The dynamics of human body weight change

An imbalance between energy intake and energy expenditure will lead to a change in body weight (mass) and body composition (fat and lean masses). A quantitative understanding of the processes involved, which currently remains lacking, will be useful in determining the etiology and treatment of obesity and other conditions resulting from prolonged energy imbalance. Here, we show that a mathematical model of the macronutrient flux balances can capture the long-term dynamics of human weight change; all previous models are special cases of this model. We show that the generic dynamic behavior of body composition for a clamped diet can be divided into two classes. In the first class, the body composition and mass are determined uniquely. In the second class, the body composition can exist at an infinite number of possible states. Surprisingly, perturbations of dietary energy intake or energy expenditure can give identical responses in both model classes, and existing data are insufficient to distinguish between these two possibilities. Nevertheless, this distinction has important implications for the efficacy of clinical interventions that alter body composition and mass.     

Bayesian analyses of multiple epistatic QTL models for body weight and body composition in mice

To comprehensively investigate the genetic architecture of growth and obesity, we performed Bayesian analyses of multiple epistatic quantitative trait locus (QTL) models for body weights at five ages (12 days, 3, 6, 9 and 12 weeks) and body composition traits (weights of two fat pads and five organs) in mice produced from a cross of the F1 between M16i (selected for rapid growth rate) and CAST/Ei (wild-derived strain of small and lean mice) back to M16i. Bayesian model selection revealed a temporally regulated network of multiple QTL for body weight, involving both strong main effects and epistatic effects. No QTL had strong support for both early and late growth, although overlapping combinations of main and epistatic effects were observed at adjacent ages. Most main effects and epistatic interactions had an opposite effect on early and late growth. The contribution of epistasis was more pronounced for body weights at older ages. Body composition traits were also influenced by an interacting network of multiple QTLs. Several main and epistatic effects were shared by the body composition and body weight traits, suggesting that pleiotropy plays an important role in growth and obesity.     

The M16 Mouse: An Outbred Animal Model of Early Onset Polygenic Obesity and Diabesity

Objective: To characterize the phenotypic consequences of long‐term selective breeding for rapid weight gain, with an emphasis on obesity and obesity‐induced diabetes (diabesity). Research Methods and Procedures: M16 is the result of long‐term selection for 3‐ to 6‐week weight gain from an ICR base population. Experiment 1 characterized males from both lines for body weights (3, 6, and 8 weeks), feed (4 to 8 weeks) and H₂O (6 to 8 weeks) consumption, and heat loss, body composition, and levels of several plasma proteins at 8 weeks of age. Experiment 2 characterized differences between lines for both sexes at three ages (6, 8, and 16 weeks) and fed two diets (high and normal fat). Body weight, composition, blood glucose, and plasma insulin and leptin levels were evaluated after an 8‐hour fast. Results: At all ages measured, M16 mice were heavier, fatter, hyperphagic, hyperinsulinemic, and hyperleptinemic relative to ICR. M16 males and females were hyperglycemic relative to ICR, with 56% and 22% higher fasted blood glucose levels at 8 weeks of age. Discussion: M16 mice represent an outbred animal model to facilitate gene discovery and pathway regulation controlling early onset polygenic obesity and type 2 diabetic phenotypes. Phenotypes prevalent in the M16 model, with obesity and diabesity exhibited at a young age, closely mirror current trends in human populations.     

Secular Trends in Measures of Cephalo-Facial Traits among Bengalee Boys Aged 7.0–16.0 Years from Kolkata between 1982–1983 and 1999–2001

While a large number of studies on secular trends have been performed on measures of stature, weight, trunk and limb dimensions, subcutaneous fatness and body composition, etc., less attention has been paid to cephalo-facial traits. This study reports on secular trends in five cephalo-facial traits (head length, head breadth, head circumference, bizygomatic breadth and morphological facial height) and two indices (cephalic index and facial index) in Bengalee Hindu boys between ages 7.0 and 16.0 years. The data set comes from two cross-sectional growth surveys carried out among the students of one particular Kolkata (formerly Calcutta) boys school with an interval of about 20 years (1982–1983 and 1999–2001). Identical protocol with respect to sampling, data collection, measuring technique and data analysis has been followed in both surveys. Except for morphological facial height (which showed negative secular trends), the other four cephalo-facial traits showed positive secular trends with varying magnitudes over the two decades. Cephalic index did not reveal any consistent pattern of change, while facial index showed a declining trend in the later survey.     

