PMID- 34648770 OWN - NLM STAT- MEDLINE DCOM- 20211229 LR - 20211229 IS - 1532-8600 (Electronic) IS - 0026-0495 (Linking) VI - 125 DP - 2021 Dec TI - Body mass cycling and predictors of body mass regain and its impact on cardiometabolic health. PG - 154912 LID - S0026-0495(21)00212-2 [pii] LID - 10.1016/j.metabol.2021.154912 [doi] AB - Caloric restriction (CR) is the first line intervention to reduce adiposity and total body mass (BM) to improve insulin resistance and ameliorate metabolic derangements. However, the lost adipose mass is difficult to maintain reduced in the long term due to several factors including compensatory changes in orexigenic hormones, adipokine release, pro-inflammatory state, adipose tissue morphology, and resting metabolic rate as a consequence of the caloric deficit. Hence, most patients undergoing a BM reduction intervention ultimately regain the lost mass and too often additional adipose mass overtime, which is hypothesized to have increased deleterious effects chronically. In this mini-review we describe the effects of BM cycling (loss and regain) on insulin resistance and cardiometabolic health and factors that may predict BM regain in clinical studies. We also describe the factors that contribute to the chronic deleterious effects of BM cycling in rodent models of diet-induced obesity (DIO) and other metabolic defects. We conclude that most of the improvements in insulin resistance are observed after a profound loss in BM regardless of the diet and that BM cycling abrogates these beneficial effects. We also suggest that more BM cycling studies are needed in rodent models resembling the development of type 2 diabetes mellitus (T2DM) in humans. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Cornejo, Manuel A AU - Cornejo MA AD - Department of Molecular & Cell Biology, School of Natural Sciences, University of California, Merced, Merced, CA, United States of America. Electronic address: mcornejo3@ucmerced.edu. FAU - Ortiz, Rudy M AU - Ortiz RM AD - Department of Molecular & Cell Biology, School of Natural Sciences, University of California, Merced, Merced, CA, United States of America. LA - eng GR - T37 MD001480/MD/NIMHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20211012 PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 SB - IM MH - Adipose Tissue/metabolism MH - Animals MH - Blood Pressure/*physiology MH - Body Weight/*physiology MH - Cardiovascular Diseases/metabolism MH - Diabetes Mellitus, Type 2/metabolism MH - Gastrointestinal Microbiome/physiology MH - Humans MH - Insulin Resistance/*physiology OTO - NOTNLM OT - Adipokines OT - Ghrelin OT - Insulin OT - RAAS OT - Resting metabolic rate OT - T-cells COIS- Declaration of competing interest None. EDAT- 2021/10/15 06:00 MHDA- 2021/12/30 06:00 CRDT- 2021/10/14 20:11 PHST- 2021/04/15 00:00 [received] PHST- 2021/08/31 00:00 [revised] PHST- 2021/10/06 00:00 [accepted] PHST- 2021/10/15 06:00 [pubmed] PHST- 2021/12/30 06:00 [medline] PHST- 2021/10/14 20:11 [entrez] AID - S0026-0495(21)00212-2 [pii] AID - 10.1016/j.metabol.2021.154912 [doi] PST - ppublish SO - Metabolism. 2021 Dec;125:154912. doi: 10.1016/j.metabol.2021.154912. Epub 2021 Oct 12.