Energy gap in the aetiology of body weight gain and obesity: a challenging concept with a complex evaluation and pitfalls.

Détails

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Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_E3F68B47E07C
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Energy gap in the aetiology of body weight gain and obesity: a challenging concept with a complex evaluation and pitfalls.
Périodique
Obesity Facts
Auteur⸱e⸱s
Schutz Y., Byrne N.M., Dulloo A., Hills A.P.
ISSN
1662-4033 (Electronic)
ISSN-L
1662-4025
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
7
Numéro
1
Pages
15-25
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublishDocument Type: Review, pdf : Review Article
Résumé
The concept of energy gap(s) is useful for understanding the consequence of a small daily, weekly, or monthly positive energy balance and the inconspicuous shift in weight gain ultimately leading to overweight and obesity. Energy gap is a dynamic concept: an initial positive energy gap incurred via an increase in energy intake (or a decrease in physical activity) is not constant, may fade out with time if the initial conditions are maintained, and depends on the 'efficiency' with which the readjustment of the energy imbalance gap occurs with time. The metabolic response to an energy imbalance gap and the magnitude of the energy gap(s) can be estimated by at least two methods, i.e. i) assessment by longitudinal overfeeding studies, imposing (by design) an initial positive energy imbalance gap; ii) retrospective assessment based on epidemiological surveys, whereby the accumulated endogenous energy storage per unit of time is calculated from the change in body weight and body composition. In order to illustrate the difficulty of accurately assessing an energy gap we have used, as an illustrative example, a recent epidemiological study which tracked changes in total energy intake (estimated by gross food availability) and body weight over 3 decades in the US, combined with total energy expenditure prediction from body weight using doubly labelled water data. At the population level, the study attempted to assess the cause of the energy gap purported to be entirely due to increased food intake. Based on an estimate of change in energy intake judged to be more reliable (i.e. in the same study population) and together with calculations of simple energetic indices, our analysis suggests that conclusions about the fundamental causes of obesity development in a population (excess intake vs. low physical activity or both) is clouded by a high level of uncertainty.
Pubmed
Web of science
Open Access
Oui
Création de la notice
21/04/2014 16:50
Dernière modification de la notice
20/08/2019 17:07
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