assessing basal metabolic rate in humans using indirect ......2016/10/13 · assessing basal...
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Assessing Basal Metabolic Rate in Humans using Indirect Calorimetry
Gloria Keppner
Chair for Molecular Nutritional Medicine Technische Universität München
10/13/2016
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Daily Energy Expenditure Food
Energy
Assimilated
Energy
Metabolisable
Energy
Energy Stores
(Fat)
Feces
Urine
Glucose
Fatty
Acids Amino
Acids
Physical Activity
10-30%
Adaptive
Thermogenesis
10%
Specific
Dynamic
Action Growth
Microbial
Heat
Dissipation
Basal
Metabolic
Rate
60-80%
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Bomb Calorimetry
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Basal Metabolic Rate
Definition
• Postabsorptive (10-12h after last meal)
• Normotherm (Tb ~ 37°C)
• Thermoneutral
• Resting (lying on back)
• No stress, no excitment
• Awake
Energy to maintain the body function at rest and all vital functions!
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Relative contribution of organs to BMR
Gallagher et al. 1998
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How to measure Resting Metabolic Rate
Direct Calorimetry
• Heat production
• Bomb calorimetry
Indirect Calorimetry
• Food intake / waste
• Double labled water
• Respirometry
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Ice Calorimeter
Leplace and Lavoisier 1780
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Indirect Calorimetry
© TU München/Astrid Eckert
Gasanalyzer
O2 and CO2
Computer
Output
RQ, O2, CO2
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Respiratory Quotient (RQ)
Defenition
Proportion between consumed oxygen (O2) and produced carbon dioxide (CO2)
RQ = VCO2 (l/min)/ VO2
(l/min) The RQ is specific for each metabolized substrate, due to different biochemical characteristics!
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Respiratory Quotient to determine the utilized substrate
Respiratory Quotients of different substrates
• Carbohydrates = 1
• Proteins = 0.8
• Fat = 0.7
RQ decreases with dietary fat content!
Schrauwen et al. 1997
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Basal metabolic rate (BMR)
Part I
Gut microbioata
Part II
Organ-specific metabolic rates
Part III
Mitochondrial activity of Pheripheral Blood Mononuclear Cells
(PBMCs)
Impact of gut microbioata, liver metabolism and PBMC activity on energy expenditure
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Model Variable R²
1 REE = age + sex + race + weight + height 0.675
2 REE = age + sex + race + fat + FFM 0.696
→ 30% of the variability in REE are unexplained
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Basal metabolic rate (BMR)
Part I
Gut microbioata
Part II
Organ-specific metabolic rates
Part III
Mitochondrial activity of Pheripheral Blood Mononuclear Cells
(PBMCs)
Impact of gut microbioata, liver metabolism and PBMC activity on energy expenditure
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Part I – Fecal Microbiome and Basal Metabolic Rate (BMR)
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Hypothesis I
Individual differences in gut microbiota composition affect the BMR
Summary Part I
• Gut microbiota is influenced by dietary habits
• Increased ratio of Firmicutes to Bacteroidetes in obese people
• Increase in fat mass by colonization of germ-free mice
• Recipients colonized with bacteria from obese compared to lean donors gained more body fat
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Model Variable R²
1 REE = age + sex + race + weight + height 0.675
2 REE = age + sex + race + fat + FFM 0.696
3 REE = age + sex + race + fat + FFM + HMRO 0.723
4 REE = age + sex + race + fat + FFM + HMRO + brain 0.745
→ 25% of the variability in REE are unexplained
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Summary Part II
• 70% of BMR variation is explained by sex, age, race, lean mass and fat mass
• Additionally 5% variation of BMR can be explained by HMRO
• Organ metabolic activity may vary between the subjects
Hypothesis II
Specific metabolic activity of liver is associated with the variation of BMR
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Part III: Respiratory Capacity of Peripheral Blood Mononuclear Cells (PBMCs) and BMR
Hypothesis III
Oxygen consumption rate of PBMCs correlates with BMR
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Thank’s for your attention
AG Klingenspor Prof. Martin Klingenspor Dr. Florian Bolze, Dr. Tobias Fromme, Dr. Yongguo Li, Dr. Stefanie Maurer, Dr. Monja Willershäuser, Andrea Bast, Katharina Braun, Catalina Bonnet, Gloria Keppner Sabine Schweizer, Hui Wang, Sabine Mocek