Energy balance is not a simple algebraic sum of energy expenditure and energy intake as often depicted in communications. Energy balance is a dynamic process and there exist reciprocal effects between food intake and energy expenditure. An important distinction is that of metabolic and behavioural components of energy expenditure. These components not only contribute to the energy budget directly, but also by influencing the energy intake side of the equation. It has recently been demonstrated that resting metabolic rate is a potential driver of energy intake, and evidence is accumulating on the influence of physical activity (behavoiural energy expenditure) on mechanisms of satiety and appetite control. These effects are associated with changes in leptin and insulin sensitivity, and in the plasma levels of gastrointestinal peptides such as glucagon-like peptide-1, ghrelin and cholecystokinin. The influence of fat-free mass on energy expenditure and as a driver of energy intake directs attention to molecules emanating from skeletal tissue as potential appetite signals.Sedentariness (physical inactivity) is positively associated with adiposity and is proposed to be a source of overconsumption and appetite dysregulation. The molecular signals underlying these effects are not known but represent a target for research.
Running title:Energy Balance, Body Composition and Appetite Regulation
Key words:Appetite regulation, energy intake, fat-free mass, resting metabolic rate, sedentariness.
ENERGY BALANCE REGULATION: A DYNAMIC RELATIONSHIP BETWEEN BIOLOGY AND BEHAVIOURWeight gain is often explained as a function energy balance, with sustained periods of excess energy intake over energy expenditure thought to promote the accumulation of adipose tissue. Unfortunately however system, in which reductions in energy intake, or increases in energy expenditure, automatically lead to energy deficit, and in turn, weight loss. This approach is simplistic and belies the complexity of energy balance regulation in humans in the current obesogenic environment. Furthermore, it ignores the potential for behavioral or biological adaptation to restore energy homeostasis during periods of energy deficit or surfeit (1). Rather than being static, the regulation of energy balance is a dynamic process in which perturbations to one component of energy balance may elicit biological and/or behavioral compensation in other components of the system. These auto-regulatory or compensatory responses act to minimize perturbations to energy homeostasis, in turn, body weight (1, 2). For example, it has been suggested that some individuals experience a compensatory reduction in resting energy expenditure, termed adaptive thermogenesis (3), following dietary (4, 5) and exercise-induced (6) weight loss. Compensation may also be behavioural in nature, with dietary (7, 8) and exercise-induced (9, 10) weight loss shown to result in increased fasting hunger (although such changes in subjective appetite do not always translate into changes in actual beha...