Growth and secular trend in school-children from Cento, Ferrara, Italy

Growth parameters were surveyed in a sample of 296 Italian children, 6-9 years old, from Cento (Ferrara, Emilia-Romagna). The comparison with children from the same town measured in 1974-75 show changes in some parameters, suggesting an ongoing secular trend. To better understand the observed weight increase and the sex difference, we also evaluated body composition and motricity. The analysis of the present sample is a preliminary part of a longitudinal study dealing with modifications of body composition and motor capacity induced by growth. In our sample the children are growing according to the Italian reference standard. The females present weight, height and Body Mass Index (BMI) values comparable to the 50th centile, while the males present higher values of weight, skinfold thicknesses and BMI. Sex differences in the motor performance were noted. A methodological comparison of obesity assessments based on BMI and percentage of body fat (%F) shows similar conclusions but somewhat different results.     

A new mouse model of spontaneous diabetes derived from ddY strain.

By the selective breeding of obese male mice of the ddY strain and using indices of the heavy body weight and appearance of urinary glucose, we established two inbred strains in 1992: one with obesity and urinary glucose (Tsumura, Suzuki, Obese Diabetes: TSOD) and the other without them (Tsumura, Suzuki, Non Obesity: TSNO). The male TSOD mice constantly showed signs of obesity and urinary glucose with increases in food and water intake, body weight and some fat weight. The body mass index (BMI) clearly showed moderate obesity. Increases in the levels of diabetic blood parameters (glucose, insulin and lipids) were also found in males, in which the levels of blood glucose and insulin were high to the ages past the growth peak. In the histological studies, pancreatic islets of the TSOD males were found hypertrophic without any signs of insulitis or fibrous formation. Among these diabetic characteristics, some of which were similar to the reported models of non-insulin-dependent diabetes mellitus (NIDDM), the stable appearances of the hyperglycemia, the hyperinsulinemia and the hypertrophy of pancreatic islets to the ages past the growth peak were the prominent features. In these respect the TSOD mouse may be a useful model for researching the mechanisms of human diabetes and its complications.     

Childhood malnutrition and growth in a rural area of Western Kenya

An anthropometric survey was carried out on 1,383 school students aged 5-17 years in Suba district (a rural area of western Kenya). Body size and proportion were computed from height, weight, sitting height, arm circumference, and skinfolds. The aim of the study was to evaluate patterns of growth and nutritional status of the Luo population by assessment of the prevalence and trends of malnutrition among children and adolescents. Very few age-groups show significant sex differences for height, body weight, and arm muscle area. However, there are several differences in skinfold thicknesses and arm circumference, always with higher mean values in girls. Analysis of the nutritional status (weight-for-age, height-for-age, and BMI-for-age) shows significant differences among the age-groups in both sexes. Boys present lower Z-scores than girls and there are higher percentages of malnourished subjects (stunted and underweight) among the males. The Luo data were compared with those of other African populations. Their body dimensions, nutritional status, and growth are similar to those of the other sub-Saharan samples. In conclusion, the Luo children are generally undernourished at the older ages: adolescents (11-16 years of age) show the most severe undernutrition and the highest percentages of undernourished subjects. In addition to the higher risk of undernutrition in teenagers, an emerging problem of over-nutrition is evident among the younger age-groups, with a higher prevalence in females. These findings are discussed in light of sexual dimorphism in sensitivity to adverse environmental conditions.     

Relationships between body dimensions and resting and working oxygen consumption in boys aged 11 to 18 years

