Source: LOUISIANA STATE UNIVERSITY submitted to NRP
OBESITY (POSITIVE ENERGY BALANCE): TOO MUCH FOOD OR TOO LITTLE ACTIVITY?
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
0223535
Grant No.
2010-34323-21052
Cumulative Award Amt.
(N/A)
Proposal No.
2010-03029
Multistate No.
(N/A)
Project Start Date
Sep 1, 2010
Project End Date
Aug 31, 2012
Grant Year
2010
Program Code
[GB]- Human Nutrition, LA
Recipient Organization
LOUISIANA STATE UNIVERSITY
202 HIMES HALL
BATON ROUGE,LA 70803-0100
Performing Department
Administration
Non Technical Summary
Obesity is a major public health concern and residents of Louisiana are among the fattest in the nation. Obesity occurs because we eat more food energy over time than we burn up, but the question of how much of this is "overeating" and how much is "under activity" is unanswered. This project will explore both sides of this energy balance idea by increasing energy intake while keeping physical activity constant in one study and reducing physical activity while keeping food intake constant in the other.
Animal Health Component
50%
Research Effort Categories
Basic
50%
Applied
50%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
7025010101050%
7026010101050%
Goals / Objectives
The long-term objective of this special grant proposal is to understand the way in which human beings respond to a positive energy balance. The fact that over 60% of Americans are overweight and more than 30% obese is a direct reflection of the fact that most Americans are, or have been, in positive energy balance. We hypothesize that the types of food OR the amount of activity influence the biological responses to acute positive energy balance and that some types of food may be better at counteracting the biological responses to positive energy balance. We will test this hypothesis through 2 specific objectives. In the experiments for the first objective we will produce a positive energy balance by reducing energy expenditure from the average level to a sedentary lower level while keeping energy intake constant. The diets will vary in the amounts of saturated fats. In the experiments for the other objective, we will produce a positive energy balance by increasing food intake from the usual level to a higher level while keeping energy expenditure constant. The diets to be used will be high in fat with high energy density, high in fat with low energy density, or high in carbohydrate with low energy density.
Project Methods
In the first objective we will test the hypothesis that frequent, short episodes of positive energy balance (~7 kcal/kg in one day) caused by reducing physical activity will cause rapid and transient increases in the concentration of long chain fatty acids and acyl CoA's within skeletal muscle and thus contribute to impaired postprandial insulin action. Our model implies that low levels of physical activity may be a key contributor to the conditions such as insulin resistance and dyslipidemia associated with "obesity" and weight gain. This objective will also test the hypothesis that the effects of physical inactivity will be exaggerated by a diet high in saturated fatty acids compared to a diet low in saturated fatty acids. This study is a 2 by 2 factorial design with two levels of activity and two levels of saturated fatty acids. The overall goal of the second objective is to examine the metabolic and behavioral effects of a positive energy balance induced by adding food to the usual level of activity to produce a positive energy balance. It is thus the converse of Objective 1. It will be conducted with 2 specific aims. In the first aim will test the hypothesis that: 1) food intake will not differ significantly after 2 days of positive energy balance induced by a high carbohydrate vs. high fat diet when both diets are low in energy density. A positive energy balance will be created by increasing food intake 25% above energy requirements and holding energy expenditure constant), and 2) food intake will be higher after a positive energy balance induced by a high fat/high energy dense diet vs. a high fat/low energy dense diet. In the second aim we will test the hypothesis that: 1) positive energy balance produced by increasing food intake when activity is held constant will have no effect on SNS activity, and 2) leptin will rise with a positive energy balance induced by increasing food intake and subsequently fall when participants eat ad libitum

Progress 09/01/10 to 08/31/12

Outputs
OUTPUTS: The objective of these projects is to understand how humans respond to a positive energy balance produced by two strategies. Outputs have been limited due to the preliminary data in this work. Several presentations have incorporated the results of this work. PARTICIPANTS: George Bray, MD, (PI), Corby K. Martin, Marc Hamilton, Catherine Champagne, Pennington Biomedical Center, LA. TARGET AUDIENCES: The scientific community interested in the effect of excess energy intake and whether different methods for achieving this have different responses from the individual. PROJECT MODIFICATIONS: Both project 1 and 2 were designed as larger studies which would have taken 3-4 years to complete. When funding was withdrawn they were reshaped to complete as much work as possible within the limits of the available research funds. The results obtained so far should provide a tantalizing look at what might have been available if the projects has been completed as originally planned.

Impacts
Project 1 examined the metabolic and behavioral effects of a two-day positive energy balance which was induced by increasing food intake 140% above baseline energy requirements and keeping energy expenditure constant. Three diets varied in dietary fat and energy density (kcal/g): 1) A high fat/high energy dense diet (HF/HED with 15% protein, 50% fat, 35% carbohydrate (carb), and 1.58 kcal/g); 2) high fat/low energy dense diet (HF/LED; 15% protein, 50% fat, 35% carb, and 1.09 kcal/g), and 3) high carb/low energy dense diet (HC/LED; 15% protein, 20% fat, 65% carbohydrate, and 1.02 kcal/g). Ad libitum energy intake (EI) was not suppressed until the second day after overeating and reductions in EI accounted for only ~30% of the excess energy ingested. Reduction in EI did not differ among the three diets over four days, although EI did decrease significantly after the high fat/low energy dense (HF/LED) diet when EI from days 2-4 were analyzed. Overeating had no effect on subsequent energy expenditure but after both of the low energy dense diets sleep time was decreased compared to the HF/HED. The HF/LED was associated with decreased carbohydrate cravings, hunger, prospective food consumption, and food satisfaction compared to the HF/HED. The HF/LED led to greater feelings of happiness, relaxation, and tranquility compared to a HF/HED. A delay in compensation after short-term overeating occurs, and that the diet type had no impact on compensation on days 1-4, even though EI decreased from baseline after the HF/LED on days 2-4. Project 2 examined the acute Metabolic effect of physical inactivity (the "oversitting" study). A counterbalanced cross-over study compared the metabolic responses when food intake was held constant and a positive energy balance induced by reducing physical activity. Participants ingested 3 standardized meals, and performed supervised sitting/sleeping/standing and walking while residing on the metabolic unit. Metabolic responses were assessed from a continuous glucose monitor system with periodic blood sampling. Healthy adults aged 24-52 yrs with a body mass index 22-36 kg/m2 had a VO2max testing indicated low-moderate fitness with a maximal aerobic capacity 20-44 ml/min/kg. There was a 0.47 kcal/kg/hr difference in energy expenditure between the inactive and active trials. This magnitude of difference was insufficient to alter consistently the rise in glucose during the postprandial period. Plasma insulin concentrations increased significantly more in the 30-240 min after eating breakfast when inactive, and this was reflected in a greater area under the curve for plasma insulin concentration. Sitting too much can directly cause insulin resistance during acute periods after eating. This work has important implications for food policy and public health.

Publications

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