Energy Expenditure in Free-Living Japanese People with Obesity and Type 2 Diabetes, Measured Using the Doubly-Labeled Water Method

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  • ISHIKAWA-TAKATA Kazuko
    Department of Nutrition and Metabolism, National Institutes of Biomedical Innovation, Health and Nutrition Faculty of Applied Biosciences, Tokyo University of Agriculture
  • TANAKA Shigeho
    Department of Nutrition and Metabolism, National Institutes of Biomedical Innovation, Health and Nutrition Faculty of Nutrition, Kagawa Nutrition University
  • PARK Jonghoon
    Department of Physical Education, Korea University
  • MIYACHI Motohiko
    Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition
  • MORITA Akemi
    Department of Public Health and Occupation, Mie University
  • AIBA Naomi
    Department of Nutrition and Life Science, Kanagawa Institute of Technology
  • WATANABE Shaw
    Life Science Promoting Association

書誌事項

公開日
2020-08-31
資源種別
journal article
DOI
  • 10.3177/jnsv.66.319
公開者
一般財団法人 学会誌刊行センター

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説明

<p>We determined the total energy expenditure (TEE) of healthy overweight or obese people, and those with impaired glucose tolerance and/or impaired fasting glycemia (IGT/IFG), or type 2 diabetes (T2DM) using the doubly-labeled water method. As a second purpose, we compared the measured TEE with the target energy intake recommended in the treatment guidelines for diabetes. The participants were normal glucose tolerance (NGT), and IGT/IFG (n=11) and T2DM (n=9) patients, who were 50-59 y and had a body mass index >25 kg/m2. The median TEE/body mass (BM) values were 32.6, 33.3, and 34.4 kcal/kg BM and the TEE/target BM values (target BM: BM at a BMI of 22 kg/m2) were 43.7, 50.2, and 46.5 kcal/kg target BM for each group, respectively, and did not differ significantly among them. Obese Japanese participants with T2DM in this study had lower TEE/BM than previously studied in non-obese participants with T2DM. In IGT/IFG or T2DM patients, if 30 kcal/kg target BM was used as the energy coefficient, on the basis of the treatment guidelines, the difference between TEE and the target energy intake would be −1,174±552 kcal (−38±11%). When 35 kcal/kg target BM was used as the energy coefficient, the difference between TEE and the target energy intake would be −877±542 kcal (−27±13%). Thus, the energy coefficients used to estimate target energy intake during lifestyle modification in obese/overweight patients with T2DM are considered to be quite low during the first step of diet therapy.</p>

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