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The cholecystokinin-A receptor mediates inhibition of food intake yet is not essential for the maintenance of body weight.

Food intake and body weight are determined by a complex interaction of regulatory pathways. To elucidate the contribution of the endogenous peptide cholecystokinin, mice lacking functional cholecystokinin-A receptors were generated by targeted gene disruption. To explore the role of the cholecystokinin-A receptor in mediating satiety, food intake of cholecystokinin-A receptor-/- mice was compared with the corresponding intakes of wild-type animals and mice lacking the other known cholecystokinin receptor subtype, cholecystokinin-B/gastrin. Intraperitoneal administration of cholecystokinin failed to decrease food intake in mice lacking cholecystokinin-A receptors. In contrast, cholecystokinin diminished food intake by up to 90% in wild-type and cholecystokinin-B/gastrin receptor-/- mice. Together, these findings indicate that cholecystokinin-induced inhibition of food intake is mediated by the cholecystokinin-A receptor. To explore the long-term consequences of either cholecystokinin-A or cholecystokinin-B/gastrin receptor absence, body weight as a function of age was compared between freely fed wild-type and mutant animals. Both cholecystokinin-A and cholecystokinin-B/gastrin receptor-/- mice maintained normal body weight well into adult life. In addition, each of the two receptor-/- strains had normal pancreatic morphology and were normoglycemic. Our results suggest that although cholecystokinin plays a role in the short-term inhibition of food intake, this pathway is not essential for the long-term maintenance of body weight.

Animals↗

Nutritional requirements for maintenance of body weight and fat deposition in the long-distance migratory garden warbler, Sylvia borin (Boddaert).

Intake of food, protein, fat and carbohydrates and their fecal output and the birds' weights were recorded during different feeding trials with specific nutrient reduced diets in the old-world long-distance migratory garden warbler. The birds' body weights were affected by low dietary protein as well as low dietary fat levels. Low dietary protein and fat levels were associated with significant changes in daily gross and net food intake and in the efficiency of food and nutrient utilization. Birds fed on diets with low nutrient levels for an extended length of time recovered in weight after an initial weight loss. They obviously compensated the restricted nutrient levels primarily by increasing the daily food intake and by changing the efficiency of food and nutrient utilization. Effects of restricted dietary nutrient levels on body weight and adaptation depended on the previous composition of the food. The average daily net fat intake was much higher than the average daily net protein intake, both for maintenance of a constant body weight and for successful regain of weight. The data were further discussed with respect to the role of a fruit diet in omnivorous passerine birds.

Adipose Tissue↗

[Ketalar pivot anesthesia in cortisone-dependent patients].

On the basis of results obtained in a series of 6 patients with corticoid-dependency in whom 7 surgical interventions have been carried out the authors present the anesthesia technique on Ketalar pivot according to the following protocol: premedication with Diazepam and atropin; induction of anesthesia with Ketalar (2 mg/kg of body weight) and Pavulon 0,1 mg/kg of body weight); maintenance with Ketalar (1 mg/kg of body weight) at 10-15 minutes, and NO2/O2 4/2 at 1 minute. The cardiovascular stability was satisfactory. No fall in the value of blood pressure was noted.

Adrenal Cortex Hormones↗

Maintenance of body weight, physical activity and calcium intake helps preserve bone mass in elderly women.

This prospective study focused on lifestyle factors and weight maintenance that may modulate the rate of bone loss at the weight-bearing proximal femur and non-weight-bearing distal radius in elderly women. Altogether 128 women of 134 subjects participated in this study with a mean follow-up time 3.9 years (range 2.9-5.3 years). The initially 60- to 65-year-old subjects were originally selected by their level of physical activity [high (PA+) and low (PA-)] and calcium intake [high (Ca+) and low (Ca-)], and the original groups were maintained in this study. Physical fitness and bone mineral content (BMC) decreased significantly at a similar rate in all four study groups without any statistically significant between-group difference. The mean change in the muscle strength of leg extensors was -3.3% (95% CI -5% to -1.5%) at follow-up when including all individuals. The leg extension strength was still 9.2% (95% CI 2.7% to 16.1%) better in the PA+ groups compared with PA- groups at follow-up. The mean change in the forearm flexion strength was -14% (95% CI -16.5% to -11.3%) at follow-up with no difference in the strength level between PA+ and PA- groups. The mean change in the estimated oxygen uptake was -3.4% (95% CI -5.6% to -1.1%) at follow-up. The PA+ groups were still fitter, the between-group difference in the estimated oxygen uptake being 11.9% (95% CI 4.8% to 19.5%). The mean changes in BMC at follow-up were -2.1% (95% CI -3.0% to -1.2%) at the femoral neck, -1.9% (95% CI -3.2% to -0.5%) at the trochanter, and -12.4% (95% CI -15.4% to -9.4%) at the distal radius, indicating mean annual losses of 0.6% (95% CI 0.3% to 0.8%), 0.5% (95% CI 0.1% to 0.8%), and 3.2% (95% CI 2.4% to 4.0%), respectively. Decreased body weight was associated with higher bone loss in all measured bone sites. High calcium intake and better preservation of physical fitness were associated with a smaller decrease in femoral neck BMC.

