Abstract:Objective
Brown adipose tissue (BAT) generates heat in response to cold, and low BAT activity has been linked to obesity. However, recent studies are inconclusive as to whether BAT is involved in diet-induced thermogenesis and mitigates weight gain from prolonged overeating. We therefore investigated whether BAT activity is related to metabolic adaptation arising from 8 weeks of overfeeding in humans.
Methods
Fourteen men (aged 24±3 years, BMI 24.5±1.6 kg/m2) were overfed by 40% for 8 weeks. Before and after… Show more
“…However, recent data in humans indicate that unlike CIT, DIT is probably not mediated by BAT [26]. Additionally, we recently reported that BAT probably does not mediate the metabolic adaptation following 8 weeks of overfeeding in men [27]. Together, these studies do not support a role of BAT in modulating DIT and do not lend support to an important role for BAT in the regulation of human body weight as previously suggested by Kozak [28].…”
Section: Bat Activation Vs Bat Inductionmentioning
Purpose of review
New treatment approaches to weight loss and weight loss maintenance in humans are critical. Given its potential role in stimulating energy expenditure, brown adipose tissue (BAT) activation has become a trending topic as an anti-obesity treatment.
Recent findings
Most studies on BAT stimulation have been conducted in rodents and used cold stimulation. To date, few human trials exist that tested the effect of cold exposure on BAT. Those studies show that BAT contributes a small amount to overall energy metabolism which is unlikely to cause weight loss. Nonetheless, improvements in glucose metabolism have been demonstrated in humans. While new pharmacological approaches demonstrate some contribution of BAT to overall energy expenditure, the potential cardiovascular risk (increased heart rate and blood pressure to sustain the extra energy expenditure) may preclude their use.
Summary
There is no convincing evidence yet to indicate that BAT may be a viable pharmaceutical target for body weight loss or even weight loss maintenance. More research is needed to confirm the relevance of BAT and beige tissue to whole-body energy metabolism in humans.
“…However, recent data in humans indicate that unlike CIT, DIT is probably not mediated by BAT [26]. Additionally, we recently reported that BAT probably does not mediate the metabolic adaptation following 8 weeks of overfeeding in men [27]. Together, these studies do not support a role of BAT in modulating DIT and do not lend support to an important role for BAT in the regulation of human body weight as previously suggested by Kozak [28].…”
Section: Bat Activation Vs Bat Inductionmentioning
Purpose of review
New treatment approaches to weight loss and weight loss maintenance in humans are critical. Given its potential role in stimulating energy expenditure, brown adipose tissue (BAT) activation has become a trending topic as an anti-obesity treatment.
Recent findings
Most studies on BAT stimulation have been conducted in rodents and used cold stimulation. To date, few human trials exist that tested the effect of cold exposure on BAT. Those studies show that BAT contributes a small amount to overall energy metabolism which is unlikely to cause weight loss. Nonetheless, improvements in glucose metabolism have been demonstrated in humans. While new pharmacological approaches demonstrate some contribution of BAT to overall energy expenditure, the potential cardiovascular risk (increased heart rate and blood pressure to sustain the extra energy expenditure) may preclude their use.
Summary
There is no convincing evidence yet to indicate that BAT may be a viable pharmaceutical target for body weight loss or even weight loss maintenance. More research is needed to confirm the relevance of BAT and beige tissue to whole-body energy metabolism in humans.
“…The first study to use IRT to estimate SST was performed in 2011 . Ten studies were then published between 2011 and 2016 , six in 2017 , six in 2018 , and one until April 2019 .…”
Section: Resultsmentioning
confidence: 99%
“…Most, but not all, of the identified studies ( n = 18; 75%) included cooling protocols, although the duration, temperature, and the way of inducing cooling differed between studies (Figure ). Nine out of these eighteen studies used hands/feet immersion in cold water (temperature 10.8°C ± 8.7°C, duration: 6.1 ± 6.8 minutes) . Seven of these nine studies used a cold exposure of < 5 minutes.…”
Section: Resultsmentioning
confidence: 99%
“…The first study to use IRT to estimate SST was performed in 2011 (24). Ten studies were then published between 2011 and 2016 (25)(26)(27)(28)(29)(30)(31)(32)(33)(34), six in 2017 (35)(36)(37)(38)(39)(40), six in 2018 (16,(41)(42)(43)(44), and one until April 2019 (45).…”
Objective
Brown adipose tissue (BAT) is a thermogenic tissue with potential as a therapeutic target in the treatment of obesity and related metabolic disorders. The most used technique for quantifying human BAT activity is the measurement of 18F‐fluorodeoxyglucose uptake via a positron emission tomography/computed tomography scan following exposure to cold. However, several studies have indicated the measurement of the supraclavicular skin temperature (SST) by infrared thermography (IRT) to be a less invasive alternative. This work reviews the state of the art of this latter method as a means of determining BAT activity in humans.
Methods
The data sources for this review were PubMed, Web of Science, and EBSCOhost (SPORTdiscus), and eligible studies were those conducted in humans.
Results
In most studies in which participants were first cooled, an increase in IRT‐measured SST was noted. However, only 5 of 24 such studies also involved a nuclear technique that confirmed increased activity in BAT, and only 2 took into account the thickness of the fat layer when measuring SST by IRT.
Conclusions
More work is needed to understand the involvement of tissues other than BAT in determining IRT‐measured SST; at present, IRT cannot determine whether any increase in SST is due to increased BAT activity.
“…The first study dedicated to determination of a contribution of BAT to adaptive DIT was published recently by Peterson et al . . In their study involving 8 weeks overfeeding by 40% of weight maintenance energy intake in healthy males, sleeping energy expenditure was increased by 4.7% above that expected based on the amount of weight gained.…”
Section: Brown Adipose Tissue Adaptive Thermogenesismentioning
Elevating energy expenditure via adaptive thermogenesis in brown adipose tissue (BAT) is a potential strategy to reverse obesity. Much early enthusiasm for this approach, based on rodent studies, was tempered by the belief that BAT was relatively inconsequential in healthy adult humans. Interest was reinvigorated a decade ago when a series of studies re-identified BAT, primarily in upper thoracic regions, in adults. Despite the ensuing explosion of pre-clinical investigations and identification of an extensive list of potential target molecules for BAT recruitment, our understanding of human BAT physiology remains limited, particularly regarding interventions which might hold therapeutic promise. Cold-induced BAT thermogenesis (CIT) has been well studied, although is not readily translatable as an anti-obesity approach, whereas little is known regarding the role of BAT in human diet-induced thermogenesis (DIT). Furthermore, human studies dedicated to translating known pharmacological mechanisms of adipose browning from animal models are sparse. Several lines of recent evidence suggest that molecular regulation and physiology of human BAT differ to that of laboratory rodents, which form the majority of our knowledge base. This review will summarize knowledge on CIT and expand upon the current understanding and evidence gaps related to human adaptive thermogenesis via mechanisms other than cold.
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