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Body Composition and Metabolic Caging Analysis in High Fat Fed Mice
Published on: May 24, 2018
Decreased energy expenditure is caused by abnormal body composition in infants with Prader-Willi Syndrome
M Tracy Bekx1, Aaron L Carrel, Timothy C Shriver
1Department of Pediatrics, University of Wisconsin Children's Hospital, Madison, Wisconsin 53792, USA. mtbekx@wisc.edu
Insights
Infants with Prader-Willi syndrome (PWS) have higher body fat and lower fat-free mass (FFM), leading to reduced energy expenditure. Energy expenditure per FFM is normal, suggesting FFM drives the lower expenditure in PWS infants.
Area of Science:
- Pediatrics
- Endocrinology
- Metabolism
Background:
- Prader-Willi syndrome (PWS) infants exhibit hypotonia and underweight prior to developing obesity.
- Understanding body composition and energy expenditure is crucial for managing PWS in infancy.
Purpose of the Study:
- To evaluate body composition in infants with PWS.
- To determine the relationship between body composition and energy expenditure in PWS infants.
Main Methods:
- Analyzed body composition using dual-energy x-ray absorptiometry and deuterium dilution in 16 PWS infants.
- Measured energy expenditure via doubly labeled water and indirect calorimetry.
- Compared findings with age-matched normative data.
Main Results:
- PWS infants showed significantly increased percent body fat and decreased fat-free mass (FFM) compared to normal infants.
- Total energy expenditure was significantly lower in PWS infants.
- The relationship between FFM and total energy expenditure was normal in PWS infants.
Conclusions:
- Infants with PWS have altered body composition (increased fat, decreased FFM) and reduced energy expenditure.
- Lower energy expenditure in PWS infants is primarily attributed to decreased FFM.
- Energy expenditure relative to FFM is comparable to that of infants without PWS.
Objective:
Infants with Prader-Willi syndrome (PWS) are hypotonic and underweight before the onset of childhood obesity. This study evaluates body composition in the PWS infant and its relationship to energy expenditure.
Study Design:
Sixteen infants and toddlers with PWS (mean age, 12.4+/-6 months; eight female subjects) underwent analysis of body composition with dual-energy x-ray absorptiometry and deuterium dilution, and energy expenditure with both doubly labeled water and indirect calorimetry.
Results:
Percent body fat was significantly increased (male subjects, P<.001; female subjects, P<.001) and fat-free mass (FFM) was significantly decreased (male subjects, P<.001; female subjects, P=.04) in infants with PWS when compared with age-matched published data for normal infants. Meanwhile, total energy expenditure was significantly decreased (male subjects, P=.025; female subjects, P<.001) in infants with PWS when compared with published normative data. There was a normal relationship between FFM and total energy expenditure in infants with PWS.
Conclusion:
Compared with published data for infants without PWS, infants with PWS demonstrate increased percent body fat, decreased FFM, and decreased energy expenditure. Importantly, total energy expenditure per kilogram of FFM appears similar in infants with and without PWS. We conclude that lower energy expenditure in infants with PWS is caused by decreased FFM.
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