The 24-h energy intake of obese adolescents is spontaneously reduced after intensive exercise: a randomized controlled trial in calorimetric chambers

David Thivel, Laurie Isacco, Christophe Montaurier, Yves Boirie, Pascale Duché, Béatrice Morio, David Thivel, Laurie Isacco, Christophe Montaurier, Yves Boirie, Pascale Duché, Béatrice Morio

Abstract

Background: Physical exercise can modify subsequent energy intake and appetite and may thus be of particular interest in terms of obesity treatment. However, it is still unclear whether an intensive bout of exercise can affect the energy consumption of obese children and adolescents.

Objective: To compare the impact of high vs. moderate intensity exercises on subsequent 24-h energy intake, macronutrient preferences, appetite sensations, energy expenditure and balance in obese adolescent.

Design: This randomized cross-over trial involves 15 obese adolescent boys who were asked to randomly complete three 24-h sessions in a metabolic chamber, each separated by at least 7 days: (1) sedentary (SED); (2) Low-Intensity Exercise (LIE) (40% maximal oxygen uptake, VO(2)max); (3) High-Intensity Exercise (HIE) (75%VO(2)max).

Results: Despite unchanged appetite sensations, 24-h total energy intake following HIE was 6-11% lower compared to LIE and SED (p<0.05), whereas no differences appeared between SED and LIE. Energy intake at lunch was 9.4% and 8.4% lower after HIE compared to SED and LIE, respectively (p<0.05). At dinner time, it was 20.5% and 19.7% lower after HIE compared to SED and LIE, respectively (p<0.01). 24-h energy expenditure was not significantly altered. Thus, the 24-h energy balance was significantly reduced during HIE compared to SED and LIE (p<0.01), whereas those of SED and LIE did not differ.

Conclusions: In obese adolescent boys, HIE has a beneficial impact on 24-h energy balance, mainly due to the spontaneous decrease in energy intake during lunch and dinner following the exercise bout. Prescribing high-intensity exercises to promote weight loss may therefore provide effective results without affecting appetite sensations and, as a result, food frustrations.

Trial registration: ClinicalTrial.gov NCT01036360.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Figure 1. Energy consumption (KJ) distribution between…
Figure 1. Energy consumption (KJ) distribution between meals for each experimental session (SED: sedentary; LIE: Low-Intensity Exercise; HIE: High-Intensity exercise).
Breakfast on day 1 (BF1) was calibrated; lunch, dinner and BF2 (breakfast on day 2) were offered ad libitum (adlib). *p<0.05; **p<0.01.
Figure 2. 24-h protein (Prot), Lipid and…
Figure 2. 24-h protein (Prot), Lipid and Carbohydrate (CHO) relative intake (%) during each experimental session (SED: Sedentary; LIE: Low-Intensity Exercise; HIE: High-Intensity Exercise).
Figure 3. Subjective satiety feeling (Visual Analogue…
Figure 3. Subjective satiety feeling (Visual Analogue Scale of 100 mm) throughout the experimental sessions (SED: Sedentary; LIE: Low-Intensity Exercise; HIE: High-Intensity Exercise).
BF1: calibrated breakfast on day 1; BF2: ad libitum breakfast on day 2.

