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Thermic effect of a meal

3. Effect of dietary supplementation in chronically undernourished human subjects*

Published online by Cambridge University Press:  09 March 2007

L. S. Piers ,
M. J. Soares ,
R. N. Kulkarni  and
P. S. Shetty
L. S. Piers
Affiliation:
Nutrition Research Centre, Department of Physiology, St John's Medical College, Bangalore 560 034, India
M. J. Soares
Affiliation:
Nutrition Research Centre, Department of Physiology, St John's Medical College, Bangalore 560 034, India
R. N. Kulkarni
Affiliation:
Nutrition Research Centre, Department of Physiology, St John's Medical College, Bangalore 560 034, India
P. S. Shetty
Affiliation:
Nutrition Research Centre, Department of Physiology, St John's Medical College, Bangalore 560 034, India
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Abstract

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Five apparently healthy, chronically undernourished (UN) male volunteers aged between 18 and 30 years were studied before and after 12 weeks of dietary supplementation. The thermic effect of a meal (TEM) was measured over a period of 6 h using a ventilated-hood system. Results indicated a significant increase in body-weight after supplementation due to increases in body fat and fat-free mass (FFM) in the proportion of 69% and 31% respectively. The basal metabolic rates (BMR) measured post supplementation were significantly higher in absolute terms, with a trend towards higher values when adjusted for the changes in FFM. TEM responses measured after 12 weeks of supplementation were significantly lower when expressed either in absolute terms (presupplementation 227.0 kJ v. post supplementation 193.5 kJ), or as a percentage of the energy density of the meal (9.1% v. 7.7%). This lower TEM was reciprocal to the changes in the BMR (r −0.86). The post-meal total energy output (PMTEO) was, however, not significantly different after 12 weeks of dietary supplementation. The unchanged PMTEO would indicate an unaltered ‘thermogenic capacity’, following supplementation, in these chronically undernourished subjects. These results confirm our earlier conclusion that, in chronic undernutrition, the thermic response to a meal may not contribute to any energy saving.

Chronic undernutrition: Dietary supplementation: Basal metabolic rates: Thermic effect: Substrate oxidation rates

Keywords

Chronic undernutritionDietary supplementationBasal metabolic ratesThermic effectSubstrate oxidation rates
Type
Energy Metabolism
Information
British Journal of Nutrition , Volume 67 , Issue 2 , March 1992 , pp. 187 - 194
Copyright
Copyright © The Nutrition Society 1992

References

REFERENCES

Dowdy, S. & Wearden, S. (1983) In Statistics for Research: Wiley Series in Probability and Mathematical Statistics, pp. 363–380. New York: John Wiley & Sons.Google Scholar
Durnin, J. V. G. A. & Womersley, J. (1974) Body fat assessed from total body density and its estimation from skinfold thicknesses: measurements on 481 men and women aged from 16 to 72 years. British Journal of Nutrition 32, 77–97.CrossRefGoogle ScholarPubMed
Garrow, J. S. (1985) Response to overnutrition. In Nutritional Adaptation in Man, pp. 105–110 [Blaxter, K. and Waterlow, J.C., editors]. London: John Libbey.Google Scholar
Gopalan, C., Ramasastri, B. V. & Balasubramanian, S. C. (1985) Nutritive Value of Indian Food. Hyderabad: National Institute of Nutrition/Indian Council of Medical Research.Google Scholar
Grande, F., Anderson, J. T. & Keys, A. (1958) Changes of basal metabolic rate in man in semistarvation and refeeding. Journal of Applied Physiology 12, 230–238.CrossRefGoogle ScholarPubMed
James, W. P. T., Ferro-Luzzi, A. & Waterlow, J. C. (1988) Definition of chronic energy deficiency in adults. Report of a working party of the international dietary energy consultative group. European Journal of Clinical Nutrition 42, 969–981.Google ScholarPubMed
Keys, A., Brozek, J., Henschel, A., Mickelsen, O. & Taylor, H. L. (1950) In The Biology of Human Starvation, p. 1385. Minneapolis: University of Minnesota Press.CrossRefGoogle Scholar
Kuppuswamy, B. (1984) Socio-economic Status Scale (Urban). Delhi: Manasayan.Google Scholar
Piers, L. S., Soares, M. J., Makan, T. & Shetty, P. S. (1992a) Thermic effect of a meal. 1. Methodology and variation in normal young adults. British Journal of Nutrition 67, 165–175.CrossRefGoogle ScholarPubMed
Piers, L. S., Soares, M. J. & Shetty, P. S. (1992b) Thermic effect of a meal. 2. Role in chronic undernutrition. British Journal of Nutrition 67, 177–185.CrossRefGoogle ScholarPubMed
Rasanen, L. (1982) Validity and reliability of recall methods. In The Diet Factor in Epidemiological Research, pp. 92–99 [Hautvast, J.G. A. J. and Klaver, W., editors]. Wageningen: EURO-NUT 1.Google Scholar
Soares, M. J., Kulkarni, R. N., Piers, L. S., Vaz, M. & Shetty, P. S. (1992) Energy supplementation reverses changes in the basal metabolic rate of chronically undernourished individuals. British Journal of Nutrition (In the Press).CrossRefGoogle ScholarPubMed
Soares, M. J., Piers, L. S. & Shetty, P. S. (1989) Resting metabolic rate (RMR), fat free mass (FFM) and thermic effect of a meal (TEM). Metabolism 12, 1251–1252.CrossRefGoogle Scholar
Sokal, R. R. & Rohlf, F. J. (1969) In Biometry: The Principles and Practice of Statistics in Biological Research, pp. 299–342. San Francisco: W. H. Freeman and Company.Google Scholar
Waterlow, J. C. (1984) What do we mean by adaptation? In Nutritional Adaptation in Man, pp. 1–11 [Blaxter, K. and Waterlow, J.C., editors]. London: John Libbey.Google Scholar