The relationships between VO2 at rest, VO2max and VO2 during submaximal work on a treadmill with body weight, height and lean body mass assessed by densitometry were analyzed annually in 39 boys aged 11 to 18 years. Interindividual differences in VO2 at rest and VO2max during growth depended in the first place on interindividual differences in lean body mass, to a lesser extent on differences in body weight and least on differences in height. Intersubject differences in VO2 during submaximal work were primarily conditioned by differences in body weight, due to the fact that, at a given running speed, energy output depends on body weight. The differences in submaximal VO2 depended to a lesser extent on differences in lean body mass and least on differences in height. The relationships between VO2 increments and increases in body dimensions were somewhat different in 90 boys between the ages of 11 and 15 years: VO2max increments were determined primarily by changes in body weight and height, changes in lean body mass being of secondary importance. Increases in submaximal VO2 were influenced decisively by increments in body weight, followed by increments in lean body mass and least by increments in height. In the equation y = a.xb expressing the relationship of VO2max to body weight and height, the values of b at the ages of 14 and 15 years were 0.87 and 0.88 in relation to body weight, 2.63 and 2.72 in relation to height. These values are significantly higher than the theoretical values of 0.67 for body weight and 2.00 for height. Similar significant differences from these theoretical values were found for all values between the ages of 11 and 15 years.     

Predicting changes of body weight, body fat, energy expenditure and metabolic fuel selection in C57BL/6 mice

The mouse is an important model organism for investigating the molecular mechanisms of body weight regulation, but a quantitative understanding of mouse energy metabolism remains lacking. Therefore, we created a mathematical model of mouse energy metabolism to predict dynamic changes of body weight, body fat, energy expenditure, and metabolic fuel selection. Based on the principle of energy balance, we constructed ordinary differential equations representing the dynamics of body fat mass (FM) and fat-free mass (FFM) as a function of dietary intake and energy expenditure (EE). The EE model included the cost of tissue deposition, physical activity, diet-induced thermogenesis, and the influence of FM and FFM on metabolic rate. The model was calibrated using previously published data and validated by comparing its predictions to measurements in five groups of male C57/BL6 mice (N = 30) provided ad libitum access to either chow or high fat diets for varying time periods. The mathematical model accurately predicted the observed body weight and FM changes. Physical activity was predicted to decrease immediately upon switching from the chow to the high fat diet and the model coefficients relating EE to FM and FFM agreed with previous independent estimates. Metabolic fuel selection was predicted to depend on a complex interplay between diet composition, the degree of energy imbalance, and body composition. This is the first validated mathematical model of mouse energy metabolism and it provides a quantitative framework for investigating energy balance relationships in mouse models of obesity and diabetes.     

Making fat work

The burgeoning obesity and metabolic disease epidemics in the developed world are exerting a terrible toll on society, yet the precise mechanisms responsible for the emergence of these dramatic trends over a relatively short period of time remain poorly understood. Philip A.Wood's book How Fat Works provides important insights into cellular lipid metabolism, as well as discussing some of the important external contributors to the development of human obesity. The foundation provided by this book allows for the exploration of how body fat has gone from hero during the millennia when starvation was the paramount nutritional risk to its current role as villain in our period of caloric excess. With the incredible personal and societal costs brought about by excess body weight, a comprehensive understanding of the mechanisms responsible for obesity is fundamentally necessary if we are to reverse these dire trends. Here, we delve deeper into some of the forces contributing to the obesity epidemic and discuss some individual measures as well as public policy decisions that may help reverse weight trends, while specifically focusing on the growing problem of pediatric obesity.     

Secular trends in anthropometrical measurements observed in three to 11-year-old French children between 1953 and 2005

This study covers a fifty-year period between 1953 and 2005 and looks at secular trends in stature, weight and sitting height sizes among French boys and girls between the ages of 3 and 11. A special modelling in function to the age and variable for each child was established so that a comparison could be made in the kinetic growth patterns over these same two periods. Statistical analysis shows a significant increase in growth, of 0.8cm per decade in stature, characterised by a certain increase in the lower limbs and the weight (0.8kg per decade) together with a proportional increase on the body mass index. Positive secular trends of this anthropometric nature are generally thanks to improved eating and sanitary habits and this study enables us to build and elaborate new standards in growth patterns essential for monitoring auxological development in 3 to 11-year-old children in the years 2000 and onwards.     

