Contribution of individual organ mass loss to weight loss-associated decline in resting energy expenditure
Open accessAbstract
Background Weight loss leads to reduced resting energy expenditure (REE) independent of fat-free mass (FFM) and fat mass (FM) loss, but the effect of changes in FFM composition is unclear.Objective We hypothesized that a decrease in REE adjusted for FFM with weight loss would be partly explained by a disproportionate loss in the high metabolic activity component of FFM.Design Forty-five overweight and obese women [body mass index (in kg/m(2)): 28.7-46.8] aged 22-46 y followed a low-calorie diet for 12.7 +/- 2.2 wk. Body composition was measured by magnetic resonance imaging, dual-energy X-ray absorptiometry, and a 4-compartment model. REE measured by indirect calorimetry (REEm) was compared with REE calculated from detailed body-composition analysis (REEc) by using specific organ metabolic rates (ie, organ REE/mass).Results Weight loss was 9.5 +/- 3.4 kg (8.0 +/- 2.9 kg FM and 1.5 +/- 3.1 kg FFM). Decreases in REE (-8%), free triiodothyronine concentrations (-8%), muscle (-3%), heart (-5%), liver (-4%), and kidney mass (-6%) were observed (all P < 0.05). Relative loss in organ mass was significantly higher (P < 0.01) than was the change in low metabolically active FFM components (muscle, bone, and residual mass). After weight loss, REEm - REEc decreased from 0.24 +/- 0.58 to 0.01 +/- 0.44 MJ/d (P = 0.01) and correlated with the decrease in free triiodothyronine concentrations (r = 0.33, P < 0.05). Women with high adaptive thermogenesis (defined as REEm - REEc < -0.17 MJ/d) had less weight loss and conserved FFM, liver, and kidney mass.Conclusions After weight loss, almost 50% of the decrease in REEm was explained by losses in FFM and FM. The variability in REEm explained by body composition increased to 60% by also considering the weight of individual organs.
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In that study, of the 1.5-kg FFM loss, 0.9 kg (60%) originated from skeletal muscle, 0.1 kg (7%) from kidney, heart, and liver, and 0.5 kg (33%) from the fat-free component of adipose tissue, gastrointestinal tract, skin, or other unmeasured components.
“it was estimated that 0.9 kg (60% of FFM loss) originated from skeletal muscle, while 0.1 kg (7% of FFM loss) came from the kidney, heart, and liver; and 0.5 kg (33% of FFM loss) was due to the fat-free component of adipose tissue, the gastrointestinal tract, skin, or other unmeasured components.”
From Fundamental Body Composition Principles Provide Context for Fat-Free and Skeletal Muscle Loss With GLP-1 RA Treatments (2024) · cites this paper as [29]
The Body composition passage reports a 1.5-kg FFM loss, including 923 g of skeletal muscle and 113 g from the liver, heart, and kidneys, supporting the rounded amounts and percentages. It describes the remaining 0.5 kg as likely due to several components, including bone, and to measurement error; the citing sentence omits bone and measurement error and presents that allocation more definitively. (LLM, conf=0.85)
Experimental — accuracy not yet measuredIn that study, of the 0.9 kg total skeletal muscle loss, 0.7 kg (46% of FFM loss) was due to reductions of water while only 0.15 kg (10% of FFM loss) was due to actual protein loss.
“of the 0.9 kg of total skeletal muscle loss, 0.7 kg (46% of FFM loss) was due to reductions of water while only 0.15 kg (10% of FFM loss) was due to actual protein loss.”
From Fundamental Body Composition Principles Provide Context for Fat-Free and Skeletal Muscle Loss With GLP-1 RA Treatments (2024) · cites this paper as [29]
The Body composition section reports a mean loss of 923 g of skeletal muscle and 1.5 kg of fat-free mass, supporting the approximate 0.9 kg muscle-loss figure. It does not attribute 0.7 kg of that loss to water or 0.15 kg to protein, or report the claimed 46% and 10% breakdown. (LLM, conf=0.88)
Experimental — accuracy not yet measuredDiet-induced weight loss reduces muscle mass without adversely affecting muscle strength.
