Postprandial thermogenesis in obese children before and after weight reduction

Eur J Clin Nutr. 1992 Aug;46(8):577-83.

Abstract

The thermic effect of a meal (TEM) was measured in a group of 10 prepubertal obese children before (OB) and after (OA) weight reduction, and in a group of 10 age-matched control children (C) of normal body weight. Following a hypocaloric balanced diet for 6 +/- 1 months, the obese children lost 5.2 +/- 1.3 kg i.e. 11% of their initial body weight. The thermic response to the mixed liquid meal - fed at an energy level corresponding to 30% of the 24 h premeal resting metabolic rate - was found to be significantly lower in OB than in C children (61 +/- 25 kJ.3h-1 vs 79 +/- 21 kJ.3h-1, P less than 0.05), despite their higher test meal energy. After slimming, the TEM of obese children increased towards the controls' values (73 +/- 30 kJ.3h-1). These results support the hypothesis of the existence of a moderate thermogenic defect in some obese children which represents a consequence rather than an aetiological factor of obesity.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Glucose / metabolism
  • Body Composition
  • Body Temperature Regulation*
  • Calorimetry
  • Child
  • Diet, Reducing*
  • Eating
  • Energy Metabolism*
  • Female
  • Humans
  • Insulin / metabolism
  • Male
  • Obesity / diet therapy
  • Obesity / metabolism*
  • Time Factors
  • Weight Loss

Substances

  • Blood Glucose
  • Insulin