A teleonomic model describing performance (body, milk and intake) during growth and over repeated reproductive cycles throughout the lifespan of dairy cattle. 1. Trajectories of life function priorities and genetic scaling

The prediction of the control of nutrient partitioning, particularly energy, is a major issue in modelling dairy cattle performance. The proportions of energy channelled to physiological functions (growth, maintenance, gestation and lactation) change as the animal ages and reproduces, and according to its genotype and nutritional environment. This is the first of two papers describing a teleonomic model of individual performance during growth and over repeated reproductive cycles throughout the lifespan of dairy cattle. The conceptual framework is based on the coupling of a regulating sub-model providing teleonomic drives to govern the work of an operating sub-model scaled with genetic parameters. The regulating sub-model describes the dynamic partitioning of a mammal female's priority between life functions targeted to growth (G), ageing (A), balance of body reserves (R) and nutrient supply of the unborn (U), newborn (N) and suckling (S) calf. The so-called GARUNS dynamic pattern defines a trajectory of relative priorities, goal directed towards the survival of the individual for the continuation of the specie. The operating sub-model describes changes in body weight (BW) and composition, foetal growth, milk yield and composition and food intake in dairy cows throughout their lifespan, that is, during growth, over successive reproductive cycles and through ageing. This dynamic pattern of performance defines a reference trajectory of a cow under normal husbandry conditions and feed regimen. Genetic parameters are incorporated in the model to scale individual performance and simulate differences within and between breeds. The model was calibrated for dairy cows with literature data. The model was evaluated by comparison with simulations of previously published empirical equations of BW, body condition score, milk yield and composition and feed intake. This evaluation showed that the model adequately simulates these production variables throughout the lifespan, and across a range of dairy cattle genotypes.     

BMI in Japanese children since 1948: no evidence of a major rise in the prevalence of obesity in Japan

The dramatic world-wide trend towards increasing body weight seems to be less obvious in the Japanese population. The aim of this study is to extract potentially useful information regarding childhood and adolescence obesity in Japan from series of mean height and mean body mass index between 1948 and 2003. Mean values for height and weight of Japanese boys and girls aged 5+ to 17+ years were obtained from the "Reports on School Health Survey", Ministry of Education, Culture, Sports, Science and Technology, comprising approximately 4.5% of all children and adolescents in Japan between 1948 and 2003. The data were fitted by the Preece and Baines model (Preece & Baines 1978) in order to obtain estimates of the age of peak height velocity (APHV) and final height. Isochrones for height and BMI were calculated based upon measurements that were obtained at the same chronological ages at different historic epochs. The APHV as estimated by Preece & Baines (1978) has decreased from 14.07 to 12.03 years in Japanese boys, and from 11.80 to 9.92 years in Japanese girls, indicating that the tempo of child and adolescent maturation (maturational tempo) has accelerated. Body height increased by 10.1 cm in near adult 17+ year old Japanese males and by 5.7 cm in 17+ year old Japanese females since 1948. Due to the acceleration and the earlier attainment of adult stature, isochrones for height tend to diverge for prepubertal ages and to converge for postpubertal ages. The same is true for weight. Body weight has increased by 11.8 kg in near adult males, and by 4.4 kg in near adult females. Also BMI has increased since 1948. But in contrast to height and weight, the rise in BMI only reflects the acceleration of the maturational tempo. Tempo-conditioned isochrones for BMI are almost horizontal, and even tended to temporarily decrease during the 60ies and the 70's. The BMI of Japanese children and adolescents dramatically contrasts the recent and historic BMI changes in the Western populations. The present study provides no evidence of any major rise in the prevalence of obesity in Japan as expressed by mean BMI for age and time of birth, and suggests that Japanese children and adolescents may be more resistant against those environmental factors that have caused obesity in the affluent Western societies.     

Combating Obesity through Healthy Eating Behavior: A Call for System Dynamics Optimization

Poor eating behavior has been identified as one of the core contributory factors of the childhood obesity epidemic. The consequences of obesity on numerous aspects of life are thoroughly explored in the existing literature. For instance, evidence shows that obesity is linked to incidences of diseases such as heart disease, type-2 diabetes, and some cancers, as well as psychosocial problems. To respond to the increasing trends in the UK, in 2008 the government set a target to reverse the prevalence of obesity (POB) back to 2000 levels by 2020. This paper will outline the application of system dynamics (SD) optimization to simulate the effect of changes in the eating behavior of British children (aged 2 to 15 years) on weight and obesity. This study also will identify how long it will take to achieve the government’s target. This paper proposed a simulation model called Intervention Childhood Obesity Dynamics (ICOD) by focusing the interrelations between various strands of knowledge in one complex human weight regulation system. The model offers distinct insights into the dynamics by capturing the complex interdependencies from the causal loop and feedback structure, with the intention to better understand how eating behaviors influence children’s weight, body mass index (BMI), and POB measurement. This study proposed a set of equations that are revised from the original (baseline) equations. The new functions are constructed using a RAMP function of linear decrement in portion size and number of meal variables from 2013 until 2020 in order to achieve the 2020 desired target. Findings from the optimization analysis revealed that the 2020 target won’t be achieved until 2026 at the earliest, six years late. Thus, the model suggested that a longer period may be needed to significantly reduce obesity in this population.     