Aged↗

Depriving or pair feeding intact controls induces some persisting regulatory deficits similar to those of the recovered lateral rat.

To determine the extent to which acute starvation might contribute to the chronic deficits in regulatory feeding, drinking, and body weight maintenance characteristic of rats with lateral hypothalamic brain lesions, neurologically intact rats were pair-fed (including forced feedings) and pair-watered for 2-4 wk with rats rendered transiently aphagic and adipsic by hypothalamic knife cuts. When the pair-fed rats were subsequently allowed to free-feed, their body weights remained suppressed. In addition, the pair-fed rats failed to eat in response to glucoprivation induced by insulin or 2-deoxy-D-glucose. The pair-fed rat drank less than nondeprived controls, but more than rats with knife cuts, when administered osmotic or volemic challenges to thirst. Other aspects of the recovered lateral syndrome were absent. In a second experiment, intact rats that had recovered from varying durations of semistarvation with or without subsequent forced feedings were tested for regulatory impairments. Deficits in chronic body weight maintenance were found in rats that had been starved and subsequently force-fed. Diminished responses to glucoregulatory challenges were seen in rats that had been starved but not forced-fed as well as in those that had been force-fed but not starved. This impaired eating in response to glucoregulatory challenges abated with repeated testing. Thus, both the acute failure of ingestive behaviors and therapeutic forced feedings can contribute to the impired regulatory eating and driniing that follow recovery from certain types of brain damage.

Animals↗

Effect of conjugated linoleic acid supplementation after weight loss on appetite and food intake in overweight subjects.

OBJECTIVE: To study the effects of 13 weeks conjugated linoleic acid (CLA) supplementation in overweight subjects on body-weight maintenance, parameters of appetite and energy intake (EI) at breakfast after weight loss. DESIGN: This study had a double-blind, placebo-controlled randomized design. SUBJECTS: A total of 26 men and 28 women (age 37.8+/-7.7 y; body mass index 27.8+/-1.5 kg/m(2)). INTERVENTIONS: Subjects were first submitted to a very-low-calorie diet (VLCD; 2.1 MJ/day) for 3 weeks after which they started with the 13-week intervention period. They either received 1.8 g CLA or placebo per day or 3.6 g CLA or placebo per day. Additionally, subjects of the high dosage intervention replaced their habitual lunch by one meal of a protein-rich, low-energy supplement. EI was measured at breakfast and appetite profile after an overnight fast. RESULTS: The mean body weight loss was 6.9+/-1.7% of their original body weight. Multiple regression analysis showed that at the end of the 13-week intervention, CLA did not have an effect on body weight regain. Feelings of fullness and satiety were increased and feelings of hunger were decreased after 13 weeks intervention by CLA compared to placebo, independent of %body weight regain. However, EI measured at breakfast was not affected by CLA. CONCLUSION: Appetite (hunger, satiety and fullness) was favorably, dose-independently affected by a 13-week consumption of 1.8 or 3.6 g CLA/day. This did not result in a lower EI at breakfast or an improved body-weight maintenance after weight loss.

Adult↗

Sympathetic nervous system involvement in the lateral hypothalamic lesion syndrome.

