title: Heat leakage across the abdominal wall and meal-induced thermogenesis in normal-weight and obese subjects.
abstract: The mechanism behind the meal-induced increase in energy expenditure in humans and its reduction in obesity was examined in 15 normal-weight and seven obese subjects. The subjects were studied by indirect calorimetry in the basal state and during 2 hours after a mixed meal corresponding to 40% of the 24-hour basal energy requirement. Artificial thermal insulation was applied over the abdominal area before the study in seven of the normal-weight subjects. Thermistor catheters were inserted into a hepatic vein, the pulmonary artery, and a systemic artery for blood sampling and recording of blood temperatures. Basal hepatic venous drainage of heat in relation to the splanchnic oxygen uptake in the normal-weight subjects was low (12 +/- 1 J/mL O2) and became even lower after the meal (5 +/- 3 J/mL). In the obese individuals and the insulated subjects, blood-drained splanchnic heat amounted to 19 to 21 J/mL oxygen both before and after the meal. The postprandial increase in whole body energy expenditure was diminished both in the obese (12% +/- 1% above basal) and in the insulated subjects (15% +/- 1%) compared with the noninsulated controls (22% +/- 2%). In normal-weight subjects, there is a leakage of heat across the abdominal wall. Reduction or prevention of this leakage by artificial thermal insulation or by obesity is accompanied by a reduction of the postprandial increase in energy expenditure.
authors.affiliation: Department of Clinical Physiology, Karolinska Hospital, Stockholm, Sweden.
authors.forename: T
authors.initials: T
authors.lastname: Brundin
authors.forename: A
authors.initials: A
authors.lastname: Thörne
authors.forename: J
authors.initials: J
authors.lastname: Wahren
mesh_terms: D000009:Abdominal Muscles / Q000502:physiology*; D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D001833:Body Temperature Regulation; D002302:Cardiac Output; D004734:Energy Metabolism; D005502:Food; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000503:physiopathology*; D010101:Oxygen Consumption; D013152:Splanchnic Circulation
chemical_list: D001786:Blood Glucose