The importance of catch-up growth after early malnutrition for the programming of obesity in male rat

Objective: To investigate whether catch‐up growth after maternal malnutrition would favor the development of obesity in adulthood. Research Methods and Procedures: Pregnant rats were submitted to protein or calorie restriction during the course of gestation. During lactation, pups were protein‐restricted, normally fed, or overfed [reduced litter size, control (C) diet]. At weaning, rats were transferred to chow or to a hypercaloric diet (HCD) known to induce obesity. Body weight, food intake, blood parameters, glucose tolerance, adipocyte cellularity, and adipose factors contributing to cardiovascular disease development were measured. Results: Protein and calorie restriction during gestation led to growth retardation at birth. If malnutrition was prolonged throughout lactation, adult body weight was permanently reduced. However, growth‐retarded offspring overfed during the suckling period underwent a rapid catch‐up growth and became heavier than the normally fed Cs. Offspring of calorie‐restricted rats gained more weight than those of dams fed protein‐restricted diet. Feeding an HCD postnatally amplified the effect of calorie restriction, and offspring that underwent catch‐up growth became more obese than Cs. The HCD was associated with hyperphagia, hyperglycemia, hyperinsulinemia, glucose intolerance, insulin resistance, and adipocyte hypertrophy. The magnitude of effects varied depending on the type and the timing of early malnutrition. The expression of genes encoding factors implicated in cardiovascular disease was also modulated differently by early malnutrition and adult obesity. Discussion: Catch‐up growth immediately after early malnutrition should be a key point for the programming of obesity.     

Body mass and body fat in Hungarian schoolboys: differences between 1980-2005

The prevalence of juvenile excess weight keeps growing in the more developed world (WHO, 1998). The aim of the study was to compare the prevalence of overweight and obesity in Hungarian schoolboys in 1980 and 2005.Two independent representative data collections were performed in volunteer boys aged between 6.51 and 18.50 years in the same 90 settlements of the country in 1980 (n=13,061) and 2005 (n=13,060). Height, body mass, and five skinfolds were measured by the same investigators in both instances. Overweight and obesity were estimated by using BMI (Cole et al., 2000), respectively skinfold thicknesses (Parízková, 1961).The pair-wise differences between height means were consistently significant in the 12 age groups studied. Body mass differences were not exactly proportionate with height. The boys of 2005 had significantly more relative body fat than those of 1980. The prevalence of overweight and obesity was remarkably higher in 2005.Taller height and a part of the heavier body mass in 2005 was attributed to a positive secular growth trend. The increases in BMI and fat content are negative consequences of a markedly changed lifestyle associated with inactivity and dietary habits. Because of its public health importance the trends of childhood obesity should be closely monitored.     

Growth and malnutrition of rural Zimbabwean children (6-17 years of age)

The rural environment is an important factor in delayed growth in developing countries. The aim of this study was to investigate the effects of poor rural living conditions on the growth of a Shona sample in Zimbabwe. In total, 982 subjects aged 6-17 years were analyzed. Mean values of height, weight, skinfolds (triceps, subscapular, suprailiac, biceps, medial calf), cormic index, body mass index (BMI), arm composition (total upper arm area, upper arm muscle area, arm fat area, and arm fat index), fat percentage (%F), centripetal fat ratio (CFR), and the contribution of each skinfold to the adiposity of the trunk and upper limbs are presented. Weight, height, BMI, cormic index, SSCP, TRCP, arm circumference, and arm composition are compared with NHANES percentiles. Boys and girls showed stunting and underweight at ages 11-15 and 8-15, respectively; boys presented particularly severe malnutrition and their means of height and weight were below the 10th percentile. The means of arm circumference, UMA, UFA, and TRCP were below the 15th percentile in both sexes. The contribution of the skinfolds generally showed an overall prevalence of TRCP in both sexes; the contribution of SSCP was prevalent only for the 16- to 17-year-old boys. Males presented a higher CFR than girls after 14 years while females showed an irregular pattern. There was a high incidence of brachycormia and mesocormia in females and males, respectively. Height, weight, and BMI were similar to the values observed in other sub-Saharan countries, although body size was slightly larger than in South Africa and smaller than in Tanzania. The results provide a useful database for future comparisons.     

