The ineluctable constraints of thermodynamics in the aetiology of obesity.
Denis Scott LoiselleChristopher J BarclayPublished in: Clinical and experimental pharmacology & physiology (2017)
We exploit the detail-independence feature of thermodynamics to examine issues related to the development of obesity. We adopt a 'global' approach consistent with focus on the first law of thermodynamics - namely that the metabolic energy provided by dietary foodstuffs has only three possible fates: the performance of work (be it microscopic or macroscopic), the generation of heat, or storage - primarily in the form of adipose tissue. Quantification of the energy expended, in the form of fat metabolised, during selected endurance events, reveals the inherent limitation of over-reliance on exercise as a primary agent of weight loss. This result prompts examination of various (non-exercise based) possibilities of increasing the rate of heat loss. Since these, too, give little cause for optimism, we are obliged to conclude that obesity can be prevented, or weight loss achieved, only if exercise is supplemented by reduction of food intake.
Keyphrases
- weight loss
- high intensity
- bariatric surgery
- adipose tissue
- insulin resistance
- roux en y gastric bypass
- gastric bypass
- resistance training
- metabolic syndrome
- physical activity
- weight gain
- high fat diet induced
- type diabetes
- glycemic control
- skeletal muscle
- heat stress
- obese patients
- machine learning
- high fat diet
- body mass index