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The estimation of resting metabolic expenditure in surgical patients by indirect calorimetry is possible using Noyon's (1937) diaferometer. The limitations of this instrument are described. Utilization of carbohydrate appears to be diminished following operation. Fat becomes the main calorie source and there is an increased catabolism of protein. Patients who are undergoing uncomplicated, elective surgery of moderate severity and who are given a low calorie intake show no change in total metabolic expenditure after operation. The administration of parenteral nutrients reverses the negative balances of nitrogen and of energy and increases resting metabolic expenditure.
The estimation of resting metabolic expenditure in surgical patients by indirect calorimetry is possible using Noyon's (1937) diaferometer. The limitations of this instrument are described. Utilization of carbohydrate appears to be diminished following operation. Fat becomes the main calorie source and there is an increased catabolism of protein. Patients who are undergoing uncomplicated, elective surgery of moderate severity and who are given a low calorie intake show no change in total metabolic expenditure after operation. The administration of parenteral nutrients reverses the negative balances of nitrogen and of energy and increases resting metabolic expenditure.
Oxygen consumption attributable to apparent heat increment (AHI) was measured in relation to varying essential amino acid proportions (EAA) infused into rainbow trout,Oncorhynchus mykiss (250-450 g), induced to swim at ≈1 BL s(-1). Five diets, mimicking EAA concentrations in trout whole body protein, deficient in the branched chain amino acids (isoleucine, leucine and valine), containing unbalanced proportions of EAAs and supplying lysine in excessive and limiting proportions, were tested. Following infusion of the experimental diets, a significant increase in oxygen consumption was observed. Changes in plasma EAAs following infusion paralleled the time course of AHI (i.e., oxygen consumption). AHI represented the equivalent of 15-32% of the gross energy intake depending on dietary EAA composition. Diets supplying EAAs similar to trout whole body protein and limiting in lysine produced the lowest AHI values, indicating efficient utilization of dietary amino acids. Higher AHI values were associated with diets deficient in the branched chain amino acids and diets supplying lysine in excess. Duration of elevated metabolism was independent of both dietary composition and energy intake. Different proportions of EAAs in the diet can increase the energy expended as AHI. In an attempt to reduce the energy liberated as AHI, attention must be paid to the quality, quantity and balance of dietary EAAs.
For more than 200 years, the metabolic response that accompanies meal digestion has been characterized, theorized, and experimentally studied. Historically labeled "specific dynamic action" or "SDA", this physiological phenomenon represents the energy expended on all activities of the body incidental to the ingestion, digestion, absorption, and assimilation of a meal. Specific dynamic action or a component of postprandial metabolism has been quantified for more than 250 invertebrate and vertebrate species. Characteristic among all of these species is a rapid postprandial increase in metabolic rate that upon peaking returns more slowly to prefeeding levels. The average maximum increase in metabolic rate stemming from digestion ranges from a modest 25% for humans to 136% for fishes, and to an impressive 687% for snakes. The type, size, composition, and temperature of the meal, as well as body size, body composition, and several environmental factors (e.g., ambient temperature and gas concentration) can each significantly impact the magnitude and duration of the SDA response. Meals that are large, intact or possess a tough exoskeleton require more digestive effort and thus generate a larger SDA than small, fragmented, or soft-bodied meals. Differences in the individual effort of preabsorptive (e.g., swallowing, gastric breakdown, and intestinal transport) and postabsorptive (e.g., catabolism and synthesis) events underlie much of the variation in SDA. Specific dynamic action is an integral part of an organism's energy budget, exemplified by accounting for 19-43% of the daily energy expenditure of free-ranging snakes. There are innumerable opportunities for research in SDA including coverage of unexplored taxa, investigating the underlying sources, determinants, and the central control of postprandial metabolism, and examining the integration of SDA across other physiological systems.
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