Abstract:
BACKGROUND:Low birth weight (LBW) associates with increased risk of developing type 2 diabetes. LBW individuals exhibit disproportionately reduced peripheral insulin action and increased fat oxidation after a 5-day high-fat overfeeding (HFO) challenge. Furthermore, LBW men exhibit increased nocturnal fat oxidation during energy balance and low energy expenditure (EE) during fasting. We hypothesized that short-term HFO could further unmask key defects of whole-body energy metabolism in LBW men. METHODS:Eighteen LBW (2717 ± 268 g) and 26 normal birth weight (NBW) (3893 ± 207 g) healthy young men were included in a 5-day HFO (60 E % fat, +50 % calories) study. The 24-h EE, respiratory quotient and substrate oxidation rates were assessed by indirect calorimetry using respiratory chambers. RESULTS:After adjusting for body composition, the LBW subjects displayed increased nighttime EE (P = 0.02) compared with NBW controls during HFO. Nighttime glucose oxidation rate was decreased (P = 0.06, adjusted P = 0.05), while both adjusted 24-h (P = 0.07) and nighttime (P = 0.02) fat oxidation rate was elevated in LBW subjects. The relative contribution of fat oxidation to EE was increased in LBW compared with NBW men during the entire 24-h period (P = 0.06) and during nighttime (P = 0.03). CONCLUSIONS:We suggest that disproportionally enhanced fat oxidation in LBW individuals during short-term HFO represents a compensatory response to reduced subcutaneous adipose tissue expandability and storage capacity. The extent to which this mechanism may lead to, or be replaced by insulin resistance, ectopic fat accumulation and/or glucose intolerance during long-term HFO in LBW needs further studies.
journal_name
Eur J Nutrjournal_title
European journal of nutritionauthors
Brøns C,Lilleøre SK,Astrup A,Vaag Adoi
10.1007/s00394-015-1018-7subject
Has Abstractpub_date
2016-09-01 00:00:00pages
2045-52issue
6eissn
1436-6207issn
1436-6215pii
10.1007/s00394-015-1018-7journal_volume
55pub_type
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