PMID- 32985108 OWN - NLM STAT- MEDLINE DCOM- 20210330 LR - 20210502 IS - 1930-739X (Electronic) IS - 1930-7381 (Print) IS - 1930-7381 (Linking) VI - 28 IP - 11 DP - 2020 Nov TI - A Novel Approach to Assess Metabolic Flexibility Overnight in a Whole-Body Room Calorimeter. PG - 2073-2077 LID - 10.1002/oby.22982 [doi] AB - OBJECTIVE: This study aimed to investigate a novel approach for determining the effects of energy-standardized dinner meals (high-fat and low-fat) on respiratory exchange ratio (RER) dynamics and metabolic flexibility. METHODS: Using a randomized crossover study design, energy expenditure, RER, and macronutrient oxidation rates were assessed in response to a single dinner meal during an overnight stay in a whole-body room calorimeter. Eight healthy adults completed two overnight chamber stays while fed either a high-fat (60% fat, 20% carbohydrate [CHO], 20% protein; food quotient [FQ] = 0.784) or low-fat (20% fat, 60% CHO, 20% protein; FQ = 0.899) dinner containing 40% of daily energy requirements. RESULTS: Following the low-fat meal, CHO oxidation first increased before decreasing, resulting in a 12-hour RER:FQ ratio close to 1.0 (0.986 +/- 0.019, P = 0.06) and therefore resulting in a 12-hour equilibrated fat balance (29 +/- 76 kcal/12 hours). Following the high-fat meal, participants had a RER:FQ ratio above 1.0 (1.061 +/- 0.017, P < 0.01), resulting in a significant positive 12-hour fat balance of 376 +/- 142 kcal/12 hours. Various RER trajectory parameters were significantly different following the high-fat and low-fat meals. CONCLUSIONS: This proof-of-concept study provides an alternative approach to quantify metabolic flexibility in response to a high-fat dinner and it can be used to derive indexes of metabolic flexibility, such as the 12-hour RER:FQ ratio or the 12-hour fat balance. CI - (c) 2020 The Obesity Society. FAU - McDougal, David H AU - McDougal DH AUID- ORCID: 0000-0003-4243-4897 AD - Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA. FAU - Marlatt, Kara L AU - Marlatt KL AUID- ORCID: 0000-0001-7721-7900 AD - Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA. FAU - Beyl, Robbie A AU - Beyl RA AUID- ORCID: 0000-0002-8582-744X AD - Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA. FAU - Redman, Leanne M AU - Redman LM AUID- ORCID: 0000-0002-7267-7374 AD - Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA. FAU - Ravussin, Eric AU - Ravussin E AUID- ORCID: 0000-0003-2129-547X AD - Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA. LA - eng GR - P30 DK072476/DK/NIDDK NIH HHS/United States GR - T32 DK064584/DK/NIDDK NIH HHS/United States GR - U54 GM104940/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200927 PL - United States TA - Obesity (Silver Spring) JT - Obesity (Silver Spring, Md.) JID - 101264860 SB - IM MH - Adolescent MH - Adult MH - Calorimetry/*methods MH - Cross-Over Studies MH - Energy Metabolism/*physiology MH - Female MH - Humans MH - Male MH - Metabolic Flux Analysis/*methods MH - Young Adult PMC - PMC7644592 MID - NIHMS1614545 COIS- Disclosures: The authors declare no conflicts of interest. EDAT- 2020/09/29 06:00 MHDA- 2021/03/31 06:00 PMCR- 2021/05/01 CRDT- 2020/09/28 05:51 PHST- 2020/02/26 00:00 [received] PHST- 2020/07/15 00:00 [revised] PHST- 2020/07/16 00:00 [accepted] PHST- 2020/09/29 06:00 [pubmed] PHST- 2021/03/31 06:00 [medline] PHST- 2020/09/28 05:51 [entrez] PHST- 2021/05/01 00:00 [pmc-release] AID - 10.1002/oby.22982 [doi] PST - ppublish SO - Obesity (Silver Spring). 2020 Nov;28(11):2073-2077. doi: 10.1002/oby.22982. Epub 2020 Sep 27.