Associations between early-life growth pattern and body size and follicular lymphoma risk and survival: a family-based case-control study

BackgroundThe influence of early-life growth pattern and body size on follicular lymphoma (FL) risk and survival is unclear. In this study, we aimed to investigate the association between gestational age, growth during childhood, body size, changes in body shape over time, and FL risk and survival.MethodsWe conducted a population-based family case-control study and included 706 cases and 490 controls. We ascertained gestational age, growth during childhood, body size and body shape using questionnaires and followed-up cases (median=83 months) using record linkage with national death records. We used a group-based trajectory modeling approach to identify body shape trajectories from ages 5–70. We examined associations with FL risk using unconditional logistic regression and used Cox regression to assess the association between body mass index (BMI) and all-cause and FL-specific mortality among cases.ResultsWe found no association between gestational age, childhood height and FL risk. We observed a modest increase in FL risk with being obese 5 years prior to enrolment (OR=1.43, 95 %CI=0.99–2.06; BMI ≥30 kg/m²) and per 5-kg/m² increase in BMI 5 years prior to enrolment (OR=1.14, 95 %CI=0.99–1.31). The excess risk for obesity 5 years prior to enrolment was higher for ever-smokers (OR=2.00, 95 %CI=1.08–3.69) than never-smokers (OR=1.14, 95 %CI=0.71–1.84). We found no association between FL risk and BMI at enrolment, BMI for heaviest lifetime weight, the highest categories of adult weight or height, trouser size, body shape at different ages or body shape trajectory. We also observed no association between all-cause or FL-specific mortality and excess adiposity at or prior to enrolment.ConclusionWe observed a weak association between elevated BMI and FL risk, and no association with all-cause or FL-specific mortality, consistent with previous studies. Future studies incorporating biomarkers are needed to elucidate possible mechanisms underlying the role of body composition in FL etiology.     

Protein, lipid, water and caloric contents of immature rainbow trout, Salmo gairdneri Richardson, growing at different rates

Protein, lipid, water and caloric contents of immature rainbow trout, relative to size of whole fish, growing at different rates were examined by use of allometric analysis (y = ax^b, Huxley, 1932). Fish grew at different rates as a result of differences in ration size (satiation, or 4–5% of dry body weight), temperature (7 and 12°C) and bGH (bovine growth hormone) administration. In fingerlings, protein, lipid and caloric contents tended to increase (v. body weight) as a percentage of body composition, whereas above fingerling size, protein decreased while lipid and caloric contents still increased. These trends occurred regardless of growth rate differences. The correlations between protein, lipid, caloric contents and body weight were high so reliable estimates of body components can be made from body weight for all experimental treatments. At satiation rations (7 and 12°C), there were no significant differences in protein content, but lipid and caloric contents were significantly higher in control fish. At low rations, protein and caloric contents were lower than those at satiation rations and lipid was lower than in the control group. On a dry weight basis, in uninjected fish at 12°C, ration size did not influence the percentage composition (protein and lipid) but the low ration group had lower energy values per unit of body dry weight. At low temperature (7°C satiation), fish had lower lipid and higher protein content (dry weight basis) than their controls (12°C satiation), thereby resembling bGH injected fish at satiation rations. Values of caloric content estimated from protein and lipid values by use of standard conversion factors differed sufficiently from caloric values directly determined by bomb calorimetry to suggest that caloric values of lipids may change during growth. The increase in body caloric content during growth apparently results mainly from an increase in the percentage of lipid. The similarity of body composition between different growth rate groups implied a tendency for conservation of relative proportions of components such that body composition can be approximated from body weight. Equations were also given to describe the relationship between water content and body constituents, and the relationship between condition factor (K) and both the body dry weight and lipid content.