The role of the sympathetic nervous system in the lateral hypothalamic syndrome of body-weight loss was investigated. Bilateral electrolytic lesions of the lateral hypothalamus (LH) were performed in 90-day-old male albino rats. In experiment 1, the splanchnic nerves were resected at 35 days (right) and 70 days (left) postlesion. In experiment 2, bilateral adrenal demedullations were performed in a second group of rats with LH lesions (LH rats) at 35 days postlesion. The results indicated that lesions of the lateral hypothalamic area lowered body-weight maintenance levels to approximately 87% of nonlesion control values. Bilateral splanchnicetomy produced a significantly greater body-weight loss in nonlesion animals than in LH rats. Following adrenal demedullation, nonlesion rats also reduced body-weight levels whereas LH rats significantly increased weight-maintenance levels. In addition, the adrenal glands of LH rats with sham demedullations weighed significantly more than the adrenals of nonlesion-sham demedullated animals. These data are discussed in relation to metabolic-autonomic mechanisms that may play a role in LH lesion-induced weight loss.

Adrenal Medulla↗

Effect of age and body weight on the maintenance requirement of lean and obese Zucker rats.

The effect of age (34-215 days) and body weight (80-627 g) on the maintenance requirements of lean (n = 4) and obese (n = 4) Zucker rats was determined in 5 maintenance trials. The rats were fed a semipurified, 20% protein diet. The metabolizable energy intake (MEI) required for maintenance of body weight (BW) was determined in weekly intake-metabolism trials. Maintenance requirements [kilocalories MEI/(day.kilogram BW)] were lower (P less than 0.01) for obese rats than for lean rats, and they decreased with age for both types, respectively (Y = 206.23 - 0.3524 X; r = -0.547 and Y = 252.61 -0.4818 X; r = -0.649). Maintenance requirements (kilocalories MEI/day) of obese rats were lower (P less than 0.01) than lean rats, respectively, when expressed in terms of grams body weight (Y = 7.03 + 0.1333 X; r = 0.994 and Y = 9.04 + 0.1441 X; r = 0.994), metabolic body size (kilogram 0.75) (Y = -4.52 + 132.33 X; r = 0.989 and Y = 0.05 + 130.52 X; r-0.992) or least squares, type-specific exponent [Y = 119.03 (kilogram0.77); r = 0.975 and Y = 120.87 (kilogram 0.71); r = 0.986]. The results indicate that obese Zucker rats have lower maintenance requirements than their lean littermates and that maintenance requirements are as closely related to body weight as to metabolic body size or type-specific exponent for each body type.

Aging↗

Nutritional support by intraperitoneal dialysis in the rat: maintenance of body weight with normal liver and plasma chemistries.

A rat model was developed to study intraperitoneal (ip) dialysis as a means of total nutritional support. Rats (200 g) were implanted ip with a catheter device and connected to a rodent infusion assembly. An automated system exchanged 10-ml volumes of a 37 degrees C solution containing 10% dextrose, 2% amino acid solution plus micronutrients. Rats were adapted over 3 days to a schedule of 16 1-hr cycles/day, and continued on this regimen for another 4 days. Rats subjected to this program maintained similar body weight, nitrogen balance, plasma chemistries, and liver tests in comparison to control animals fed per os in isocaloric and isonitrogenous amounts. Efficiency of peritoneal absorption for both glucose and amino acid was 95%. Histological examination of intraabdominal organs revealed only mild inflammation. This model is applicable to studies involving nutritional support via the peritoneal cavity, a technique which may be of value in patients with sensitive fluid balances (cardiac, renal, or pulmonary failure).

Absorption↗

Role of mid-dorsal caudate nucleus in maintenance of body weight in rats on administration of foods with different caloric densities.

Rats were fed with food of different caloric densities by addition of kaolin or groundnut oil to the normal food powder. The food intake, caloric intake and body weights were noted. These observations were compared before and after bilateral destruction of mid-dorsal caudate nucleus. The food intake before caudatal lesion varied appropriately with the caloric density of food thus maintaining caloric intake and body weight. After mid-dorsal caudatal destruction this feedback mechanism of maintaining body weight was operative with low caloric density diet but not with high caloric diet.

Animals↗

Effects of weight change on plasma leptin concentrations and energy expenditure.

