Cited by 209Body Composition Measurement TechniquesNutrition and Health in AgingRegulation of Appetite and Obesity

Contribution of individual organ mass loss to weight loss-associated decline in resting energy expenditure

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Bosy-Westphal, Anja, Kossel, Elke, Goele, Kristin, Later, Wiebke, Hitze, Britta, Settler, Uta, Heller, Martin, Glüer, Claus-Christian +2 more·2009·The American Journal of Clinical Nutrition

Abstract

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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Crossref · 10.3945/ajcn.2008.27402

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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)

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  • In 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 measured
  • Diet-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 measured
  • The 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)

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  • Bosy-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.”

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Research works printed but not linked: 2

  1. [18]18. Pasman WJ, Saris WH, Westerterp-Plantenga MS. Predictors of weight maintainance. Obes Res 1999;7:43-50.
  2. [45]45. Ritz P, Gueguen N, Simard G, Topart P, Becouarn G. Improvement of liver mitochondrial energy metabolism in calorie restricted obese pa- tients. Int J Obes Relat Metab Disord 2008;32:S16 (abstr).

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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
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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