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Summary Energy metabolism and energy balance

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The document offers an in-depth yet structured overview of energy metabolism and energy balance, highlighting how the body regulates, consumes, and expends energy. It begins with foundational concepts such as the First Law of Thermodynamics and the components of total energy expenditure—resting energy expenditure, activity-related expenditure, and the thermic effect of food. Various methods for measuring energy expenditure are detailed, including direct and indirect calorimetry, the doubly labelled water method, and modern tools like heart rate monitors and accelerometers. The notes also explore how exercise intensity and diet influence substrate utilization (carbohydrates vs. fats), introducing concepts like the crossover effect and respiratory exchange ratio (RER). Additional topics include metabolic adaptation, adaptive thermogenesis, fat oxidation, ketogenic and fasting states, and the role of environmental and physiological factors such as insulin resistance, brown adipose tissue, and obesogens in weight regulation. The document concludes by examining metabolic flexibility and how it affects individual responses to energy intake and physical activity.

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En#gy metabolism and en#gy balance


The concept of energy balance

• law of conservation of energy – (1) the total energy in the universe is constant, (2) energy
cannot be created or destroyed
• energy can:
o be transferred between substances
o or be converted into various forms
• system – the part of the universe that is studied/ observed
o reactants + products
• surroundings – everything eels
o the flask + the student + the air + hand holding the flask


• First Law of Thermodynamics – D E universe = D E system + D E surroundings = 0
o Any change in the energy of a system is accompanied by an equal and opposite change in
the energy of the surroundings


Example: 70kg man TEE of 2500 kcal/day
• Energy intake (EI) = Total energy expenditure (TEE)
+/- Adapt
• Resting energy expenditure = 1500 kcal
• Activity-related energy expenditure = 750 kcal TEF
• Thermogenesis of feeding = 250 kcal
o Least variable
AEE
• Metabolic adaptation to negative or positive energy balance
=
+/-250kcal



• Every cell in the body needs energy + has metabolism/ REE/RMR
metabolic rate
o Brain requires a high energy demand to function
o During weight gain/ loss, brain size remains constant
o Brain size and EE are preserved at the cost of
peripheral metabolism – body prioritizes energy
generation of the brain at the expense of metabolic
activities in other tissues and organs
% kcal/ day


• Work = force x distance
• Joules = Newton per meter
o 1 kg = 9.81 N
• Power = work / time (the work rate or power output, describing the intensity of an exercise)
• Watt (W) = J / sec

,• Work and power measured using ergometers e.g. bench test, cycle ergometer (cycling against
resistance), treadmill


Calorimetry

• Measure heat involved in respiration of guinea pig
• Guinea pig > closed central compartment surrounded by ice
• Over time, ice melted but body temp remained stable
• Warm air exhaled by animal = warm air produced by combustion of charcoal
o Respiration = combustion rxn


Energy found in food:
• Bomb calorimeter
• Sample of food is burned with oxygen, mimic oxidation in body
• Heat release > rise in temp of water
• Represents amount of energy in food sample > can compare input to output
• 1 kcal = the amount of energy to raise 1 kg of water by 1°C


Direct calorimetry Indirect calorimetry
• Closed system surrounded by water jacket • Measures respiratory gases = O2 and CO2
• Heat energy transferred from person to content of ambient air and O2 and CO2
water > warmed content of expired air
• Measure energy expenditure based on how • Air flow must be continuous and at a known
much water was warmed by 1°C fixed rate
• Nutrients + O2 (indirect calorimetry) ® heat
+ CO2 + H2O (direct calorimetry)
• Uses Hess’s law – direct relationship
between O2 consumption and heat
production


The Energy cost of exercise


• VO2 – volume of oxygen consumed per minute (L/min)
• VCO2 – the volume of carbon dioxide produced per minute (L/min)
𝑽𝑪𝑶𝟐
• Respiratory exchange ratio (RER) = 𝑽𝑶𝟐

o RER for glucose oxidation = 1
o RER for palmitic acid oxidation = 0.7
o RER for protein oxidation = 0.83


• Glycolysis is faster compared to protein and fat
o More oxygen is required to yield the same amount of energy
o For proteins, oxidation yields two moles of ammonia which is converted to urea; ATP is
required for conversion

, • Respiratory Exchange ® Energy expenditure by indirect calorimetry
o Measure VO2 and VCO2 in steady state
o Determine RER
o Apply caloric equivalent at a given RER (kJ/ L oxygen consumed)
o VO2 (L/min) x kJ/L x minutes = kJ energy expenditure


The double-labelled water (DLW)

• Using non-radioactive isotope 2H2O18
• O18 exchanges between oxygen in water and carbon dioxide, recycled between them
• Hydrogen leaves the body mainly as water
• CO2 is exhaled so [O18] decreases, but 2H remains in H2O
o Difference in that rat of turnover of the 2 labelled formed of H2O = a measure of
production rate of CO2
o Loss is measured by saliva sample at day 14
o Measure ratio of 2 water isotopes


• Yields VCO2 over a period of days
o To determine EE ® solve for VO2 over the same period ® determine the caloric
equivalent
• RER = VCO2/ VO2
o Two unknowns, so must determine the Food Quotient (FQ)
o Food Quotient – the ratio of VCO2/VO2 if all food eaten is oxidized
o Substitute FQ for RER, then can solve for VO2 then work out EE from caloric equivalent


Assumptions that need to be met in direct calorimetry


• All O2 is used to oxidise degradable fuels, therefore all CO2 is recovered
• Gas exchange is in non-acidolic, steady-state conditions
• There is no time delay for the evolution of Cos from the body’s bicarb pool
• Unaccounted for energy loss is minor – e.g. protein loss from hair, nails, skin/ energy loss from
sweat solutes/ incomplete oxidation of alcohol and methane
• Error in caloric equivalents for oxygen, carbon dioxide and nitrogen/ error in caloric equivalents
for weight lost or gained

Energy expenditure measurement techniques:
Accuracy and precision
Ease of administration




Metabolic chambers – an airtight room in which participants reside for a set period of time

Doubly labelled water – an isotope-based technique for the measurement of energy expenditure
Heart rate monitors – detect or measure heart/ pulse rate

Accelerometers – measures the vibration or acceleration of motion of a structure
Physical activity questionnaires
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