Evidence map›Paper›PMID 31204775›Full record

ArticleThe American journal of clinical nutrition2019

Metabolic adaptation is not observed after 8 weeks of overfeeding but energy expenditure variability is associated with weight recovery.

Darcy L Johannsen, Kara L Marlatt, Kevin E Conley, Steven R Smith, Eric Ravussin

Registry-linked trialAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01672632 (Fat Cell Size and Overfeeding and Etopic Study), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01672632 nacompletednot on this map

Fat Cell Size and Overfeeding and Etopic Study

TypeinterventionalSponsorPennington Biomedical Research CenterRan2008 to 2020Enrolled40ConditionsOver EatingArmsOverfeeding
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Sleep Duration Alters Overfeeding-mediated Reduction in Insulin Sensitivity.The Journal of clinical endocrinology and metabolism · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. The role of physical activity in the regulation of body weight: The overlooked contribution of light physical activity and sedentary behaviors.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Reply to B Halpern.The American journal of clinical nutrition · 2019
    Article
  16. Physical activity and body-weight regulation.The American journal of clinical nutrition · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Darcy L JohannsenClinical Science, Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA.
Kara L MarlattClinical Science, Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA.
Kevin E ConleyDepartment of Radiology, Bioengineering, Physiology and Biophysics, University of Washington, Seattle, WA 98195, USA.
Steven R SmithTranslational Research Institute for Metabolism and Diabetes, Advent Health, Orlando, FL 32827, USA.
Eric RavussinClinical Science, Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA.

Funding

Research BaseP30DK072476 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Leanne Maree Redman · 2005 to 2026
$26.5M
Fat Cell Size, Overfeeding & Ectopic FatR01DK060412 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI RAVUSSIN, ERIC · 2001 to 2011
$5.4M
Training in Obesity ResearchT32DK064584 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI CORBY K MARTIN, Christopher D Morrison · 2003 to 2026
$5.3M
The role of mitochondrial energetics in adaptive thermogenesis with overfeedingK01DK089005 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JOHANNSEN, DARCY LARAE · 2010 to 2014
$574k
NIDDK NIH HHS K01 DK089005NIDDK NIH HHS P30 DK072476NIDDK NIH HHS R01 DK060412NIDDK NIH HHS T32 DK064584
6 · The paper itself

Abstract

backgroundA metabolic adaptation, defined as an increase in energy expenditure (EE) beyond what is expected with weight gain during overfeeding (OF), has been reported but also refuted. Much of the inconsistency stems from the difficulty in conducting large, well-controlled OF studies in humans.

objectivesThe primary aim of this study was to determine whether a metabolic adaptation to OF exists and if so, attenuates weight gain.

methodsThirty-five young adults consumed 40% above their baseline energy requirements for 8 wk, and sleeping metabolic rate (SMR) and 24-h sedentary energy expenditure (24h-EE) were measured before and after OF. Subjects were asked to return for a 6-mo post-OF follow-up visit to measure body weight, body composition, and physical activity.

resultsAfter adjusting for gains in fat-free mass and fat mass, SMR increased by 43 ± 123 kcal/d more than expected (P = 0.05) and 24h-EE by 23 ± 139 kcal/d (P = 0.34), indicating an overall lack of metabolic adaptation during OF despite a wide variability in the response. Among the 30 subjects who returned for the 6-mo follow-up visit, those who had a lower-than-predicted SMR (basal EE) retained more of the fat gained during OF. Likewise, subjects displaying a higher-than-predicted sedentary 24h-EE lost significantly more fat during the 6-mo follow-up.

conclusionsMetabolic adaptation to OF was on average very small but variable between subjects, revealing "thrifty" or "spendthrift" metabolic phenotypes related to body weight loss 6 mo later. This trial was registered at clinicaltrials.gov as NCT01672632.

Indexed as

Energy IntakeAdaptation, PhysiologicalAdultBody WeightDietEnergy MetabolismExerciseFemaleHumansMaleMitochondriaTime FactorsYoung Adultdietary-induced thermogenesisenergy expenditureluxuskonsumptionmetabolic adaptationoverfeedingrespiratory chambersleeping metabolic ratespendthrift phenotypethrifty phenotypeweight gain

Identifiers

PMID31204775
PMCPMC6766445

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.