Abstract

Visceral fat, rather than generalized adiposity, plays an important role in the development of an unfavorable metabolic and cardiovascular risk profile. Morbidly obese individuals have increased levels of epicardial adipose tissue (EAT); however, its relationship to total daily caloric expenditure (TDCE) and cardiorespiratory fitness (VO2 max) has not been previously described. PURPOSE: To examine TCE, exercise energy expenditure during exercise, VO2 max, body composition and EAT in morbidly obese women and men. METHODS: Participants (5 women and 2 men, mean age=46.8yr; BMI=48.3±3.8 kg/m2) underwent a transthoracic echocardiogram to evaluate epicardial adipose tissue thickness; energy expenditure during 30 minutes of exercise; body composition using dual energy x-ray absorptiomenty; and, VO2 max was measured on all subjects. RESULTS: Mean TDCE for all individuals was 2241 ± 138 kcal/day. Population demographics and variable outcomes are shown in the table below. Although TDCE correlated with fat-free mass (FFM) (r=0.937, p=0.002). There was a narrow range of measured EAT and this was not related to TCE.Table 1CONCLUSIONS: As expected, higher FFM was associated with increased daily caloric expenditure. No relationship between EAT, exercise energy expenditure or VO2 max was observed in this pilot study.

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