Human Energy Balance Research Articles

Effects of medium-chain triglyceride feeding on energy balance in adult humans

In recent years, the metabolism of triglycerides has attracted much attention. Oxidation of fatty acids is an essential energy supply, especially when glucose supply is limited. In the present study, the effect of a 3-day high medium-chain triglyceride (MCT; 51% of calories), low carbohydrate intake on plasma glucose and amino acid, and urinary organic acid levels, including dicarboxylic and tricarboxylic acid cycle intermediates, was determined in eight normal adult volunteer subjects. Urine was collected at baseline and at 48 to 72 hours for amino acid and organic acid levels, and plasma collected at 0 and 72 hours for glucose and amino acid concentration. The MCT diet increased urinary levels of dicarboxylic acids (adipic 8-, suberic 65-, sebacic 284-fold) and keto acids (acetoacetate and β-hydroxybutyrate, 67.5-fold); alanine and lactate were decreased 2.5- and 4-fold, respectively, while pyruvate, other amino acids and citric acid intermediates remained unchanged. Plasma amino acid levels were unchanged, while the plasma glucose levels decreased by 8% from baseline. The loss of calories as urinary dicarboxylic acids and keto acids, although increased during the MCT diet, was less than 1% of the daily caloric intake. The data suggest MCT sustain energy expenditure through medium-chain fatty acid (MCFA) oxidation with no decrease in citric acid cycle intermediates, while sparing protein oxidation.

Thermal comfort of man in different urban environments

On July 29, 1985, a hot summer day, biometeorological measurements were performed simultaneously in three different urban structures within the city of Munich and in the trunk space of a nearby tall spruce forest. Based on the results of these experiments the following thermophysiologically relevant biometeorological indices were calculated: Predicted mean vote, skin wettedness and physiologically equivalent temperature. These three indices are derived from different models for the human energy balance. They allow the assessment of the thermal components of the microclimates at the selected sites with regard to application in urban planning. The results quantitatively show the great heat stress in the urban structure “street canyon, exposed to south”, whereas in the “trunk space of the tall spruce forest” there is nearly an optimal climate even on hot summer days. Between these extremes the results for “street canyon, exposed to north” show a little higher heat load than for “backyard with trees”.

Resting metabolic rate in monozygotic and dizygotic twins.

In order to study the influence of heredity on resting metabolic rate (RMR), 20 monozygotic and 19 dizygotic male twins pairs aged 20.6 (SD 2.9) and 21.4 (SD 3.1) years, gave their consent to participate in the experiment. Fat free weight (FFW) was estimated from underwater weighing. RMR was measured by indirect calorimetry using an open circuit system. RMR was expressed as kJ X min-1, kJ/m2 X h-1, kJ/kg X h-1 and kJ/kgFFW X h-1. Significant intraclass coefficients were observed in MZ twins for the different expressions of RMR. The values ranged from r = 0.45 (P less than 0.05) to r = 0.81 (P less than 0.01). However, DZ twins demonstrated lower intraclass coefficients for RMR, with a range from r = 0.21 to r = 0.44. Significant (P less than 0.05) DZ resemblance was revealed only when RMR was expressed as kJ X min-1 and kJ/kg X h-1. Results of the present study suggest that variations in RMR may have a genetic component. Implications for human energy balance and body fat are discussed.

Symposium on The Regulation of Energy Balance in Humans

Symposium on The Regulation of Energy Balance in Humans

The measurement of energy exchange in man: an analysis

This report analyzes two kinds of studies of human energy balance; direct and indirect calorimetry for 24-hr periods, and complete measurements of food intake, waste, and tissue storage for 3 weeks and longer. Equations of energy balance are written to show that the daily quantity of metabolic energy, QM, is coupled with an unidentified quantity of unmeasured energy, QX, in order to make the equation balance. The equations challenge the assumed equivalence of direct and indirect calorimetry. The analysis takes the form of employing experimental data to calculate values for the arguable quantity, QX. Studies employing 24-hr direct calorimetry, 202 complete days, show that when food intake nearly matches QM, values for QX are small and probably insignificant, but when there is a large food deficit, large positive values for QX appear. Calculations are also made from studies of nutrient balance during prolonged overeating and undereating, and in nearly all cases there were large negative values for QX. In 52 sets of data from studies lasting 3 weeks or longer, where all the terms in the balance equation except QX were either directly measured or could be readily estimated, the average value for QX amounts to 705 kcal/day, or 27% of QM. A discussion of the nature of QX considers error and the noninclusion of small quantities like the energy of combustible gases, which are not thought to be sufficient to explain QX. It might represent the cost of mobilizing stored fuel, or of storing excess fuel, or it might represent a change in internal energy other than fuel stores, but none of these is thought to be likely. Finally, it is emphasized that entropy exchange in man as an open thermodynamic system is not presently included in the equations of energy balance, and perhaps it must be, even though it is not directly measurable. The significance of unmeasured energy is considered in light of the poor control of obesity, of the inability to predict weight change during prolonged diet restriction or intentional overeating, and of the energetics of tissue gain in growth and loss in cachexia. It is not even well established how much food man requires to maintain constant weight. New studies as they are undertaken should try to account completely for all the possible terms of energy exchange.