References

    1. King NA, Lluch A, Stubbs RJ, Blundell JE. High dose exercise does not increase hunger or energy intake in free living males. Eur J Clin Nutr. 1997;51:478–483.
    1. Blundell JE, Stubbs RJ, Hughes DA, Whybrow S, King NA. Cross talk between physical activity and appetite control: does physical activity stimulate appetite? Proc Nutr Soc. 2003;62:651–661.
    1. Blundell JE, King NA. Physical activity and regulation of food intake: current evidence. Med Sci Sports Exerc. 1999;31:S573–583.
    1. Hagobian TA, Braun B. Physical activity and hormonal regulation of appetite: sex differences and weight control. Exerc Sport Sci Rev. 2010;38:25–30.
    1. Martins C, Morgan L, Truby H. A review of the effects of exercise on appetite regulation: an obesity perspective. Int J Obes (Lond) 2008;32:1337–1347.
    1. Melzer K, Kayser B, Saris WH, Pichard C. Effects of physical activity on food intake. Clin Nutr. 2005;24:885–895.
    1. Bozinovski NC, Bellissimo N, Thomas SG, Pencharz PB, Goode RC, et al. The effect of duration of exercise at the ventilation threshold on subjective appetite and short-term food intake in 9 to 14 year old boys and girls. Int J Behav Nutr Phys Act. 2009;6:66.
    1. Dodd CJ, Welsman JR, Armstrong N. Energy intake and appetite following exercise in lean and overweight girls. Appetite. 2008;51:482–488.
    1. Bellissimo N, Thomas SG, Goode RC, Anderson GH. Effect of short-duration physical activity and ventilation threshold on subjective appetite and short-term energy intake in boys. Appetite. 2007;49:644–651.
    1. Nemet D, Arieli R, Meckel Y, Eliakim A. Immediate post-exercise energy intake and macronutrient preferences in normal weight and overweight pre-pubertal children. Int J Pediatr Obes 2010
    1. Moore MS, Dodd CJ, Welsman JR, Armstrong N. Short-term appetite and energy intake following imposed exercise in 9- to 10-year-old girls. Appetite. 2004;43:127–134.
    1. Thivel D, Isacco L, Rousset S, Boirie Y, Morio B, et al. Intensive exercise: A remedy for childhood obesity? Physiol Behav 2011
    1. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240–1243.
    1. Ueda SY, Yoshikawa T, Katsura Y, Usui T, Fujimoto S. Comparable effects of moderate intensity exercise on changes in anorectic gut hormone levels and energy intake to high intensity exercise. J Endocrinol. 2009;203:357–364.
    1. Ueda SY, Yoshikawa T, Katsura Y, Usui T, Nakao H, et al. Changes in gut hormone levels and negative energy balance during aerobic exercise in obese young males. J Endocrinol. 2009;201:151–159.
    1. Thivel D, Isacco L, Taillardat M, Rousset S, Boirie Y, et al. Gender effect on exercise-induced energy intake modification among obese adolescents. Appetite. 56:658–661.
    1. Rowland TW. Developmental Exercise physiology. 1996. Champaign, IL.
    1. Weir JB. New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol. 1949;109:1–9.
    1. Hagobian TA, Sharoff CG, Braun B. Effects of short-term exercise and energy surplus on hormones related to regulation of energy balance. Metabolism. 2008;57:393–398.
    1. Flint A, Raben A, Blundell JE, Astrup A. Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes Relat Metab Disord. 2000;24:38–48.
    1. Hilton LK, Loucks AB. Low energy availability, not exercise stress, suppresses the diurnal rhythm of leptin in healthy young women. Am J Physiol Endocrinol Metab. 2000;278:E43–49.
    1. Leidy HJ, Dougherty KA, Frye BR, Duke KM, Williams NI. Twenty-four-hour ghrelin is elevated after calorie restriction and exercise training in non-obese women. Obesity (Silver Spring) 2007;15:446–455.
    1. Leidy HJ, Gardner JK, Frye BR, Snook ML, Schuchert MK, et al. Circulating ghrelin is sensitive to changes in body weight during a diet and exercise program in normal-weight young women. J Clin Endocrinol Metab. 2004;89:2659–2664.
    1. Black SE, Mitchell E, Freedson PS, Chipkin SR, Braun B. Improved insulin action following short-term exercise training: role of energy and carbohydrate balance. J Appl Physiol. 2005;99:2285–2293.
    1. Broom DR, Stensel DJ, Bishop NC, Burns SF, Miyashita M. Exercise-induced suppression of acylated ghrelin in humans. J Appl Physiol. 2007;102:2165–2171.
    1. Thivel D, Isacco L, Rousset S, Boirie Y, Morio B, et al. Intensive exercise: A remedy for childhood obesity? Physiol Behav
    1. van Aggel-Leijssen DP, van Baak MA, Tenenbaum R, Campfield LA, Saris WH. Regulation of average 24 h human plasma leptin level; the influence of exercise and physiological changes in energy balance. Int J Obes Relat Metab Disord. 1999;23:151–158.
    1. George VA, Morganstein A. Effect of moderate intensity exercise on acute energy intake in normal and overweight females. Appetite. 2003;40:43–46.
    1. Blundell J, de Graaf C, Hulshof T, Jebb S, Livingstone B, et al. Appetite control: methodological aspects of the evaluation of foods. Obes Rev 2010
    1. Donnelly JE, Smith BK. Is exercise effective for weight loss with ad libitum diet? Energy balance, compensation, and gender differences. Exerc Sport Sci Rev. 2005;33:169–174.
    1. King NA, Caudwell P, Hopkins M, Byrne NM, Colley R, et al. Metabolic and behavioral compensatory responses to exercise interventions: barriers to weight loss. Obesity (Silver Spring) 2007;15:1373–1383.
    1. Epstein LH, Wing RR. Aerobic exercise and weight. Addict Behav. 1980;5:371–388.
    1. Kriemler S, Hebestreit H, Mikami S, Bar-Or T, Ayub BV, et al. Impact of a single exercise bout on energy expenditure and spontaneous physical activity of obese boys. Pediatr Res. 1999;46:40–44.

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