Circulating concentrations of leptin are closely correlated with body fat mass, and may thus constitute an afferent limb of a system regulating body fatness, with efferent limbs that affect energy expenditure and food intake. We studied 50 subjects (27 males, 23 premenopausal females; 31 never-obese, 19 obese) at usual body weight during active weight loss or weight gain and during the maintenance of body weights 10% above usual (WT + 10%) and 10% and/or 20% below usual body weight (Wt -10% and Wt -20%) to test the hypotheses that the dynamic process of weight change and the maintenance of an altered body weight are associated with significant changes in circulating concentrations of leptin and/or the relationship between fat mass and leptin, and such changes in the plasma concentration of leptin are related to changes in energy expenditure at altered body weight. Subjects were admitted to the Rockefeller University Hospital, and energy metabolism (24-h energy expenditure, resting energy expenditure, thermic effect of feeding, and nonresting energy expenditure) and circulating concentrations of leptin and insulin were examined at various weight plateaus (usual body weight, 10% above usual body weight, 10% below usual body weight, and 20% below usual body weight). Plasma leptin was also measured in some subjects during dynamic periods of weight gain or loss. Though both plasma leptin concentrations and fat mass were significantly correlated with resting energy expenditure, only the correlation of fat mass and energy expenditure remained significant in a multiple stepwise linear regression analysis. Neither absolute nor relative changes in plasma leptin between weight plateaus were significantly correlated with any of the observed changes in energy expenditure. Plasma leptin concentrations were significantly lower during weight loss than during weight maintenance at the same body composition. Plasma leptin concentrations, normalized to fat mass, were significantly lower during the maintenance of a reduced body weight in females and higher during the maintenance of an elevated body weight in males than in the same subjects at usual body weight. At all weight plateaus, plasma leptin concentrations normalized to fat mass were significantly higher in females than in males, but gender was not a significant covariate of the relationship between leptin and energy expenditure. Postabsorptive serum concentrations of insulin was a significant covariate of plasma leptin concentration in males, but not females, at Wt initial and Wt + 10%. Although plasma leptin is significantly reduced during dynamic weight loss compared with static weight maintenance at the same body weight, the lack of correlation between changes in plasma leptin and changes in energy expenditure between weight plateaus suggests that leptin is not the primary signal that mediates the changes of energy expenditure that accompany the maintenance of an altered body weight in humans.

Body Composition↗

Underfeeding and body weight regulation in normal-weight young men.

The mechanisms of energy regulation invoked by moderate dietary restriction were investigated in seven healthy young men of normal body weight leading unrestricted lives. Following a baseline period of weight maintenance, subjects were underfed by 806 +/- 162 (mean +/- SE) kcal/day for 21 days. Changes in total energy expenditure (TEE) and resting energy expenditure (REE) and subsequent voluntary nutrient intakes were measured. The REE, averaged for fasting and fed states, decreased during underfeeding by 100 +/- 29 kcal/day (P less than 0.01). TEE decreased nonsignificantly by 296 +/- 170 kcal/day, equivalent to an average of 37% of the decrease in energy intake. Body energy stores were estimated to decrease by 510 +/- 172 kcal/day (P less than 0.03), thus compensating for 63% of the dietary energy deficit on average. Voluntary energy intake following dietary restriction increased above the initial amount required for body weight maintenance, was proportional to the weight loss during underfeeding (P less than 0.03), and was associated with a rapid regain of weight lost during underfeeding. These results indicate that energy balance is regulated by adaptive variations in both energy intake and energy expenditure in normal-weight young men leading unrestricted lives but do not support the hypothesis that energy-wasting mechanisms contribute substantially to body energy regulation.

Adult↗

Weight loss maintenance in women two to eleven years after participating in a commercial program: a survey.

BACKGROUND: After 5 years, most reports show that less than 10% of people maintain a 5% loss from initial body weight. Weight maintenance after 10 years is rarely assessed, especially in commercial programs. The current article reports weight maintenance in individuals who had participated 2 to 11 years earlier in a popular commercial weight loss program based on Canada's Food Guide called Mincavi. METHODS: Randomly picked subjects answered a telephone questionnaire. Participants, 291 adult women from various regions of the province of Quebec, had followed the program 2 to 11 years earlier for at least a month. Body weight at the beginning and at the end of treatment was recorded as well as actual weight, age and height. Existing records allowed partial verification of the sample. RESULTS: Based on corrected weights, percentage of women who maintained at least 5% of their initial weight loss are as following; 2 years = 43.6% (n = 55), 3 years = 33.3% (n = 42), 4 years = 23.8% (n = 42), 5-6 years = 38.2% (n = 55), 7-8 years = 29.4% (n = 51), and 9-11 years; 19.6% (n = 46). Five to eleven years after they had participated in the program 29.1% of all women maintained a weight loss of at least 5%, while 14.3% maintained a loss of at least 10%. CONCLUSIONS: Even though success rate is not as high as could be wished for, results show that participation in the Mincavi program can lead to effective weight maintenance long after individuals have left it. These findings suggest more thorough studies should be conducted on this weight loss program.