“diet-induced weight loss reduces muscle mass without adversely affecting muscle strength”
From Preserving Healthy Muscle during Weight Loss (2017) · cites this paper as [47]
The Body composition section reports a mean loss of 923 g of skeletal muscle mass after the low-calorie weight-loss intervention. The paper does not report a muscle-strength outcome, so it does not support the claim that strength was unaffected. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe reductions in muscle mass in young and old men and women with obesity after diet-induced weight loss of 8-10% were about 2-10%.
“The reductions in muscle mass in young and old men and women with obesity after diet-induced weight-loss of 8-10% were ;2-10% (47, 52-56, 59, 62-66).”
From Preserving Healthy Muscle during Weight Loss (2017) · cites this paper as [47]
The Body composition section reports a 3.2% mean reduction in skeletal muscle mass after diet-induced weight loss, within the claimed 2–10% range. But the Study protocol limits the participants to women aged 22–41, predominantly with obesity; the paper does not establish that range for men or older adults. (LLM, conf=0.90)
Experimental — accuracy not yet measuredBosy-Westphal et al found that in a group of women with overweight and obesity, a 9.5-kg loss of body mass resulted in a 1.5-kg loss of FFM during a low-energy diet.
“Bosy-Westphal et al [29] found that in a group of women with overweight and obesity, a 9.5-kg loss of body mass resulted in a 1.5-kg loss of FFM during a low-energy diet.”
From Fundamental Body Composition Principles Provide Context for Fat-Free and Skeletal Muscle Loss With GLP-1 RA Treatments (2024) · cites this paper as [29]
In a weight loss trial (low-calorie diet) following women with overweight and obesity, changes in total tissue mass during weight loss accounted for 60% of the reduction in basal metabolic rate, while the remaining 40% was due to increased energy efficiency.
“In a weight loss trial (low-calorie diet) following women with overweight and obesity, changes in total tissue mass during weight loss accounted for 60% of the reduction in basal metabolic rate, while the remaining 40% was”
From Changes in lean body mass with <scp>glucagon‐like peptide</scp> ‐1‐based therapies and mitigation strategies (2024) · cites this paper as [6]
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Yu, F., Fan, Y., Sun, H., Li, T., Dong, Y., & Pan, S. (2022) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2022.109881 · Cited by 28 · see citing works
Use of balance methods for assessment of short-term changes in body composition
Müller, M. J., Bosy‐Westphal, A., Lagerpusch, M., & Heymsfield, S. B. (2012) · Obesity · doi:10.1038/oby.2011.269 · Cited by 27 · see citing works
Self-citationScheen, A. J. (2025) · Diabetes & Metabolism · doi:10.1016/j.diabet.2025.101681 · Cited by 30 · see citing works
Energy allocation between brain and body during ontogenetic development
Kubera, B., Bosy‐Westphal, A., Peters, A., Braun, W., Langemann, D., Neugebohren, S., Heller, M., & Müller, M. J. (2013) · American Journal of Human Biology · doi:10.1002/ajhb.22439 · Cited by 14 · see citing works
Self-citation
- Authors
- Bosy-Westphal, A., Kossel, E., Goele, K., Later, W., Hitze, B., Settler, U., Heller, M., Glüer, C.-C., Heymsfield, S. B., & Müller, M. J.
- Affiliations
- Merck & Co., Inc., Rahway, NJ, USA (United States) (US)
- Corresponding author
- Müller, Manfred J
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 90
- Issue
- 4
- Pages
- 993-1001
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2079437279
- Cited by
- 209
- References
- 59
- Citations by year
- 2026: 25 · 2025: 16 · 2024: 18 · 2023: 8 · 2022: 13 · 2021: 18 · 2020: 8 · 2019: 10 · 2018: 8 · 2017: 11 · 2016: 14 · 2015: 11 · 2014: 9 · 2013: 11 · 2012: 12
- FWCI
- 6.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Deutsche Forschungsgemeinschaft
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- resting energy expenditure, weight loss, fat-free mass, fat mass, adaptive thermogenesis, hypocaloric diet, obesity, free triiodothyronine, muscle mass, liver mass, renal mass, cardiac mass, body composition
- MeSH terms
- Adipose Tissue, Adult, Body Fluid Compartments, Diet, Reducing, Energy Metabolism, Female, Humans, Middle Aged, Obesity, Organ Size, Rest, Triiodothyronine, Weight Loss, Thermogenesis, Overweight, Young Adult
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