic changes were examined over 12 months of caloric restriction (25% deficit) in 109 subjects. As a result of ~11% weight loss (8 kg), the RMR was reduced by ~100 kcal (~7%) in healthy normal weight and overweight subjects. The intriguing finding was that only 60% of the reduction in RMR (60”

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Metadata

Authors
Martin, A., Fox, D., Murphy, C. A., Hofmann, H., & Koehler, K.
Venue
International Journal of Obesity
Published
2022-02-18
Volume
46
Issue
6
Pages
1168-1175
ISSN
  • 0307-0565
  • 1476-5497
Cited by
43
References
14
Language
en

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