Macronutrient profile can influence meal induced thermogenesis



The prevalence of overweight and obesity among Australians has been steadily increasing for the past 30 years. In Australia, an estimated one in four children and adolescents are overweight or obese, with this figure set to rise to one in three by 2025 [1], with an annual medical cost of ~$43 million [2].

An understanding of energy balance (energy intake and energy expenditure) and how it can be manipulated is crucial in the management of body weight [3].The manipulation of energy expenditure is a cornerstone of obesity management. Strategies that manipulate meal-induced thermogenesis (MIT) present an intriguing and relatively unexplored strategy to increase energy expenditure in adolescents. MIT refers to the energy expended after a meal to facilitate digestion, absorption, and disposal of nutrients and contributes approximately 10% to total daily expenditure [4]. Adolescents who are overweight and obese display a reduced MIT profile [5-7].

Dr Kay Nguo and her team have been working hard to understand how diet, in particular macronutrient profile, can be manipulated to influence MIT in obese adolescents. Kay explained that “by exploring thermogenesis and macronutrients, our recently published research provides opportunities for further investigation around maximising an individual’s ability to expend energy and in turn, deliver more effective weight loss for adolescents.”

In their latest study, when adolescents consumed a high protein meal, MIT was almost double that than following an isocaloric high carbohydrate meal (8.19% compared to 4.36%). Consumption of the high protein meal led to an increased feeling of fullness and decreased hunger.

“We were able to demonstrate that the macronutrient profile of a meal can have an impact on MIT, suggesting it could be a potential target for energy expenditure manipulation” commented Kay. “Watching this field of research develop is incredibly exciting. It not only provides more efficient weight management opportunities for individuals but it also brings hope to those combating obesity in the future.”


More Information:

Dr Kay Nguo works as a Research Fellow in the Department of Nutrition, Dietetics and Food at Monash University. Her current research focuses on the use of stable isotopes in metabolic research, in particular the assessment of body composition and total energy expenditure.

Click here to read the full article published in the European Journal of Nutrition.

Stay up to date with the Monash University Department of Nutrition, Dietetics and Food on Twitter via @MonashNutrition.

Image Credit: RawPixel

References:

1.  Haby MM, Markwick A, Peeters A, Shaw J, Vos T. Future predictions of body mass index and overweight prevalence in Australia. Health Promotion International. 2012;27:250-260

2. Black N, Hughes R, Jones AM. The health care costs of childhood obesity in Australia: An instrumental variables approach. Economics and Human Biology. 2018;31:1-13

3. James OH. Understanding and Addressing the Epidemic of Obesity: An Energy Balance Perspective. Endocrine Reviews. 2006;27(7): 750–761. DOI: /10.1210/er.2006-0032

3. Tataranni PA, Larson DE, Snitker S, Ravussin E. Thermic effect of food in humans: methods and results from use of a respiratory chamber. American Journal of Clinical Nutrition. 1995;61:1013–1019

4. Maffeis C, Schutz Y, Zoccante L, Pinelli L. Meal-induced thermogenesis in obese children with or without familial history of obesity. European Journal of Pediatrics. 1993;152:128–131

5. Maffeis C, Schutz Y, Zoccante L, Micciolo R, Pinelli L. Meal-induced thermogenesis in lean and obese prepubertal children. American Journal of Clinical Nutrition. 1993;57:481–485


6. Katch VL, Moorehead CP, Becque MD, Rocchini AP. Reduced short-term thermic effects of a meal in obese adolescent girls. European journal of applied physiology and occupational physiology. 1992;65:535–540

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