Journal Article↗

Protein intake and body-weight regulation.

Body-weight management requires a multi-factorial approach. Recent findings suggest that an elevated protein intake seems to play such a key role in body-weight management, through (i) increased satiety related to increased diet-induced thermogenesis, (ii) its effect on thermogenesis, (iii) body composition, and (iv) decreased energy-efficiency. Supported by these mechanisms a relatively larger weight loss and stronger body-weight maintenance thereafter have been observed.

Body Composition↗

The response to exercise with constant energy intake in identical twins.

Seven pairs of young adult male identical twins completed a negative energy balance protocol during which they exercised on cycle ergometers twice a day, 9 out of 10 days, over a period of 93 days while being kept on a constant daily energy and nutrient intake. The total energy deficit caused by exercise above the estimated energy cost of body weight maintenance reached 244 +/- 9.8 MJ (Mean +/- SEM). Baseline energy intake was estimated over a period of 17 days preceding the negative energy balance protocol. Mean body weight loss was 5.0 kg (SEM = 0.6) (p < 0.001) and it was entirely accounted for by the loss of fat mass (p < 0.001). Fat-free mass was unchanged. Body energy losses reached 191 MJ (SEM = 24) (p < 0.001) which represented about 78% of the estimated energy deficit. Subcutaneous fat loss was slightly more pronounced on the trunk than on the limbs as estimated from skinfolds, circumferences, and computed tomograply (CT). The reduction in CT-assessed abdominal visceral fat was quite striking, from 81 cm2 (SEM = 5) to 52 cm2 (SEM = 6) (p < 0.001). At the same submaximal power output level, subjects oxidized more lipids than carbohydrates after the program as indicated by the changes in the respiratory exchange ratio (p < or = 0.05). Intrapair resemblance was observed for the changes in body weight (p < 0.05), fat mass (P < 0.01), percent fat (p < 0.01), body energy content (p < 0.01), sum of 10 skinfolds (p < 0.01), abdominal visceral fat (p < 0.01), fasting plasma triglycerides (p < 0.05) and cholesterol (p < 0.05), maximal oxygen uptake (p < 0.05), and respiratory exchange ratio during submaximal work (p < 0.01). We conclude that even though there were large individual differences in response to the negative energy balance and exercise protocol, subjects with the same genotype were more alike in responses than subjects with different genotypes particularly for body fat, body energy, and abdominal visceral fat changes. High lipid oxidizers and low lipid oxidizers during submaximal exercise were also seen despite the fact that all subjects had experienced the same exercise and nutritional conditions for about three months.

Adipose Tissue↗

Nutritional status of middle-aged and elderly females in Kentucky in two seasons: Part 1. Body weight and related factors.

Middle-aged and elderly females aged between 51 and 86 years volunteered for this study. In June and July, 147 females were studied; data collected through interview included general socioeconomic information, health history, use of medication, and a 7-day food intake. During the same 7-day period, physical activity level was measured for each person by use of a pedometer. On the 8th day, anthropometric measurements were conducted and fasting blood was analyzed for certain hormones and related metabolites. In the following January and February, the same group was surveyed again and the same measurements were repeated. Of the initial 147 subjects, 130 persons completed the winter survey. A comparison of the summer and winter data indicated some significant differences: mean body weight increased in winter from 70.4 +/- 12.7 to 71.1 +/- 13.5 kg (p less than or equal to 0.05); energy intake was raised from 1450 +/- 384 to 1549 +/- 372 kcal (p less than or equal to 0.01); physical activity decreased from 10.9 +/- 8.2 to 8.5 +/- 5.4 miles/week (p less than or equal to 0.01); and serum free thyroxine (T4) fell from 1.72 +/- 0.27 to 1.64 +/- 0.27 ng/dl. These results together with other data suggest that more attention should be addressed to seasonal fluctuations involved in body weight maintenance.

Aged↗